MedMij:Vdraft InhoudelijkeGegevens Integrale Zwangerschapskaart: verschil tussen versies

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Regel 4: Regel 4:
  
 
=Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude>
 
=Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude>
== Vrouw 1, Kaart 1 - data 1e lijn (eerste zwangerschap) ==
+
==Scenario Vrouw 1, Kaart 1 - data 1e lijn (actieve zwangerschap)==
 
<section begin= />
 
<section begin= />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
Regel 31: Regel 31:
 
|colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
 
|colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 74: Regel 74:
 
|colspan="3"|Adres soort
 
|colspan="3"|Adres soort
 
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999900717 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
 
|style="background-color: white;"|18 okt 1985
 
|style="background-color: white;"|18 okt 1985
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Kind1" title="Intern ID = Kind1">Patient Kind1</span>
+
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="12"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="4"|Organisatie naam
|style="background-color: white;"|Helen
+
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|style="background-color: white;"|H.I.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|style="background-color: white;"|XXX_Kooij
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Straat
 
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Groeneweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
|style="background-color: white;"|1002
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999ZZ
+
|style="background-color: white;"|1234ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|STITSWERD
 
|style="background-color: white;"|STITSWERD
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="3"|Land
|style="background-color: white;"|T - 587 dagen
+
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="3"|Adres soort
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="4"|Organisatie type
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
+
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|Zorgverlener identificatienummer
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie naam
 
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="3"|Voornamen
|style="background-color: white;"|Groeneweg
+
|style="background-color: white;"|Gemma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|style="background-color: white;"|1234ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|STITSWERD
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Land
 
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Adres soort
 
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie type
 
|style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverlener identificatienummer
 
|style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Roepnaam
 
|style="background-color: white;"|Gemma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
 
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 197: Regel 151:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Specialisme
 
|colspan="4"|Specialisme
|style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverleners rol
 
|style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
 
 
|}<section end=administratief_ />
 
|}<section end=administratief_ />
 
=== Zorgverlening ===
 
=== Zorgverlening ===
Regel 213: Regel 164:
 
|colspan="4"|Zorg episode
 
|colspan="4"|Zorg episode
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum
 
|colspan="2"|Begin datum
|style="background-color: white;"|T - 841 dagen
+
|style="background-color: white;"|T - 139 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Eind datum
 
|style="background-color: white;"|T - 587 dagen
 
 
|}<section end=zorgverlening_ />
 
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
=== Zwangerschapsgegevens ===
Regel 230: Regel 178:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Casemanager
+
|colspan="5"|Coordinerend zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
Regel 239: Regel 187:
 
|colspan="5"|Zwangerschap
 
|colspan="5"|Zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zwangerschapsduur
 +
|style="background-color: white;"|56 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pariteit
 
|colspan="3"|Pariteit
Regel 245: Regel 196:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Graviditeit
 
|colspan="3"|Graviditeit
|style="background-color: white;"|1
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Aterme datum items
 
|colspan="4"|Aterme datum items
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Aterme datum
 
|colspan="2"|Aterme datum
|style="background-color: white;"|T - 587 dagen
+
|style="background-color: white;"|T + 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bepalings methode
 
|colspan="2"|Bepalings methode
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): zwangerschapstest clearlypink met zwangerschapsduur-indicator
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Datum bepaling
 
|colspan="2"|Datum bepaling
|style="background-color: white;"|
+
|style="background-color: white;"|NullFlavor: UNK
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum laatste menstruatie
 +
|style="background-color: white;"|T - 209 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Definitieve a terme datum observatie
 
|colspan="5"|Definitieve a terme datum observatie
Regel 265: Regel 219:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Definitieve a terme datum tijd
 
|colspan="3"|Definitieve a terme datum tijd
|style="background-color: white;"|T - 587 dagen
+
|style="background-color: white;"|T - 125 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Definitieve a terme waarde
 
|colspan="3"|Definitieve a terme waarde
|style="background-color: white;"|T - 587 dagen
+
|style="background-color: white;"|T + 94 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Definitieve a terme methode
 
|colspan="3"|Definitieve a terme methode
|style="background-color: white;"|observatie (regime/therapie) (code = '225308005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
|}<section end=zwangerschapsgegevens_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
=== Bevalling ===
+
|colspan="5"|Aantal foetussen observatie
<section begin=bevalling_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
+
|rowspan="2"|
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Partusnummer
+
|colspan="3"|Aantal foetussen waarde
 
