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| Regel 23: | Regel 25: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|6 aug 1964 | |style="background-color: white;"|6 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 31: | Regel 33: | ||
<section begin=MA_XXX_Amaya /> | <section begin=MA_XXX_Amaya /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 1 dag, om 11:25 | |style="background-color: white;"|T- 1 dag, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar | |style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geannuleerd indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|10 maal per dag 1 stuk | |style="background-color: white;"|10 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:00 | |style="background-color: white;"|T, om 09:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar | |style="background-color: white;"|Vanaf T, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 14:32 | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: TA | ||
|style="background-color: white;"|MBH_513_2_TA_1 | |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="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Hans van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 14:32 | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 28 dagen | |style="background-color: white;"|Vanaf T, gedurende 28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MGB | ||
|style="background-color: white;"|MBH_513_3_MGB_1 | |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="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Hans van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Ziekenhuis Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal | |style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per week 5 stuks | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 5 dagen, om 09:35 | |style="background-color: white;"|T- 5 dagen, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag 1 stuk | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Lichaamslengte | ||
|style="background-color: white;"|155 cm. Gemeten: T- 5 dagen, om 09:35 | |style="background-color: white;"|155 cm. Gemeten: T- 5 dagen, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Lichaamsgewicht | ||
|style="background-color: white;"|54 kg. Gemeten: T- 5 dagen, om 09:35 | |style="background-color: white;"|54 kg. Gemeten: T- 5 dagen, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toelichting | ||
|style="background-color: white;"|In overleg met specialist | |style="background-color: white;"|In overleg met specialist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Amaya /> | |}<section end=MA_XXX_Amaya /> | ||
===Verstrekkingsverzoeken XXX_Amaya === | ===Verstrekkingsverzoeken XXX_Amaya === | ||
<section begin=VV_XXX_Amaya /> | <section begin=VV_XXX_Amaya /> | ||
| Regel 279: | Regel 440: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Hans van | |style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 297: | Regel 458: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 313: | Regel 474: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|40 stuks | |style="background-color: white;"|40 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 334: | Regel 495: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=VV_XXX_Amaya /> | |}<section end=VV_XXX_Amaya /> | ||
===Toedieningsafspraken XXX_Amaya === | ===Toedieningsafspraken XXX_Amaya === | ||
<section begin=TA_XXX_Amaya /> | <section begin=TA_XXX_Amaya /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 12:25 | |style="background-color: white;"|T, om 12:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar | |style="background-color: white;"|Vanaf T, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geannuleerd indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_513_1_MA_2 | |style="background-color: white;"|MBH_513_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 7 dagen, om 14:52 | |style="background-color: white;"|T- 7 dagen, om 14:52 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Reden afspraak | ||
|style="background-color: white;"|Opname | |style="background-color: white;"|Opname | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_513_2_MA_1 | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 5 dagen, om 09:45 | |style="background-color: white;"|T- 5 dagen, om 09:45 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag 1 stuk | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toelichting | ||
|style="background-color: white;"|Wegens niet leverbaar zijn van Broxil | |style="background-color: white;"|Wegens niet leverbaar zijn van Broxil | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_513_4_MA_1 | |style="background-color: white;"|MBH_513_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Amaya /> | |}<section end=TA_XXX_Amaya /> | ||
===Verstrekkingen XXX_Amaya === | ===Verstrekkingen XXX_Amaya === | ||
<section begin=MVE_XXX_Amaya /> | <section begin=MVE_XXX_Amaya /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T, om 14:32 | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Relatie naar verstrekkingsverzoek | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|30 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_513_2_VV_2 | |style="background-color: white;"|MBH_513_2_VV_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 5 dagen, om 09:45 | |style="background-color: white;"|T- 5 dagen, om 09:45 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afleverlocatie | ||
|style="background-color: white;"|Huisadres patiënt | |style="background-color: white;"|Huisadres patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende informatie | ||
|style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052') | |style="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken. | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_513_4_VV_1 | |style="background-color: white;"|MBH_513_4_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MVE_XXX_Amaya /> | |}<section end=MVE_XXX_Amaya /> | ||
===Medicatiegebruik XXX_Amaya === | ===Medicatiegebruik XXX_Amaya === | ||
<section begin=MGB_XXX_Amaya /> | <section begin=MGB_XXX_Amaya /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 2 dagen, om 15:39 | |style="background-color: white;"|T- 2 dagen, om 15:39 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 2 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 2 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Hans van Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Ziekenhuis Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="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, tot nader order, 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="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_513_2_MA_1 | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Informant | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Zorgverlener: Hans van | |style="background-color: white;"|Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 20:40 | |style="background-color: white;"|T, om 20:40 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 1 dag, tot nader order | |style="background-color: white;"|Vanaf T- 1 dag, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Hans van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|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="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_513_2_MA_1 | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Informant | ||
|style="background-color: white;"|Persoon: M. XXX_Amaya - Mantelzorger. | |style="background-color: white;"|Persoon: M. XXX_Amaya - Mantelzorger. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Zorgverlener: Hans van | |style="background-color: white;"|Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 661: | Regel 953: | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 681: | Regel 973: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Informant | |colspan="3"|Informant | ||
|style="background-color: white;"|Zorgverlener: Peter van | |style="background-color: white;"|Zorgverlener : Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"|Zorgverlener: Hans van | |style="background-color: white;"|Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 708: | Regel 1.000: | ||
|style="background-color: white;"|Vanaf T, gedurende 1 dag | |style="background-color: white;"|Vanaf T, gedurende 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer') | |style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 731: | Regel 1.023: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_5132_2 | |style="background-color: white;"|MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 3 dagen, om 20:59 | |style="background-color: white;"|T- 3 dagen, om 20:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Hans van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal | |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per week 5 stuks | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_513_3_MA_1 | |style="background-color: white;"|MBH_513_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden gebruik | ||
|style="background-color: white;"|Lymfekanker | |style="background-color: white;"|Lymfekanker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_3 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 802: | Regel 1.126: | ||
|style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 825: | Regel 1.149: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 852: | Regel 1.176: | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 875: | Regel 1.199: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Amaya /> | |}<section end=MGB_XXX_Amaya /> | ||
==Patiënt Pauline P. XXX_Bourgonje== | ==Patiënt Pauline P. XXX_Bourgonje== | ||
| Regel 896: | Regel 1.220: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 904: | Regel 1.228: | ||
<section begin=MA_XXX_Bourgonje /> | <section begin=MA_XXX_Bourgonje /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 7 dagen | |style="background-color: white;"|T- 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Bertine van Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Aanvullende instructie | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |||
|-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, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | |||
|-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="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 2 maal per dag | |style="background-color: white;"|zo nodig 2 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Bourgonje /> | |}<section end=MA_XXX_Bourgonje /> | ||
===Verstrekkingsverzoeken XXX_Bourgonje === | ===Verstrekkingsverzoeken XXX_Bourgonje === | ||
| Regel 963: | Regel 1.319: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Bertine van | |style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|100 gram | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 978: | Regel 1.334: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=VV_XXX_Bourgonje /> | |}<section end=VV_XXX_Bourgonje /> | ||
===Toedieningsafspraken XXX_Bourgonje === | ===Toedieningsafspraken XXX_Bourgonje === | ||
<section begin=TA_XXX_Bourgonje /> | <section begin=TA_XXX_Bourgonje /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 7 dagen | |style="background-color: white;"|T- 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 2 maal per dag | |style="background-color: white;"|zo nodig 2 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_123_1_MA_1 | |style="background-color: white;"|MBH_123_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Bourgonje /> | |}<section end=TA_XXX_Bourgonje /> | ||