|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="5"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem maternaal Probleem1</span>
+
|colspan="5"|Aantal levende kinderen observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Aantal levende kinderen datum tijd
|style="background-color: white;"|niet vorderende uitdrijving (code = '249166003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 125 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem begin datum
+
|colspan="3"|Aantal levende kinderen waarde
|style="background-color: white;"|T - 587 dagen om 12:02 uur
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem eind datum
+
|colspan="3"|Observatie methode
|style="background-color: white;"|T - 587 dagen om 12:04 uur
+
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="Verrichting1" title="Intern ID = Verrichting1">Verrichting maternaal Verrichting1</span>
+
|colspan="5"|Fetal loss observatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Fetal loss datum tijd
 +
|style="background-color: white;"|NullFlavor: ASKU
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Fetal loss waarde
|style="background-color: white;"|T - 587 dagen om 02:19 uur
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Toelichting
|style="background-color: white;"|vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|mw. zegt vroege miskraam te hebben gehad enkele maanden na eerste kind, destijds geen verloskundige gezien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="Verrichting2" title="Intern ID = Verrichting2">Verrichting maternaal Verrichting2</span>
+
|colspan="5"|Foliumzuurgebruik observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Foliumzuurgebruik datum tijd
|style="background-color: white;"|T - 587 dagen om 12:04 uur
+
|style="background-color: white;"|T - 139 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Foliumzuurgebruik waarde
 +
|style="background-color: white;"|preconceptionele intake van foliumzuur via voeding (bevinding) (code = '29761000146100' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="5"|Prenatale controle
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem maternaal
+
|colspan="3"|Lichaamsgewicht
|style="background-color: white;"|Zie [[#Probleem1|Probleem maternaal: Probleem1]]
+
|style="background-color: white;"|Zie [[#Gewicht-139D|Lichaamsgewicht: Gewicht-139D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Bloeddruk
|style="background-color: white;"|episiotomie mediolateraal rechts (verrichting) (code = '236992007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#BP-139D|Bloeddruk: BP-139D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ontsluitingsfase
+
|colspan="4"|Alcohol gebruik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|tbv conceptie al gestopt met alcohol consumptie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|colspan="2"|Alcohol gebruik status
 +
|style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Actieve ontsluiting observatie
+
|colspan="4"|Drugs gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie datum tijd
+
|colspan="2"|Drugs gebruik status
|style="background-color: white;"|T - 587 dagen om 02:19 uur
+
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Tabak gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin actieve ontsluiting waarde
+
|rowspan="2"|
|style="background-color: white;"|T - 587 dagen om 02:19 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie methode
+
|colspan="2"|Tabak gebruik status
|style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|heeft nooit gerookt (code = '266919005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Prenatale controle
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toelichting
+
|rowspan="8"|
|style="background-color: white;"|5 cm ontsluiting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Wijze begin baring observatie
+
|colspan="4"|Leven voelen observatie
 
|-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="2"|Observatie datum tijd
+
|colspan="2"|Leven voelen datum tijd
|style="background-color: white;"|T - 586 dagen om 23:50 uur
+
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin baring waarde
+
|colspan="2"|Leven voelen waarde
|style="background-color: white;"|spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie methode
+
|colspan="2"|Toelichting
|style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|voelt sinds enkele dagen minder frequent bewegingen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Uitdrijvingsfase
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|colspan="3"|Lichaamsgewicht
 +
|style="background-color: white;"|Zie [[#Gewicht-6D|Lichaamsgewicht: Gewicht-6D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Patient
+
|colspan="3"|Bloeddruk
|style="background-color: white;"|Zie [[#Kind1|Patient: Kind1]]
+
|style="background-color: white;"|Zie [[#BP-6D|Bloeddruk: BP-6D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Type partus observatie
+
|colspan="5"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie datum tijd
+
|colspan="3"|Probleem type
|style="background-color: white;"|T - 587 dagen om 12:04 uur
+
|style="background-color: white;"|Symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (code = '418799008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Type partus waarde
+
|colspan="3"|Probleem naam
|style="background-color: white;"|begeleiding van normale bevalling (verrichting) (code = '177184002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Aantal geboren kinderen observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Probleem begin datum
 +
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie datum tijd
+
|colspan="3"|Probleem eind datum
|style="background-color: white;"|T - 587 dagen om 12:04 uur
+
|style="background-color: white;"|T - 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zwangerschapsduur
 +
|style="background-color: white;"|189 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aantal geboren kinderen waarde
+
|colspan="3"|Probleem status
|style="background-color: white;"|1
+
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Werkelijke plaats baring type locatie observatie
+
|colspan="5"|Verrichting zwangerschap
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|T - 139 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Werkelijke plaats baring waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|thuisbevalling (bevinding) (code = '169813005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem kindspecifieke maternale problemen Probleem2</span>
+
|colspan="5"|Verrichting zwangerschap
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|T - 139 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|foetale nood durante partu (bevinding) (code = '288274003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|aanbieden van voorlichtingsmateriaal (verrichting) (code = '445283009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="3"|
|style="background-color: white;"|T - 587 dagen om 12:02 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem eind datum
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|T - 587 dagen om 12:04 uur
+
|style="background-color: white;"|T - 6 dagen
|}<section end=bevalling_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
+
|colspan="3"|Verrichting type
=== Kind ===
+
|style="background-color: white;"|monitoren van foetale hart (regime/therapie) (code = '281568006' in codeSystem 'SNOMED CT')
<section begin=kind_ />
+
|}<section end=zwangerschapsgegevens_ />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_ />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medisch onderzoek
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="25%"| Gegevenselement
 
|colspan="6" width="25%"| Gegevenselement
Regel 415: Regel 388:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="7"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Patient
+
|rowspan="15"|
|style="background-color: white;"|Zie [[#Kind1|Patient: Kind1]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboorteplaats
+
|colspan="5"|Psie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="2"|Test code
|style="background-color: white;"|9999ZZ
+
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="2"|Test uitslag
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|bloedgroep A (bevinding) (code = '112144000' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Gemeente
 
|style="background-color: white;"|Het Hogeland
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Land
 
|style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Lichamelijk onderzoek kind
+
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="23"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Geboortegewicht lichaamsgewicht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Test code
 +
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gewicht waarde
+
|colspan="2"|Test uitslag
|style="background-color: white;"|3415 gram
+
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Lichaamslengte
+
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Lengte waarde
+
|colspan="2"|Test code
|style="background-color: white;"|49.7 cm
+
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Schedelomvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Test uitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
|colspan="4"|Schedelomvang waarde
+
|}<section end=medisch_onderzoek_ />
|style="background-color: white;"|33.6 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|7
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score5min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|8
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|10
 
|}<section end=kind_ />
 
 
=== Bouwstenen ===
 
=== Bouwstenen ===
 
<section begin=bouwstenen_ />
 
<section begin=bouwstenen_ />
Regel 507: Regel 441:
 
|colspan="5"|Metingen
 
|colspan="5"|Metingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="BP1" title="Intern ID = BP1">Bloeddruk BP1</span>
+
|colspan="4"|<span id="BP-139D" title="Intern ID = BP-139D">Bloeddruk BP-139D</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Systolische bloeddruk
 +
|style="background-color: white;"|133
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Diastolische bloeddruk
 +
|style="background-color: white;"|89
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloeddruk datum tijd
 +
|style="background-color: white;"|T - 139 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="BP-6D" title="Intern ID = BP-6D">Bloeddruk BP-6D</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Systolische bloeddruk
 
|colspan="2"|Systolische bloeddruk
|style="background-color: white;"|95
+
|style="background-color: white;"|155
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Diastolische bloeddruk
 
|colspan="2"|Diastolische bloeddruk
|style="background-color: white;"|50
+
|style="background-color: white;"|97
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloeddruk datum tijd
 +
|style="background-color: white;"|T - 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="Gewicht-139D" title="Intern ID = Gewicht-139D">Lichaamsgewicht Gewicht-139D</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht waarde
 +
|style="background-color: white;"|71 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="gew1" title="Intern ID = gew1">Lichaamsgewicht gew1</span>
+
|colspan="4"|<span id="Gewicht-6D" title="Intern ID = Gewicht-6D">Lichaamsgewicht Gewicht-6D</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Gewicht waarde
 
|colspan="2"|Gewicht waarde
|style="background-color: white;"|63 kg
+
|style="background-color: white;"|78 kg
 
|}<section end=bouwstenen_ />
 
|}<section end=bouwstenen_ />
==Vrouw 1, Kaart 2 - data 1e lijn (actieve zwangerschap)==
+
==Scenario Vrouw 1, Kaart 2 - data 1e lijn (vorige zwangerschap)==
 
<section begin= />
 
<section begin= />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
Regel 553: Regel 510:
 
|colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
 
|colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 596: Regel 553:
 
|colspan="3"|Adres soort
 
|colspan="3"|Adres soort
 
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999900717 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
 
|style="background-color: white;"|18 okt 1985
 
|style="background-color: white;"|18 okt 1985
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
+
|colspan="6"|<span id="Kind1" title="Intern ID = Kind1">Patient Kind1</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Helen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|H.I.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="2"|
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
+
|colspan="2"|Achternaam
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
+
|style="background-color: white;"|XXX_Kooij
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Straat
 
|colspan="3"|Straat
|style="background-color: white;"|Groeneweg
+
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1002
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999ZZ
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|STITSWERD
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|T - 587 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht administratief
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie naam
 +
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Groeneweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
Regel 640: Regel 649:
 
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverlener identificatienummer
 
|colspan="4"|Zorgverlener identificatienummer
Regel 649: Regel 658:
 
|rowspan="9"|
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="3"|Roepnaam
 
|style="background-color: white;"|Gemma
 
|style="background-color: white;"|Gemma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
Regel 670: Regel 679:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Specialisme
 
|colspan="4"|Specialisme
|style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverleners rol
 +
|style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
 
|}<section end=administratief_ />
 
|}<section end=administratief_ />
 
=== Zorgverlening ===
 
=== Zorgverlening ===
Regel 683: Regel 695:
 
|colspan="4"|Zorg episode
 
|colspan="4"|Zorg episode
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum
 
|colspan="2"|Begin datum
|style="background-color: white;"|T - 139 dagen
+
|style="background-color: white;"|T - 841 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eind datum
 +
|style="background-color: white;"|T - 587 dagen
 
|}<section end=zorgverlening_ />
 
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
=== Zwangerschapsgegevens ===
 