===Verstrekkingen XXX_Bourgonje === | ===Verstrekkingen XXX_Bourgonje === | ||
<section begin=MVE_XXX_Bourgonje /> | <section begin=MVE_XXX_Bourgonje /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 7 dagen | |style="background-color: white;"|T- 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |rowspan="5"| | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|100 gram | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_123_1_VV_1 | |style="background-color: white;"|MBH_123_1_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MVE_XXX_Bourgonje /> | |}<section end=MVE_XXX_Bourgonje /> | ||
===Medicatiegebruik XXX_Bourgonje === | ===Medicatiegebruik XXX_Bourgonje === | ||
<section begin=MGB_XXX_Bourgonje /> | <section begin=MGB_XXX_Bourgonje /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 4 dagen, om 20:58 | |style="background-color: white;"|T- 4 dagen, om 20:58 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag | |style="background-color: white;"|2 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_123_1_MA_1 | |style="background-color: white;"|MBH_123_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Bourgonje /> | |}<section end=MGB_XXX_Bourgonje /> | ||
==Patiënt J. XXX_Cnossen== | ==Patiënt J. XXX_Cnossen== | ||
| Regel 1.121: | Regel 1.535: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|4 aug 1964 | |style="background-color: white;"|4 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 1.129: | Regel 1.543: | ||
<section begin=MA_XXX_Cnossen /> | <section begin=MA_XXX_Cnossen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 100 dagen, om 12:11 | |style="background-color: white;"|T- 100 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="3"|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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-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="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 nader order, 1 maal per dag 1 inhalatie, inhalatie | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 60 dagen, om 13:54 | |style="background-color: white;"|T- 60 dagen, om 13:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |style="background-color: white;"|Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 500 dagen, om 10:19 | |style="background-color: white;"|T- 500 dagen, om 10:19 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 366 dagen, om 17:54 | |style="background-color: white;"|T- 366 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |style="background-color: white;"|Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 100 dagen, om 12:11 | |style="background-color: white;"|T- 100 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 4 dagen, om 13:54 | |style="background-color: white;"|T- 4 dagen, om 13:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="13"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |rowspan="3"| | ||
|style="background-color: white;"|MBH_313_3 | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||
|-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, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |||
|-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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 300 dagen, om 14:23 | |style="background-color: white;"|T- 300 dagen, om 14:23 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 222 dagen, om 08:54 | |style="background-color: white;"|T- 222 dagen, om 08:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="13"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="7"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Cnossen /> | |}<section end=MA_XXX_Cnossen /> | ||
===Toedieningsafspraken XXX_Cnossen === | ===Toedieningsafspraken XXX_Cnossen === | ||
<section begin=TA_XXX_Cnossen /> | <section begin=TA_XXX_Cnossen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 100 dagen, om 12:11 | |style="background-color: white;"|T- 100 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_1_MA_1 | |style="background-color: white;"|MBH_313_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 60 dagen, om 13:54 | |style="background-color: white;"|T- 60 dagen, om 13:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_1_MA_2 | |style="background-color: white;"|MBH_313_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 500 dagen, om 10:19 | |style="background-color: white;"|T- 500 dagen, om 10:19 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_2_MA_1 | |style="background-color: white;"|MBH_313_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 366 dagen, om 17:54 | |style="background-color: white;"|T- 366 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_2_MA_2 | |style="background-color: white;"|MBH_313_2_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 100 dagen, om 12:30 | |style="background-color: white;"|T- 100 dagen, om 12:30 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_3_MA_1 | |style="background-color: white;"|MBH_313_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 4 dagen, om 14:54 | |style="background-color: white;"|T- 4 dagen, om 14:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_3_MA_2 | |style="background-color: white;"|MBH_313_3_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 300 dagen, om 15:23 | |style="background-color: white;"|T- 300 dagen, om 15:23 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - 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="6"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_4_MA_1 | |style="background-color: white;"|MBH_313_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 222 dagen, om 09:54 | |style="background-color: white;"|T- 222 dagen, om 09:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_313_4_MA_2 | |style="background-color: white;"|MBH_313_4_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Cnossen /> | |}<section end=TA_XXX_Cnossen /> | ||
===Medicatiegebruik XXX_Cnossen === | ===Medicatiegebruik XXX_Cnossen === | ||
<section begin=MGB_XXX_Cnossen /> | <section begin=MGB_XXX_Cnossen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 59 dagen, om 12:11 | |style="background-color: white;"|T- 59 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 59 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 59 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||
|-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- 59 dagen, tot nader order, 1 maal per dag 1 dosis | |||
|-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="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_1_MA_1 | |style="background-color: white;"|MBH_313_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|7 jul 2018, om 15:25 | |style="background-color: white;"|7 jul 2018, om 15:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order | |style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik | |style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_1_MA_2 | |style="background-color: white;"|MBH_313_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|21 apr 2017, om 10:19 | |style="background-color: white;"|21 apr 2017, om 10:19 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 21 apr 2017, tot nader order | |style="background-color: white;"|Vanaf 21 apr 2017, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen | |style="background-color: white;"|Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_2_MA_1 | |style="background-color: white;"|MBH_313_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 365 dagen, om 17:54 | |style="background-color: white;"|T- 365 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 366 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 366 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="13"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gerelateerde afspraak : MA | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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, tot nader order, geen gebruik | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_313_2_MA_2 | |style="background-color: white;"|MBH_313_2_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|26 | |style="background-color: white;"|26 may 2018, om 14:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 26 | |style="background-color: white;"|Vanaf 26 may 2018, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf 26 | |style="background-color: white;"|Vanaf 26 may 2018, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_3_MA_1 | |style="background-color: white;"|MBH_313_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|29 aug 2018, om 13:54 | |style="background-color: white;"|29 aug 2018, om 13:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 29 aug 2018, tot nader order | |style="background-color: white;"|Vanaf 29 aug 2018, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf 29 aug 2018, tot nader order, gebruik onderbroken | |style="background-color: white;"|Vanaf 29 aug 2018, tot nader order, gebruik onderbroken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_3_MA_2 | |style="background-color: white;"|MBH_313_3_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|7 nov 2017, om 17:23 | |style="background-color: white;"|7 nov 2017, om 17:23 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 7 nov 2017, tot nader order | |style="background-color: white;"|Vanaf 7 nov 2017, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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 7 nov 2017, tot nader order, 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="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_4_MA_1 | |style="background-color: white;"|MBH_313_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 222 dagen, om 19:35 | |style="background-color: white;"|T- 222 dagen, om 19:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 222 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 222 dagen, tot nader order, gebruik onderbroken | |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order, gebruik onderbroken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_313_4_MA_2 | |style="background-color: white;"|MBH_313_4_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Cnossen /> | |}<section end=MGB_XXX_Cnossen /> | ||
==Patiënt R. XXX_Dirksz== | ==Patiënt R. XXX_Dirksz== | ||
| Regel 2.222: | Regel 3.244: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 2.230: | Regel 3.252: | ||
<section begin=MA_XXX_Dirksz /> | <section begin=MA_XXX_Dirksz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 30 dagen, om 14:55 | |style="background-color: white;"|T- 30 dagen, om 14:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|MBH_113_2 | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |||
|-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, om 23:59, 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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 30 dagen, om 14:57 | |style="background-color: white;"|T- 30 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_3 | |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Dirksz /> | |}<section end=MA_XXX_Dirksz /> | ||
===Verstrekkingsverzoeken XXX_Dirksz === | ===Verstrekkingsverzoeken XXX_Dirksz === | ||
| Regel 2.368: | Regel 3.486: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 2.383: | Regel 3.501: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 2.399: | Regel 3.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|21 stuks | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 2.414: | Regel 3.532: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 2.430: | Regel 3.548: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|21 stuks | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 2.445: | Regel 3.563: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_3 | |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=VV_XXX_Dirksz /> | |}<section end=VV_XXX_Dirksz /> | ||
===Toedieningsafspraken XXX_Dirksz === | ===Toedieningsafspraken XXX_Dirksz === | ||
<section begin=TA_XXX_Dirksz /> | <section begin=TA_XXX_Dirksz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_113_1_MA_1 | |style="background-color: white;"|MBH_113_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 30 dagen, om 14:55 | |style="background-color: white;"|T- 30 dagen, om 14:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_113_2_MA_1 | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 30 dagen, om 14:57 | |style="background-color: white;"|T- 30 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_3 | |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Dirksz /> | |}<section end=TA_XXX_Dirksz /> | ||
===Verstrekkingen XXX_Dirksz === | ===Verstrekkingen XXX_Dirksz === | ||
<section begin=MVE_XXX_Dirksz /> | <section begin=MVE_XXX_Dirksz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 50 dagen, om 12:25 | |style="background-color: white;"|T- 50 dagen, om 12:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_113_1_VV_1 | |style="background-color: white;"|MBH_113_1_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 30 dagen, om 15:55 | |style="background-color: white;"|T- 30 dagen, om 15:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|25 stuks | |style="background-color: white;"|25 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Zestril tablet 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Zestril tablet 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_113_2_VV_1 | |style="background-color: white;"|MBH_113_2_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 30 dagen, om 15:56 | |style="background-color: white;"|T- 30 dagen, om 15:56 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|21 stuks | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_113_3_VV_1 | |style="background-color: white;"|MBH_113_3_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_3 | |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MVE_XXX_Dirksz /> | |}<section end=MVE_XXX_Dirksz /> | ||
===Medicatiegebruik XXX_Dirksz === | ===Medicatiegebruik XXX_Dirksz === | ||
<section begin=MGB_XXX_Dirksz /> | <section begin=MGB_XXX_Dirksz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 48 dagen, om 11:25 | |style="background-color: white;"|T- 48 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag | |style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-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="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_113_1_MA_1 | |style="background-color: white;"|MBH_113_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 13 dagen, om 14:55 | |style="background-color: white;"|T- 13 dagen, om 14:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken | |style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_113_2_MA_1 | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 29 dagen, om 14:57 | |style="background-color: white;"|T- 29 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_113_3_MA_1 | |style="background-color: white;"|MBH_113_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_3 | |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Dirksz /> | |}<section end=MGB_XXX_Dirksz /> | ||
==Patiënt R. XXX_Gobee== | ==Patiënt R. XXX_Gobee== | ||
| Regel 2.823: | Regel 4.115: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 2.831: | Regel 4.123: | ||
<section begin=MA_XXX_Gobee /> | <section begin=MA_XXX_Gobee /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"|MBH_213_1_MA_1 | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="13"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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, om 23:59, 1 à 2 maal per dag 1 tablet, 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="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"|MBH_213_1_MA_2 | |style="background-color: white;"|MBH_213_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Geen of onvoldoende effect (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |style="background-color: white;"|Geen of onvoldoende effect (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 15 dagen, om 16:25 | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"|MBH_213_1_MA_3 | |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="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="7"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 15 dagen, om 16:25 | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"|MBH_213_1_MA_4 | |style="background-color: white;"|MBH_213_1_MA_4 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Wens patiënt (code = '12' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |style="background-color: white;"|Wens patiënt (code = '12' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Gobee /> | |}<section end=MA_XXX_Gobee /> | ||
===Verstrekkingsverzoeken XXX_Gobee === | ===Verstrekkingsverzoeken XXX_Gobee === | ||
| Regel 3.063: | Regel 4.509: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
| Regel 3.071: | Regel 4.517: | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 3.081: | Regel 4.527: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 3.097: | Regel 4.543: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|John de | |style="background-color: white;"|John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Te verstrekken hoeveelheid | |colspan="2"|Te verstrekken hoeveelheid | ||
| Regel 3.105: | Regel 4.551: | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 3.115: | Regel 4.561: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 3.131: | Regel 4.577: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Auteur | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 3.146: | Regel 4.592: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=VV_XXX_Gobee /> | |}<section end=VV_XXX_Gobee /> | ||
===Toedieningsafspraken XXX_Gobee === | ===Toedieningsafspraken XXX_Gobee === | ||
<section begin=TA_XXX_Gobee /> | <section begin=TA_XXX_Gobee /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_213_1_MA_1 | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_213_1_MA_2 | |style="background-color: white;"|MBH_213_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_213_1_MA_3 | |style="background-color: white;"|MBH_213_1_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 15 dagen, om 16:25 | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_213_1_MA_4 | |style="background-color: white;"|MBH_213_1_MA_4 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 15 dagen, om 16:25 | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_213_1_MA_5 | |style="background-color: white;"|MBH_213_1_MA_5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Gobee /> | |}<section end=TA_XXX_Gobee /> | ||
===Verstrekkingen XXX_Gobee === | ===Verstrekkingen XXX_Gobee === | ||
<section begin=MVE_XXX_Gobee /> | <section begin=MVE_XXX_Gobee /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 50 dagen, om 13:25 | |style="background-color: white;"|T- 50 dagen, om 13:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|40 stuks | |style="background-color: white;"|40 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_213_1_VV_1 | |style="background-color: white;"|MBH_213_1_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|60 stuks | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_213_1_VV_2 | |style="background-color: white;"|MBH_213_1_VV_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T- 15 dagen, om 17:25 | |style="background-color: white;"|T- 15 dagen, om 17:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verbruiksduur | ||
|style="background-color: white;"|30 dagen | |style="background-color: white;"|30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_213_1_VV_2 | |style="background-color: white;"|MBH_213_1_VV_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MVE_XXX_Gobee /> | |}<section end=MVE_XXX_Gobee /> | ||
===Medicatiegebruik XXX_Gobee === | ===Medicatiegebruik XXX_Gobee === | ||
<section begin=MGB_XXX_Gobee /> | <section begin=MGB_XXX_Gobee /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 47 dagen, om 11:25 | |style="background-color: white;"|T- 47 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_213_1_MA_1 | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 41 dagen, om 11:25 | |style="background-color: white;"|T- 41 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen | |style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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 tablet, 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="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_213_1_MA_1 | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 3.565: | Regel 5.183: | ||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 3.588: | Regel 5.206: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 16 dagen, om 11:25 | |style="background-color: white;"|T- 16 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen | |style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_213_1_MA_3 | |style="background-color: white;"|MBH_213_1_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 10 dagen, om 11:25 | |style="background-color: white;"|T- 10 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_213_1_MA_5 | |style="background-color: white;"|MBH_213_1_MA_5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Gobee /> | |}<section end=MGB_XXX_Gobee /> | ||
==Patiënt J. XXX_Kilkenny== | ==Patiënt J. XXX_Kilkenny== | ||
| Regel 3.703: | Regel 5.385: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|5 aug 1964 | |style="background-color: white;"|5 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 3.711: | Regel 5.393: | ||
<section begin=MA_XXX_Kilkenny /> | <section begin=MA_XXX_Kilkenny /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 5 dagen, om 15:34 | |style="background-color: white;"|T- 5 dagen, om 15:34 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"|MBH_323_1_MGB_1 | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="13"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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, om 23:59, 3x per dag 1 tablet | |||
|-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="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_323_1 | |style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Kilkenny /> | |}<section end=MA_XXX_Kilkenny /> | ||
===Medicatiegebruik XXX_Kilkenny === | ===Medicatiegebruik XXX_Kilkenny === | ||
| Regel 3.775: | Regel 5.486: | ||
|style="background-color: white;"|Vanaf T- 20 dagen, tot nader order | |style="background-color: white;"|Vanaf T- 20 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 3.795: | Regel 5.506: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_323_1 | |style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Kilkenny /> | |}<section end=MGB_XXX_Kilkenny /> | ||
==Patiënt R. XXX_Ruys== | ==Patiënt R. XXX_Ruys== | ||
| Regel 3.816: | Regel 5.527: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 3.840: | Regel 5.551: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="2"|Geslacht | ||
| Regel 3.848: | Regel 5.559: | ||