<section begin=zwangerschapsgegevens_ />
 
<section begin=zwangerschapsgegevens_ />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zwangerschapsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Casemanager
+
|colspan="5"|Coordinerend zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverlener
+
|colspan="3"|Zorgverlener
 
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
 
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zwangerschap
+
|colspan="5"|Zwangerschap
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Zwangerschapsduur
 +
|style="background-color: white;"|294 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Pariteit
+
|colspan="3"|Pariteit
 
|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="4"|Graviditeit
+
|colspan="3"|Graviditeit
|style="background-color: white;"|3
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Aterme datum items
+
|colspan="4"|Aterme datum items
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Aterme datum
 +
|style="background-color: white;"|T - 587 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aterme datum
+
|colspan="2"|Bepalings methode
|style="background-color: white;"|T + 99 dagen
+
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bepalings methode
+
|colspan="2"|Datum bepaling
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): zwangerschapstest clearlypink met zwangerschapsduur-indicator
+
|style="background-color: white;"|NullFlavor: UNK
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum bepaling
+
|colspan="2"|Datum laatste menstruatie
|style="background-color: white;"|
+
|style="background-color: white;"|T - 895 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Definitieve a terme datum observatie
+
|colspan="5"|Definitieve a terme datum observatie
 
|-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="4"|Definitieve a terme datum tijd
+
|colspan="3"|Definitieve a terme datum tijd
|style="background-color: white;"|T - 125 dagen
+
|style="background-color: white;"|T - 587 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme waarde
+
|colspan="3"|Definitieve a terme waarde
|style="background-color: white;"|T + 94 dagen
+
|style="background-color: white;"|T - 587 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme methode
+
|colspan="3"|Definitieve a terme methode
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|observatie (regime/therapie) (code = '225308005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Aantal levende kinderen observatie
+
|colspan="5"|Aantal foetussen observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal levende kinderen datum tijd
+
|colspan="3"|Aantal foetussen waarde
|style="background-color: white;"|T - 125 dagen
+
|style="background-color: white;"|1
 +
|}<section end=zwangerschapsgegevens_ />
 +
=== Bevalling ===
 +
<section begin=bevalling_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal levende kinderen waarde
+
|colspan="4"|Partusnummer
 
|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="4"|Observatie methode
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|294 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Fetal loss observatie
+
|colspan="5"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem maternaal Probleem1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Fetal loss datum tijd
+
|colspan="3"|Probleem naam
|style="background-color: white;"|
+
|style="background-color: white;"|niet vorderende uitdrijving (code = '249166003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Fetal loss waarde
+
|colspan="3"|Probleem begin datum
|style="background-color: white;"|
+
|style="background-color: white;"|T - 587 dagen om 12:02 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|colspan="3"|Probleem eind datum
|style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 587 dagen om 12:04 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|colspan="3"|Zwangerschapsduur
|style="background-color: white;"|mw. zegt vroege miskraam te hebben gehad enkele maanden na eerste kind, destijds geen verloskundige gezien
+
|style="background-color: white;"|294 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Foliumzuurgebruik observatie
+
|colspan="5"|<span id="Verrichting1" title="Intern ID = Verrichting1">Verrichting maternaal Verrichting1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Foliumzuurgebruik datum tijd
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|T - 139 dagen
+
|style="background-color: white;"|T - 587 dagen om 02:19 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Foliumzuurgebruik waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|preconceptionele intake van foliumzuur via voeding (bevinding) (code = '29761000146100' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Prenatale controle
+
|colspan="5"|<span id="Verrichting2" title="Intern ID = Verrichting2">Verrichting maternaal Verrichting2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Datum prenatale controle
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Verrichting start datum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|T - 587 dagen om 12:04 uur
|colspan="3"|Begin datum tijd
 