<section begin=MA_XXX_Strengersz /> | <section begin=MA_XXX_Strengersz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen | |style="background-color: white;"|Vanaf T, gedurende 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 à 2 maal per dag 1 stuk | |style="background-color: white;"|1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |style="background-color: white;"|3 maal per dag 1 à 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 10:26 | |style="background-color: white;"|T- 20 dagen, om 10:26 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 10:46 | |style="background-color: white;"|T- 20 dagen, om 10:46 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_5 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |style="background-color: white;"|2 maal per dag 10 à 15 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_6 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_7 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |style="background-color: white;"|Vanaf T, gedurende 10 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_8 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|MBH_413_9 | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
|-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, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, 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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Herhaalperiode cyclisch schema | ||
|style="background-color: white;"|28 dagen | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_10 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |style="background-color: white;"|Vanaf T, gedurende 41 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="14"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||
|-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="7"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="7"| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie 1 | ||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie 2 | ||
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie 3 | ||
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_11 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |style="background-color: white;"|Vanaf T, gedurende 3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Reden afspraak | |||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_12 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 28 dagen, om 09:12 | |style="background-color: white;"|T- 28 dagen, om 09:12 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|0.5 ml per uur | |style="background-color: white;"|0.5 ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_13 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 11:25 | |style="background-color: white;"|T- 20 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|0.2 à 0.5 ml per uur | |style="background-color: white;"|0.2 à 0.5 ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_13 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_14 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reden afspraak | ||
|style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |style="background-color: white;"|Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="11"| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Product naam | ||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="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="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingredient code | ||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Sterkte | ||
|style="background-color: white;"|10 gram per 100 gram | |style="background-color: white;"|10 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingredient code | ||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Sterkte | ||
|style="background-color: white;"|90 gram per 100 gram | |style="background-color: white;"|90 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig | |style="background-color: white;"|zo nodig | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MA_XXX_Strengersz /> | |}<section end=MA_XXX_Strengersz /> | ||
===Verstrekkingsverzoeken XXX_Strengersz === | ===Verstrekkingsverzoeken XXX_Strengersz === | ||
| Regel 4.570: | Regel 6.793: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Auteur | |colspan="4"|Auteur | ||
|style="background-color: white;"|Peter van | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
| Regel 4.615: | Regel 6.838: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=VV_XXX_Strengersz /> | |}<section end=VV_XXX_Strengersz /> | ||
===Toedieningsafspraken XXX_Strengersz === | ===Toedieningsafspraken XXX_Strengersz === | ||
<section begin=TA_XXX_Strengersz /> | <section begin=TA_XXX_Strengersz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen | |style="background-color: white;"|Vanaf T, gedurende 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 à 2 maal per dag 1 stuk | |style="background-color: white;"|1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_1_MA_1 | |style="background-color: white;"|MBH_413_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_2_MA_1 | |style="background-color: white;"|MBH_413_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |rowspan="7"| | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |style="background-color: white;"|3 maal per dag 1 à 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_3_MA_1 | |style="background-color: white;"|MBH_413_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 10:26 | |style="background-color: white;"|T- 20 dagen, om 10:26 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_4_MA_1 | |style="background-color: white;"|MBH_413_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 10:46 | |style="background-color: white;"|T- 20 dagen, om 10:46 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_5_MA_1 | |style="background-color: white;"|MBH_413_5_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_5 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |style="background-color: white;"|2 maal per dag 10 à 15 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_6_MA_1 | |style="background-color: white;"|MBH_413_6_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_6 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_7_MA_1 | |style="background-color: white;"|MBH_413_7_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_7 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |style="background-color: white;"|Vanaf T, gedurende 10 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - 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="6"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_8_MA_1 | |style="background-color: white;"|MBH_413_8_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_8 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_9_MA_1 | |style="background-color: white;"|MBH_413_9_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_9 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Herhaalperiode cyclisch schema | ||
|style="background-color: white;"|28 dagen | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_10_MA_1 | |style="background-color: white;"|MBH_413_10_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_10 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |style="background-color: white;"|Vanaf T, gedurende 41 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="7"| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende instructie | ||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie 1 | ||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie 2 | ||
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie 3 | ||
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_11_MA_1 | |style="background-color: white;"|MBH_413_11_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_11 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |style="background-color: white;"|Vanaf T, gedurende 3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_12_MA_1 | |style="background-color: white;"|MBH_413_12_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_12 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 28 dagen, om 09:12 | |style="background-color: white;"|T- 28 dagen, om 09:12 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|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="6"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|0.5 ml per uur | |style="background-color: white;"|0.5 ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_13_MA_1 | |style="background-color: white;"|MBH_413_13_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_13 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T- 20 dagen, om 11:25 | |style="background-color: white;"|T- 20 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|0.2 à 0.5 ml per uur | |style="background-color: white;"|0.2 à 0.5 ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_13_MA_2 | |style="background-color: white;"|MBH_413_13_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_13 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order | |style="background-color: white;"|Vanaf 16 aug 2018, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |style="background-color: white;"|Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_14_MA_1 | |style="background-color: white;"|MBH_413_14_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_14 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="11"| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Product naam | ||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"|10 gram per 100 gram | |style="background-color: white;"|10 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"|90 gram per 100 gram | |style="background-color: white;"|90 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|zo nodig | |style="background-color: white;"|zo nodig | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_413_15_MA_1 | |style="background-color: white;"|MBH_413_15_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=TA_XXX_Strengersz /> | |}<section end=TA_XXX_Strengersz /> | ||
===Verstrekkingen XXX_Strengersz === | ===Verstrekkingen XXX_Strengersz === | ||
<section begin=MVE_XXX_Strengersz /> | <section begin=MVE_XXX_Strengersz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Datum | ||
|style="background-color: white;"|T, om 10:35 | |style="background-color: white;"|T, om 10:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|90 stuks | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Distributievorm | ||
|style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8') | |style="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_413_9_VV_1 | |style="background-color: white;"|MBH_413_9_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_9 | |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%" | {| class="wikitable" width="85%" | ||
| Regel 5.374: | Regel 7.848: | ||
|colspan="4"|Datum | |colspan="4"|Datum | ||
|style="background-color: white;"|T, om 10:35 | |style="background-color: white;"|T, om 10:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 5.415: | Regel 7.900: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MVE_XXX_Strengersz /> | |}<section end=MVE_XXX_Strengersz /> | ||
===Medicatiegebruik XXX_Strengersz === | ===Medicatiegebruik XXX_Strengersz === | ||