|style="background-color: white;"|T - 139 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|colspan="2"|Probleem maternaal
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
+
|style="background-color: white;"|Zie [[#Probleem1|Probleem zwangerschap: Probleem1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Lichaamsgewicht
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Zie [[#Gewicht-139D|Lichaamsgewicht: Gewicht-139D]]
+
|style="background-color: white;"|episiotomie mediolateraal rechts (verrichting) (code = '236992007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ontsluitingsfase
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bloeddruk
+
|rowspan="12"|
|style="background-color: white;"|Zie [[#BP-139D|Bloeddruk: BP-139D]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Alcohol gebruik
+
|colspan="4"|Actieve ontsluiting observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="2"|Observatie datum tijd
|style="background-color: white;"|tbv conceptie al gestopt met alcohol consumptie
+
|style="background-color: white;"|T - 587 dagen om 02:19 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Alcohol gebruik status
+
|colspan="2"|Begin actieve ontsluiting waarde
|style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 587 dagen om 02:19 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Drugs gebruik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Observatie methode
 +
|style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Drugs gebruik status
+
|colspan="2"|Toelichting
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|5 cm ontsluiting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Tabak gebruik
+
|colspan="4"|Wijze begin baring observatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Observatie datum tijd
 +
|style="background-color: white;"|T - 588 dagen om 23:50 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Tabak gebruik status
+
|colspan="2"|Begin baring waarde
|style="background-color: white;"|heeft nooit gerookt (code = '266919005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Prenatale controle
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="24"|
+
|colspan="2"|Observatie methode
 +
|style="background-color: white;"|evaluatie (kwalificatiewaarde) (code = '129265001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Datum prenatale controle
+
|colspan="5"|Uitdrijvingsfase
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Begin datum tijd
+
|colspan="3"|Patient
|style="background-color: white;"|T - 6 dagen
+
|style="background-color: white;"|Zie [[#Kind1|Patient: Kind1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
+
|colspan="4"|Type partus observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|colspan="2"|Observatie datum tijd
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
+
|style="background-color: white;"|T - 587 dagen om 12:04 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type partus waarde
 +
|style="background-color: white;"|begeleiding van normale bevalling (verrichting) (code = '177184002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Leven voelen observatie
+
|colspan="4"|Werkelijke plaats baring type locatie observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Leven voelen datum tijd
+
|colspan="2"|Werkelijke plaats baring waarde
|style="background-color: white;"|T - 10 dagen
+
|style="background-color: white;"|thuisbevalling (bevinding) (code = '169813005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem kindspecifieke maternale problemen Probleem2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Leven voelen waarde
+
|rowspan="4"|
|style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie methode
+
|colspan="2"|Probleem naam
|style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|foetale nood durante partu (bevinding) (code = '288274003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|voelt sinds enkele dagen minder frequent bewegingen
+
|style="background-color: white;"|T - 587 dagen om 12:02 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Lichaamsgewicht
+
|colspan="2"|Probleem eind datum
|style="background-color: white;"|Zie [[#Gewicht-6D|Lichaamsgewicht: Gewicht-6D]]
+
|style="background-color: white;"|T - 587 dagen om 12:04 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=bevalling_ />
|colspan="4"|Bloeddruk
+
=== Kind ===
|style="background-color: white;"|Zie [[#BP-6D|Bloeddruk: BP-6D]]
+
<section begin=kind_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitwendig onderzoek
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Patient
 +
|style="background-color: white;"|Zie [[#Kind1|Patient: Kind1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetale hartslag hartfrequentie
+
|colspan="7"|Lichamelijk onderzoek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geboortegewicht lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie datum tijd
+
|rowspan="2"|
|style="background-color: white;"|T - 6 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie waarde
+
|colspan="4"|Gewicht waarde
|style="background-color: white;"|187 bpm
+
|style="background-color: white;"|3415 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag meet methode
+
|rowspan="2"|
|style="background-color: white;"|CTG (code = '63818009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag regelmatigheid
+
|colspan="4"|Lengte waarde
|style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|49.7 cm
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Interpretatie frequentie
 
|style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
+
|colspan="6"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem type
+
|colspan="4"|Schedelomvang waarde
|style="background-color: white;"|Symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (code = '418799008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|33.6 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Bevindingen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem naam
+
|rowspan="10"|
|style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|T - 10 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem eind datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 6 dagen
+
|style="background-color: white;"|7
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verrichting zwangerschap
+
|colspan="4"|Apgar score5min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 139 dagen
+
|style="background-color: white;"|8
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting type
 
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verrichting zwangerschap
+
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 139 dagen
+
|style="background-color: white;"|10
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=kind_ />
|colspan="4"|Verrichting type
+
=== Bouwstenen ===
|style="background-color: white;"|aanbieden van voorlichtingsmateriaal (verrichting) (code = '445283009' in codeSystem 'SNOMED CT')
+
<section begin=bouwstenen_ />
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting start datum
 
|style="background-color: white;"|T - 6 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting type
 
|style="background-color: white;"|monitoren van foetale hart (regime/therapie) (code = '281568006' in codeSystem 'SNOMED CT')
 
|}<section end=zwangerschapsgegevens_ />
 
=== Medisch onderzoek ===
 
<section begin=medisch_onderzoek_ />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medisch onderzoek
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bouwstenen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Verrichting onderzoek
+
|colspan="5"|Metingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="BP1" title="Intern ID = BP1">Bloeddruk BP1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Verrichting start datum
+
|rowspan="4"|
|style="background-color: white;"|T - 139 dagen
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="2"|Systolische bloeddruk
|colspan="7"|Maternale onderzoeksgegevens
+
|style="background-color: white;"|95
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Diastolische bloeddruk
 +
|style="background-color: white;"|50
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
+
|colspan="2"|Bloeddruk datum tijd
 +
|style="background-color: white;"|T - 587 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Urine bloed en aanvullende onderzoeken
+
|colspan="4"|<span id="gew1" title="Intern ID = gew1">Lichaamsgewicht gew1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Psie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|colspan="2"|Gewicht waarde
 +
|style="background-color: white;"|63 kg
 +
|}<section end=bouwstenen_ />
 +
==Scenario Vrouw 2, Kaart 3 - data 1e lijn (meerling)==
 +
<section begin= />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
+
|colspan="4"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Patient
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
+
|style="background-color: white;"|Zie [[#Vrouw2|Patient: Vrouw2]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Bloedonderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|rowspan="4"|
|style="background-color: white;"|bloedgroep A (bevinding) (code = '112144000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Laboratorium test bloedgroep
 +
|style="background-color: white;"|Zie [[#ABO|Laboratorium test bloedgroep: ABO]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Laboratorium test rhesus d
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
+
|style="background-color: white;"|Zie [[#RhD|Laboratorium test rhesus d: RhD]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="2"|Laboratorium test rhesus c
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#Rhc|Laboratorium test rhesus c: Rhc]]
 +
|}<section end= />
 +
=== Administratief ===
 +
<section begin=administratief_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Administratief
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
+
|colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Voornamen
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
+
|style="background-color: white;"|Jamila
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Initialen
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|J
|}<section end=medisch_onderzoek_ />
 
=== Bouwstenen ===
 
<section begin=bouwstenen_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bouwstenen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Metingen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="BP-139D" title="Intern ID = BP-139D">Bloeddruk BP-139D</span>
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Systolische bloeddruk
+
|colspan="2"|Achternaam
|style="background-color: white;"|133
+
|style="background-color: white;"|XXX_Kwee
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Diastolische bloeddruk
 
|style="background-color: white;"|89
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="Gewicht-139D" title="Intern ID = Gewicht-139D">Lichaamsgewicht Gewicht-139D</span>
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewicht waarde
+
|colspan="3"|Straat
|style="background-color: white;"|71 kg
+
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Metingen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Huisnummer
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1000
|colspan="4"|<span id="BP-6D" title="Intern ID = BP-6D">Bloeddruk BP-6D</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Systolische bloeddruk
+
|colspan="3"|Woonplaats
|style="background-color: white;"|155
+
|style="background-color: white;"|STITSWERD
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Diastolische bloeddruk
+
|colspan="4"|Identificatienummer
|style="background-color: white;"|97
+
|style="background-color: white;"|999900730 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="Gewicht-6D" title="Intern ID = Gewicht-6D">Lichaamsgewicht Gewicht-6D</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|20 okt 1985
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewicht waarde
+
|colspan="4"|Geslacht administratief
|style="background-color: white;"|78 kg
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|}<section end=bouwstenen_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
==Vrouw 2, Kaart 3 - data 1e lijn (meerling)==
+
|colspan="4"|Meerling indicator
<section begin= />
+
|style="background-color: white;"|Nee
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Demografische gegevens
+
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Patient
+
|colspan="4"|Organisatie naam
|style="background-color: white;"|Zie [[#Vrouw2|Patient: Vrouw2]]
+
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Bloedonderzoek
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test bloedgroep
+
|colspan="3"|Straat
|style="background-color: white;"|Zie [[#ABO|Laboratorium test bloedgroep: ABO]]
+
|style="background-color: white;"|Groeneweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test rhesus d
+
|colspan="3"|Huisnummer
|style="background-color: white;"|Zie [[#RhD|Laboratorium test rhesus d: RhD]]
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test rhesus c
+
|colspan="3"|Postcode
|style="background-color: white;"|Zie [[#Rhc|Laboratorium test rhesus c: Rhc]]
+
|style="background-color: white;"|9999XY
|}<section end= />
 