<section begin=MGB_XXX_Strengersz /> | <section begin=MGB_XXX_Strengersz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 16:25 | |style="background-color: white;"|T, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen | |style="background-color: white;"|Vanaf T, gedurende 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 à 2 maal per dag 1 stuk | |style="background-color: white;"|1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_1_MA_1 | |style="background-color: white;"|MBH_413_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_1 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 14:25 | |style="background-color: white;"|T, om 14:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |style="background-color: white;"|Vanaf T, gedurende 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' 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, gedurende 14 dagen, exact iedere 3 uur 16 IE, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_2_MA_1 | |style="background-color: white;"|MBH_413_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_2 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 10:45 | |style="background-color: white;"|T, om 10:45 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |style="background-color: white;"|3 maal per dag 1 à 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_3_MA_1 | |style="background-color: white;"|MBH_413_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_3 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T- 15 dagen, om 13:44 | |style="background-color: white;"|T- 15 dagen, om 13:44 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59 | |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan | |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|3 maal per dag | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_4_MA_1 | |style="background-color: white;"|MBH_413_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_4 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 12:38 | |style="background-color: white;"|T, om 12:38 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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 ¼ tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_5_MA_1 | |style="background-color: white;"|MBH_413_5_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_5 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 21:37 | |style="background-color: white;"|T, om 21:37 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 1 dag | |style="background-color: white;"|Vanaf T, gedurende 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |style="background-color: white;"|Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |style="background-color: white;"|2 maal per dag 10 à 15 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_6_MA_1 | |style="background-color: white;"|MBH_413_6_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_6 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 14:05 | |style="background-color: white;"|T, om 14:05 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59 | |style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE | |style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_7_MA_1 | |style="background-color: white;"|MBH_413_7_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_7 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 23:59 | |style="background-color: white;"|T, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |style="background-color: white;"|Vanaf T, gedurende 10 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Aanvullende instructie | |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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||
|-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="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_8_MA_1 | |style="background-color: white;"|MBH_413_8_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_8 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 22:35 | |style="background-color: white;"|T, om 22:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_9_MA_1 | |style="background-color: white;"|MBH_413_9_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_9 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 09:35 | |style="background-color: white;"|T, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Herhaalperiode cyclisch schema | ||
|style="background-color: white;"|28 dagen | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_10_MA_1 | |style="background-color: white;"|MBH_413_10_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_10 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 15:35 | |style="background-color: white;"|T, om 15:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |style="background-color: white;"|Vanaf T, gedurende 41 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener naam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="3"|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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - 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="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, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Aanvullende instructie | ||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie 1 | ||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_11_MA_1 | |style="background-color: white;"|MBH_413_11_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_11 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 22:35 | |style="background-color: white;"|T, om 22:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |style="background-color: white;"|Vanaf T, gedurende 3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-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="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_12_MA_1 | |style="background-color: white;"|MBH_413_12_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_12 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 22:35 | |style="background-color: white;"|T, om 22:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_14_MA_1 | |style="background-color: white;"|MBH_413_14_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_14 | |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%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |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="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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Registratiedatum | ||
|style="background-color: white;"|T, om 10:35 | |style="background-color: white;"|T, om 10:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Volgens afspraak indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 4 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener naam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="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="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="11"| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Product naam | ||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="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="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingredient code | ||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Sterkte | ||
|style="background-color: white;"|10 gram per 100 gram | |style="background-color: white;"|10 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingredient code | ||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Sterkte | ||
|style="background-color: white;"|90 gram per 100 gram | |style="background-color: white;"|90 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_15_MA_1 | |style="background-color: white;"|MBH_413_15_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MGB_XXX_Strengersz /> | |}<section end=MGB_XXX_Strengersz /> | ||
Huidige versie van 3 dec 2019 om 13:18
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Dit is een verouderde pagina. De actuele versies zijn te vinden via de MedMij kwalificatie pagina. |
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Addenda voor inhoudelijke gegevens
Patiënt J. XXX_Amaya
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Amaya | |
| Patient identificatienummer | 999911764 [BSN] | |
| Patient identificatienummer | 51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 6 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Amaya
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 1 dag, om 11:25 | |||||
| Gebruiksperiode | Vanaf T- 1 dag, gedurende 1 jaar | |||||
| Geannuleerd indicator | Nee | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 10 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:00 | |||||
| Gebruiksperiode | Vanaf T, gedurende 1 jaar | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Bertine van Doorn | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 14:32 | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Relatie naar afspraak of gebruik: TA | MBH_513_2_TA_1 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Hans van Doorn | |||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Ziekenhuis Stitswerd | |||||
| Reden afspraak | Opname (code = '305335007' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Toelichting | Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1 | |||||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 14:32 | |||||
| Gebruiksperiode | Vanaf T, gedurende 28 dagen | |||||
| Relatie naar afspraak of gebruik: MGB | MBH_513_3_MGB_1 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Hans van Doorn | |||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Ziekenhuis Stitswerd | |||||
| Reden afspraak | Opname (code = '305335007' in codeSystem 'SNOMED CT') | |||||
| Reden van voorschrijven | Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL') | |||||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per week 5 stuks | |||||
| MBH identificatie | MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 5 dagen, om 09:35 | |||||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 10 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 3 maal per dag 1 stuk | |||||
| Lichaamslengte | 155 cm. Gemeten: T- 5 dagen, om 09:35 | |||||
| Lichaamsgewicht | 54 kg. Gemeten: T- 5 dagen, om 09:35 | |||||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||||
| Toelichting | In overleg met specialist | |||||
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Verstrekkingsverzoeken XXX_Amaya
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T, om 14:32 | |
| Auteur | Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd | |
| Te verstrekken hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Toelichting | nog in te vullen, zie word... | |
| Relatie naar medicatieafspraak | MBH_513_2_MA_2 | |
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 5 dagen, om 09:35 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 40 stuks | |
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Afleverlocatie | Huisadres patiënt | |
| Aanvullende wensen | Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051') | |
| Relatie naar medicatieafspraak | MBH_513_4_MA_1 | |
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
Toedieningsafspraken XXX_Amaya
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 12:25 | ||||
| Gebruiksperiode | Vanaf T, gedurende 1 jaar | ||||
| Geannuleerd indicator | Ja | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_513_1_MA_2 | ||||
| MBH identificatie | MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 7 dagen, om 14:52 | ||||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Reden afspraak | Opname | ||||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_513_2_MA_1 | ||||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 5 dagen, om 09:45 | ||||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 10 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 3 maal per dag 1 stuk | ||||
| Aanvullende informatie | Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053') | ||||
| Toelichting | Wegens niet leverbaar zijn van Broxil | ||||
| Relatie naar medicatieafspraak | MBH_513_4_MA_1 | ||||
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Verstrekkingen XXX_Amaya
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T, om 14:32 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_513_2_VV_2 | |||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 5 dagen, om 09:45 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |||
| Afleverlocatie | Huisadres patiënt | |||
| Aanvullende informatie | Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052') | |||
| Toelichting | Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken. | |||
| Relatie naar verstrekkingsverzoek | MBH_513_4_VV_1 | |||
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicatiegebruik XXX_Amaya
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 2 dagen, om 15:39 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 2 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Hans van Doorn | |||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Ziekenhuis Stitswerd | |||||
| Geneesmiddel - primaire code | Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 2 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | |||||
| Informant | Patiënt | |||||
| Auteur | Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | |||||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 20:40 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 1 dag, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Hans van Doorn | |||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Ziekenhuis Stitswerd | |||||
| Geneesmiddel - primaire code | Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | |||||
| Informant | Persoon: M. XXX_Amaya - Mantelzorger. | |||||
| Auteur | Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | |||||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 21:39 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T, tot nader order | ||
| Geneesmiddel - primaire code | Furosemide tablet 40mg (code = '5967' in codeSystem 'G-Standaard PRK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | ||
| Informant | Zorgverlener : Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
| Auteur | Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
| MBH identificatie | MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 20:59 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T, gedurende 1 dag | ||
| Geneesmiddel - primaire code | TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde verstrekking | MBH_5132_2_MVE_1 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 3 dagen, om 20:59 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Hans van Doorn | |||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Ziekenhuis Stitswerd | |||||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal | |||||
| Doseerinstructie | 1 maal per week 5 stuks | |||||
| Gerelateerde afspraak : MA | MBH_513_3_MA_1 | |||||
| Auteur | Patiënt | |||||
| Reden gebruik | Lymfekanker | |||||
| MBH identificatie | MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 4 dagen, om 22:35 | ||
| Gebruik indicator | Ja | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59 | ||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde afspraak : MA | MBH_513_4_MA_1 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 3 dagen, om 22:35 | ||
| Gebruik indicator | Nee | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 3 dagen, gedurende 1 dag | ||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 3 dagen, gedurende 1 dag, 0 stuks | ||
| Gerelateerde afspraak : MA | MBH_513_4_MA_1 | ||
| Gerelateerde afspraak : TA | |||
| Gerelateerde verstrekking | |||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
Patiënt Pauline P. XXX_Bourgonje
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | Pauline P. XXX_Bourgonje | |
| Patient identificatienummer | 999911296 [BSN] | |
| Patient identificatienummer | 12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Bourgonje
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 7 dagen | |||||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Bertine van Doorn | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Stitswerd Oost | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | |||||
| Toedieningsweg | Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | zo nodig 2 maal per dag | |||||
| MBH identificatie | MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Verstrekkingsverzoeken XXX_Bourgonje
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 7 dagen | |
| Auteur | Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost | |
| Te verstrekken hoeveelheid | 100 gram | |
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_123_1_MA_1 | |
| MBH identificatie | MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
Toedieningsafspraken XXX_Bourgonje
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 7 dagen | ||||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | ||||
| Toedieningsweg | Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Doseerinstructie | zo nodig 2 maal per dag | ||||
| Relatie naar medicatieafspraak | MBH_123_1_MA_1 | ||||
| MBH identificatie | MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Verstrekkingen XXX_Bourgonje
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 100 gram | |||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_123_1_VV_1 | |||
| MBH identificatie | MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicatiegebruik XXX_Bourgonje
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 4 dagen, om 20:58 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 2 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Bertine van Doorn | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Stitswerd Oost | |||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | 2 maal per dag | |||||
| Gerelateerde afspraak : MA | MBH_123_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Patiënt J. XXX_Cnossen
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Cnossen | |
| Patient identificatienummer | 999911740 [BSN] | |
| Patient identificatienummer | 31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 4 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Cnossen
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 100 dagen, om 12:11 | |||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | |||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 dosis | |||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 60 dagen, om 13:54 | |||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | |||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 dosis | |||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 500 dagen, om 10:19 | |||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | |||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||||
| Doseerinstructie | 1 maal per dag 1 druppel | |||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 366 dagen, om 17:54 | |||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Indicatie vervallen (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen | |||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||||
| Doseerinstructie | 1 maal per dag 1 druppel | |||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 100 dagen, om 12:11 | |||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 4 dagen, om 13:54 | |||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | |||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 300 dagen, om 14:23 | |||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 222 dagen, om 08:54 | |||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | |||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Toedieningsafspraken XXX_Cnossen
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 100 dagen, om 12:11 | ||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 dosis | ||||
| Relatie naar medicatieafspraak | MBH_313_1_MA_1 | ||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 60 dagen, om 13:54 | ||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | ||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 dosis | ||||
| Relatie naar medicatieafspraak | MBH_313_1_MA_2 | ||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 500 dagen, om 10:19 | ||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||
| Doseerinstructie | 1 maal per dag 1 druppel | ||||
| Relatie naar medicatieafspraak | MBH_313_2_MA_1 | ||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 366 dagen, om 17:54 | ||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen | ||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||
| Doseerinstructie | 1 maal per dag 1 druppel | ||||
| Relatie naar medicatieafspraak | MBH_313_2_MA_2 | ||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 100 dagen, om 12:30 | ||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_313_3_MA_1 | ||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 4 dagen, om 14:54 | ||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | ||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_313_3_MA_2 | ||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 300 dagen, om 15:23 | ||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_313_4_MA_1 | ||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 222 dagen, om 09:54 | ||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_313_4_MA_2 | ||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Medicatiegebruik XXX_Cnossen
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 59 dagen, om 12:11 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 59 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 59 dagen, tot nader order, 1 maal per dag 1 dosis | |||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 dosis | |||||
| Gerelateerde afspraak : MA | MBH_313_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | 7 jul 2018, om 15:25 | |||||
| Gebruik indicator | Nee | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf 7 jul 2018, om 07:00, tot nader order | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik | |||||
| Gerelateerde afspraak : MA | MBH_313_1_MA_2 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | 21 apr 2017, om 10:19 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf 21 apr 2017, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen | |||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||||
| Doseerinstructie | 1 maal per dag 1 druppel | |||||
| Gerelateerde afspraak : MA | MBH_313_2_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 365 dagen, om 17:54 | |||||
| Gebruik indicator | Nee | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 366 dagen, tot nader order | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 366 dagen, tot nader order, geen gebruik | |||||
| Gerelateerde afspraak : MA | MBH_313_2_MA_2 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | 26 may 2018, om 14:11 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf 26 may 2018, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf 26 may 2018, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_313_3_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | 29 aug 2018, om 13:54 | |||||
| Gebruik indicator | Nee | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf 29 aug 2018, tot nader order | |||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf 29 aug 2018, tot nader order, gebruik onderbroken | |||||
| Gerelateerde afspraak : MA | MBH_313_3_MA_2 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | 7 nov 2017, om 17:23 | |||||
| Gebruik indicator | Nee | |||||
| Gebruiksperiode | Vanaf 7 nov 2017, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf 7 nov 2017, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_313_4_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 222 dagen, om 19:35 | |||||