=== Administratief ===
 
<section begin=administratief_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Administratief
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|colspan="3"|Woonplaats
|-style="vertical-align:top; background-color: #E3E3E3;;
+
|style="background-color: white;"|STITSWERD
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Land
 +
|style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="3"|Adres soort
|style="background-color: white;"|Jamila
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="4"|Organisatie type
|style="background-color: white;"|J
+
|style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Gemma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|colspan="3"|Naamgebruik
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 1.105: Regel 1.146:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Kwee
+
|style="background-color: white;"|XXX_Groeneboom
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="4"|Geslachtsnaam partner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="2"|Achternaam partner
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|XXX_Gras
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="4"|Specialisme
|style="background-color: white;"|1000
+
|style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="4"|Zorgaanbieder
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|Zie [[#ZA1|Zorgaanbieder: ZA1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="4"|Zorgverleners rol
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=administratief_ />
|colspan="4"|Geboortedatum
+
=== Zorgverlening ===
|style="background-color: white;"|20 okt 1985
+
<section begin=zorgverlening_ />
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
{| class="wikitable" width="85%"
|colspan="4"|Geslacht
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="3" width="25%"| Gegevenselement
|colspan="4"|Meerling indicator
+
|| Waarde
|style="background-color: white;"|Nee
+
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
+
|colspan="4"|Zorg episode
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="2"|Begin datum
|style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
+
|colspan="2"|Eind datum
|style="background-color: white;"|Verloskundigenpraktijk 't Groen
+
|style="background-color: white;"|T - 194 dagen
 +
|}<section end=zorgverlening_ />
 +
=== Zwangerschapsgegevens ===
 +
<section begin=zwangerschapsgegevens_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="6"|Coordinerend zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="4"|Zorgverlener
|style="background-color: white;"|Groeneweg
+
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|rowspan="10"|
|style="background-color: white;"|1000
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|9999XY
+
|style="background-color: white;"|59 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="4"|Pariteit
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Land
+
|colspan="4"|Graviditeit
|style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
+
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Aterme datum items
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
+
|rowspan="5"|
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aterme datum
 +
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
+
|colspan="3"|Bepalings methode
|style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
+
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="3"|Datum bepaling
 +
|style="background-color: white;"|T + 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="3"|Datum laatste menstruatie
|style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
+
|style="background-color: white;"|T - 278 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|colspan="4"|Aantal foetussen datum tijd
 +
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Roepnaam
+
|colspan="4"|Aantal foetussen waarde
|style="background-color: white;"|Gemma
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="4"|Observatie methode
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="6"|Meerling zwangerschap observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="4"|Meerling zwangerschap datum tijd
|style="background-color: white;"|XXX_Groeneboom
+
|style="background-color: white;"|T - 205 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam partner
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Aantal foetussen observatie
 +
|style="background-color: white;"|Zie [[#AantalFoetussen|Aantal foetussen observatie: AantalFoetussen]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam partner
+
|colspan="4"|Observatie methode
|style="background-color: white;"|XXX_Gras
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Specialisme
 
|style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgaanbieder
 
|style="background-color: white;"|Zie [[#ZA1|Zorgaanbieder: ZA1]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverleners rol
 
|style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
 
|}<section end=administratief_ />
 
=== Zorgverlening ===
 
<section begin=zorgverlening_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlening
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorg episode
+
|colspan="6"|Foliumzuurgebruik observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin datum
+
|colspan="4"|Foliumzuurgebruik datum tijd
 
|style="background-color: white;"|T - 205 dagen
 
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Eind datum
+
|colspan="4"|Foliumzuurgebruik waarde
|style="background-color: white;"|T - 194 dagen
+
|style="background-color: white;"|geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem 'SNOMED CT')
|}<section end=zorgverlening_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
=== Zwangerschapsgegevens ===
+
|colspan="6"|Prenatale controle
<section begin=zwangerschapsgegevens_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
+
|rowspan="17"|
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
+
|colspan="4"|Lichaamsgewicht
|colspan="5" width="25%"| Gegevenselement
+
|style="background-color: white;"|Zie [[#Gew-205D|Lichaamsgewicht: Gew-205D]]
|| Waarde
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
+
|colspan="4"|Bloeddruk
 +
|style="background-color: white;"|Zie [[#BP-205D|Bloeddruk: BP-205D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Casemanager
+
|colspan="5"|Alcohol gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverlener
+
|colspan="3"|Alcohol gebruik status
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
+
|style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zwangerschap
+
|colspan="5"|Drugs gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pariteit
 
|style="background-color: white;"|0
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|colspan="3"|Drugs gebruik status
|style="background-color: white;"|1
+
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Aterme datum items
+
|colspan="5"|Tabak gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aterme datum
+
|colspan="3"|Tabak gebruik status
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|rookt soms sigaretten (code = '230059006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bepalings methode
+
|colspan="3"|Soort tabak gebruik
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Datum bepaling
 
|style="background-color: white;"|T + 10 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
+
|colspan="4"|Waarneming gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen datum tijd
+
|colspan="2"|Start datum
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|1 jun 2019
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen waarde
+
|colspan="2"|Hoeveelheid
|style="background-color: white;"|2
+
|style="background-color: white;"|6 keer per dag inhaleren
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|rowspan="5"|
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Meerling zwangerschap observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Probleem naam
 +
|style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling zwangerschap datum tijd
+
|colspan="4"|Probleem begin datum
 
|style="background-color: white;"|T - 205 dagen
 
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen observatie
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|Zie [[#AantalFoetussen|Aantal foetussen observatie: AantalFoetussen]]
+
|style="background-color: white;"|59 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|colspan="4"|Toelichting
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|mw.door verwijzen naar Sophia
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Foliumzuurgebruik observatie
+
|colspan="6"|Verrichting zwangerschap
 