| Gebruik indicator | Nee | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 222 dagen, tot nader order | |||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 222 dagen, tot nader order, gebruik onderbroken | |||||
| Gerelateerde afspraak : MA | MBH_313_4_MA_2 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Patiënt R. XXX_Dirksz
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Dirksz | |
| Patient identificatienummer | 999911326 [BSN] | |
| Patient identificatienummer | 11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Dirksz
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | |||||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 30 dagen, om 14:55 | |||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 30 dagen, om 14:57 | |||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Verstrekkingsverzoeken XXX_Dirksz
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 50 dagen, om 11:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_1_MA_1 | |
| MBH identificatie | MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 30 dagen, om 14:55 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 21 stuks | |
| Geneesmiddel - primaire code | Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_2_MA_1 | |
| MBH identificatie | MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 30 dagen, om 14:57 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 21 stuks | |
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_3_MA_1 | |
| MBH identificatie | MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
Toedieningsafspraken XXX_Dirksz
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard PRK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_113_1_MA_1 | ||||
| MBH identificatie | MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 30 dagen, om 14:55 | ||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_113_2_MA_1 | ||||
| MBH identificatie | MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 30 dagen, om 14:57 | ||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_113_3_MA_1 | ||||
| MBH identificatie | MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Verstrekkingen XXX_Dirksz
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 50 dagen, om 12:25 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_113_1_VV_1 | |||
| MBH identificatie | MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 30 dagen, om 15:55 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 25 stuks | |||
| Geneesmiddel - primaire code | Zestril tablet 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_113_2_VV_1 | |||
| MBH identificatie | MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 30 dagen, om 15:56 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_113_3_VV_1 | |||
| MBH identificatie | MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicatiegebruik XXX_Dirksz
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 48 dagen, om 11:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 48 dagen, gedurende 1 dag | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal | |||||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_113_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 13 dagen, om 14:55 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 30 dagen, gedurende 3 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Zestril tabel 10mg (code = '615560' in codeSystem 'G-Standaard HPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_113_2_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 29 dagen, om 14:57 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_113_3_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Patiënt R. XXX_Gobee
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Gobee | |
| Patient identificatienummer | 999911314 [BSN] | |
| Patient identificatienummer | 21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Gobee
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 40 dagen, om 09:13 | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_1 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 40 dagen, om 09:13 | |||||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 30 dagen | |||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_2 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Geen of onvoldoende effect (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 15 dagen, om 16:25 | |||||
| Gebruiksperiode | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_3 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 15 dagen, om 16:25 | |||||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 30 dagen | |||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_4 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Wens patiënt (code = '12' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Verstrekkingsverzoeken XXX_Gobee
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 50 dagen, om 11:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 40 stuks | |
| Aantal herhalingen | 1 | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_1 | |
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 40 dagen, om 09:13 | |
| Auteur | John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 60 stuks | |
| Aantal herhalingen | 1 | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_3 | |
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 15 dagen, om 16:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Verbruiksperiode | tot nader order | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_5 | |
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |
Toedieningsafspraken XXX_Gobee
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_213_1_MA_1 | ||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 40 dagen, om 09:13 | ||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_213_1_MA_2 | ||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 40 dagen, om 09:13 | ||||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 30 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_213_1_MA_3 | ||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 15 dagen, om 16:25 | ||||
| Gebruiksperiode | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_213_1_MA_4 | ||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 15 dagen, om 16:25 | ||||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 30 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_213_1_MA_5 | ||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Verstrekkingen XXX_Gobee
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 50 dagen, om 13:25 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 40 stuks | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_1 | |||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 40 dagen, om 09:13 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_2 | |||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T- 15 dagen, om 17:25 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Verbruiksduur | 30 dagen | |||
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_2 | |||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicatiegebruik XXX_Gobee
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 47 dagen, om 11:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 3 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 41 dagen, om 11:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 46 dagen, gedurende 6 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 46 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 35 dagen, om 19:25 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 6 dagen | ||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard PRK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 40 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 2 maal per dag 1 stuk | ||
| Gerelateerde afspraak : TA | MBH_213_1_TA_3 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 16 dagen, om 11:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 34 dagen, gedurende 19 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_3 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 10 dagen, om 11:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 5 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_5 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Patiënt J. XXX_Kilkenny
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Kilkenny | |
| Patient identificatienummer | 999911752 [BSN] | |
| Patient identificatienummer | 22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 5 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Kilkenny
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 5 dagen, om 15:34 | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59 | |||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||||
| Relatie naar afspraak of gebruik: MA | MBH_323_1_MGB_1 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | John de Vries | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59, 3x per dag 1 tablet | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Doseerinstructie | 3 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Medicatiegebruik XXX_Kilkenny
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 10 dagen, om 11:25 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 20 dagen, tot nader order | ||
| Geneesmiddel - primaire code | ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 20 dagen, tot nader order, 3x per dag 1 tablet | ||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| Doseerinstructie | 3 maal per dag 1 stuk | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
Patiënt R. XXX_Ruys
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Ruys | |
| Patient identificatienummer | 999911351 [BSN] | |
| Patient identificatienummer | 13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Patiënt R. XXX_Strengersz
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Strengersz | |
| Patient identificatienummer | 999911338 [BSN] | |
| Patient identificatienummer | 41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Strengersz
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 11:25 | |||||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | |||||
| MBH identificatie | MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 11:25 | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | |||||
| MBH identificatie | MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | |||||
| MBH identificatie | MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 20 dagen, om 10:26 | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | 3 maal per dag | |||||
| MBH identificatie | MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 20 dagen, om 10:46 | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||||
| MBH identificatie | MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | |||||
| MBH identificatie | MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||||
| MBH identificatie | MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||||
| MBH identificatie | MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | |||||
| MBH identificatie | MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||||
| Herhaalperiode cyclisch schema | 28 dagen | |||||
| MBH identificatie | MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | |||||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | |||||
| MBH identificatie | MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 11:25 | |||||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag | |||||
| MBH identificatie | MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 28 dagen, om 09:12 | |||||
| Gebruiksperiode | Vanaf T- 28 dagen, gedurende 8 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 0.5 ml per uur | |||||
| MBH identificatie | MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T- 20 dagen, om 11:25 | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 8 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 0.2 à 0.5 ml per uur | |||||
| MBH identificatie | MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 11:25 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |||||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | |||||
| MBH identificatie | MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatieafspraak | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||||
| Afspraakdatum | T, om 09:35 | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Reden afspraak | Starten medicamenteuze behandeling (code = '266709005' in codeSystem 'SNOMED CT') | |||||
| Geneesmiddel - Product specificatie | ||||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||||
| Ingredient | ||||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||||
| Sterkte | 10 gram per 100 gram | |||||
| Ingredient | ||||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||||
| Sterkte | 90 gram per 100 gram | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | zo nodig | |||||
| MBH identificatie | MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
Verstrekkingsverzoeken XXX_Strengersz
| Verstrekkingsverzoek | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Datum | T, om 09:35 | |||
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |||
| Te verstrekken hoeveelheid | 100 ml | |||
| Aantal herhalingen | 1 | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 90 gram per 100 gram | |||
| Beoogd verstrekker | Apotheek De Gulle Gaper | |||
| Relatie naar medicatieafspraak | MBH_413_15_MA_1 | |||
| MBH identificatie | MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Toedieningsafspraken XXX_Strengersz
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 11:25 | ||||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-StandaardGPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | ||||
| Relatie naar medicatieafspraak | MBH_413_1_MA_1 | ||||
| MBH identificatie | MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 11:25 | ||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-StandaardGPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | ||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | ||||
| Relatie naar medicatieafspraak | MBH_413_2_MA_1 | ||||
| MBH identificatie | MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-StandaardGPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | ||||
| Relatie naar medicatieafspraak | MBH_413_3_MA_1 | ||||
| MBH identificatie | MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 20 dagen, om 10:26 | ||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-StandaardGPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | ||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Doseerinstructie | 3 maal per dag | ||||
| Relatie naar medicatieafspraak | MBH_413_4_MA_1 | ||||
| MBH identificatie | MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 20 dagen, om 10:46 | ||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal per dag 0.5 stuk | ||||
| Relatie naar medicatieafspraak | MBH_413_5_MA_1 | ||||
| MBH identificatie | MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | ||||
| Relatie naar medicatieafspraak | MBH_413_6_MA_1 | ||||
| MBH identificatie | MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | ||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||||
| Relatie naar medicatieafspraak | MBH_413_7_MA_1 | ||||
| MBH identificatie | MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | ||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||
| Doseerinstructie | op maandag, woensdag en vrijdag | ||||
| Relatie naar medicatieafspraak | MBH_413_8_MA_1 | ||||
| MBH identificatie | MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||||
| Relatie naar medicatieafspraak | MBH_413_9_MA_1 | ||||
| MBH identificatie | MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | ||||
| Herhaalperiode cyclisch schema | 28 dagen | ||||
| Relatie naar medicatieafspraak | MBH_413_10_MA_1 | ||||
| MBH identificatie | MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | ||||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | ||||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | ||||
| Relatie naar medicatieafspraak | MBH_413_11_MA_1 | ||||
| MBH identificatie | MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 11:25 | ||||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag | ||||
| Relatie naar medicatieafspraak | MBH_413_12_MA_1 | ||||
| MBH identificatie | MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 28 dagen, om 09:12 | ||||
| Gebruiksperiode | Vanaf T- 28 dagen, gedurende 8 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | ||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 0.5 ml per uur | ||||
| Relatie naar medicatieafspraak | MBH_413_13_MA_1 | ||||
| MBH identificatie | MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T- 20 dagen, om 11:25 | ||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 8 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | ||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 0.2 à 0.5 ml per uur | ||||
| Relatie naar medicatieafspraak | MBH_413_13_MA_2 | ||||
| MBH identificatie | MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 11:25 | ||||
| Gebruiksperiode | Vanaf 16 aug 2018, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - primaire code | DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | ||||
| Relatie naar medicatieafspraak | MBH_413_14_MA_1 | ||||
| MBH identificatie | MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Afspraakdatum | T, om 09:35 | ||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||
| Verstrekker | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||
| Organisatie naam | Apotheek De Gulle Gaper | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | 10 gram per 100 gram | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | 90 gram per 100 gram | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | ||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | zo nodig | ||||
| Relatie naar medicatieafspraak | MBH_413_15_MA_1 | ||||
| MBH identificatie | MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Verstrekkingen XXX_Strengersz
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T, om 10:35 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
| Distributievorm | Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8') | |||
| Relatie naar verstrekkingsverzoek | MBH_413_9_VV_1 | |||
| MBH identificatie | MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T, om 10:35 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 100 gram | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 90 gram per 100 gram | |||
| Relatie naar verstrekkingsverzoek | MBH_513_15_VV_1 | |||
| MBH identificatie | MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicatiegebruik XXX_Strengersz
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 16:25 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | |||||
| Gerelateerde afspraak : MA | MBH_413_1_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 14:25 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, exact iedere 3 uur 16 IE, subcutaan | |||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | |||||
| Gerelateerde afspraak : MA | MBH_413_2_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 10:45 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '67903' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | |||||
| Gerelateerde afspraak : MA | MBH_413_3_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T- 15 dagen, om 13:44 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-StandaardGPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan | |||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | 3 maal per dag | |||||
| Gerelateerde afspraak : MA | MBH_413_4_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 12:38 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||||
| Gerelateerde afspraak : MA | MBH_413_5_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 21:37 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 1 dag | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | |||||
| Gerelateerde afspraak : MA | MBH_413_6_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 14:05 | |||||
| Gebruik indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, om 07:00, tot en met T, om 23:59 | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Insuline isofaan injsusp 100ie/ml patr 3ml (code = '34851' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE | |||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||||
| Gerelateerde afspraak : MA | MBH_413_7_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 23:59 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||||
| Gerelateerde afspraak : MA | MBH_413_8_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 22:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | |||||
| Gerelateerde afspraak : MA | MBH_413_9_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 09:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, tot nader order | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Ethinyl estradiol/desogestrel tablet 30/150ug (Marvelon) (code = '16292' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||||
| Herhaalperiode cyclisch schema | 28 dagen | |||||
| Gerelateerde afspraak : MA | MBH_413_10_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 15:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||||
| Doseerinstructie | gedurende 3 weken 1 maal per dag 2 gram | |||||
| Doseerinstructie | gedurende 6 dagen 1 maal per dag 1 gram | |||||
| Gerelateerde afspraak : MA | MBH_413_11_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 22:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag | |||||
| Gerelateerde afspraak : MA | MBH_413_12_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 22:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Ja | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |||||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | |||||
| Gerelateerde afspraak : MA | MBH_413_14_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||
| Medicatie gebruik | ||||||
| Gegevenselement | Waarde | |||||
| Identificatie | MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||||
| Registratiedatum | T, om 10:35 | |||||
| Gebruik indicator | Ja | |||||
| Volgens afspraak indicator | Nee | |||||
| Gebruiksperiode | Vanaf T, gedurende 4 dagen | |||||
| Voorschrijver | ||||||
| Zorgverlener | ||||||
| Zorgverlener naam | ||||||
| Naamgegevens | Peter van Pulver | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||||
| Geneesmiddel - Product specificatie | ||||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||||
| Ingredient | ||||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||||
| Sterkte | 10 gram per 100 gram | |||||
| Ingredient | ||||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||||
| Sterkte | 90 gram per 100 gram | |||||
| Gebruiksinstructie | ||||||
| Omschrijving | Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | |||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||||
| Doseerinstructie | ||||||
| Gerelateerde afspraak : MA | MBH_413_15_MA_1 | |||||
| Auteur | Patiënt | |||||
| MBH identificatie | MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||||