|-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="4"|Foliumzuurgebruik datum tijd
+
|colspan="4"|Verrichting start datum
 
|style="background-color: white;"|T - 205 dagen
 
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Foliumzuurgebruik waarde
+
|colspan="4"|Verrichting type
|style="background-color: white;"|geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Prenatale controle
+
|colspan="6"|Verrichting zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="23"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Datum prenatale controle
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Verrichting start datum
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Begin datum tijd
 
 
|style="background-color: white;"|T - 205 dagen
 
|style="background-color: white;"|T - 205 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Verrichting type
 +
|style="background-color: white;"|dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT')
 +
|}<section end=zwangerschapsgegevens_ />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Verrichting onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|rowspan="3"|
|style="background-color: white;"|Zie [[#ZV1|Zorgverlener: ZV1]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Lichaamsgewicht
+
|colspan="5"|Verrichting start datum
|style="background-color: white;"|Zie [[#Gew-205D|Lichaamsgewicht: Gew-205D]]
+
|style="background-color: white;"|T-195D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bloeddruk
+
|colspan="5"|Verrichting eind datum
|style="background-color: white;"|Zie [[#BP-205D|Bloeddruk: BP-205D]]
+
|style="background-color: white;"|T - 195 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Alcohol gebruik
+
|colspan="7"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Alcohol gebruik status
+
|rowspan="19"|
|style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Drugs gebruik
+
|colspan="5"|Psie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Drugs gebruik status
+
|rowspan="3"|
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Tabak gebruik
+
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Soort tabak gebruik
+
|colspan="2"|Test code
|style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Tabak gebruik status
+
|colspan="2"|Test uitslag
|style="background-color: white;"|rookt soms sigaretten tijdens de zwangerschap (code = '230059006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Waarneming gebruik
+
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Start datum
+
|colspan="2"|Test code
|style="background-color: white;"|1 jun 2019
+
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hoeveelheid
+
|colspan="2"|Test uitslag
|style="background-color: white;"|6 keer per dag inhaleren
+
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
+
|colspan="5"|Laboratorium test hb
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem naam
+
|colspan="3"|Test code
|style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem begin datum
+
|colspan="3"|Test uitslag
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|7.3 g/dl
 +
|}<section end=medisch_onderzoek_ />
 +
=== Bouwstenen ===
 +
<section begin=bouwstenen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bouwstenen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Metingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|rowspan="11"|
|style="background-color: white;"|mw.door verwijzen naar Sophia
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verrichting zwangerschap
+
|colspan="4"|<span id="BP-205D" title="Intern ID = BP-205D">Bloeddruk BP-205D</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting start datum
+
|colspan="2"|Systolische bloeddruk
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|114
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="2"|Diastolische bloeddruk
|style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|87
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloeddruk datum tijd
 +
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verrichting zwangerschap
+
|colspan="4"|<span id="Gew-205D" title="Intern ID = Gew-205D">Lichaamsgewicht Gew-205D</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Gewicht waarde
 +
|style="background-color: white;"|63 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting start datum
+
|colspan="2"|Gewicht datum tijd
 
|style="background-color: white;"|T - 205 dagen
 
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="2"|Kleding
|style="background-color: white;"|dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
|}<section end=zwangerschapsgegevens_ />
+
|}<section end=bouwstenen_ />
=== Medisch onderzoek ===
+
==Scenario Vrouw 2, Kaart 3 - data 2e lijn (meerling)==
<section begin=medisch_onderzoek_ />
+
<section begin= />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medisch onderzoek
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Verrichting onderzoek
+
|colspan="4"|Demografische gegevens
 
|-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="5"|Verrichting start datum
+
|colspan="2"|Patient
|style="background-color: white;"|T - 195 dagen
+
|style="background-color: white;"|Zie [[#Vrouw2|Patient: Vrouw2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Maternale onderzoeksgegevens
+
|colspan="4"|Bloedonderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="21"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Laboratorium test bloedgroep
 +
|style="background-color: white;"|Zie [[#ABO|Laboratorium test bloedgroep: ABO]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Laboratorium test rhesus d
 +
|style="background-color: white;"|Zie [[#RhD|Laboratorium test rhesus d: RhD]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Laboratorium test rhesus c
 +
|style="background-color: white;"|Zie [[#Rhc|Laboratorium test rhesus c: Rhc]]
 +
|}<section end= />
 +
=== Administratief ===
 +
<section begin=administratief_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Administratief
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Urine bloed en aanvullende onderzoeken
+
|colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="19"|
 
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Psie
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Jamila
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Initialen
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
+
|style="background-color: white;"|J
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Achternaam
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
+
|style="background-color: white;"|XXX_Kwee
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Straat
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Huisnummer
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1000
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Laboratorium test hb
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Test code
+
|colspan="3"|Woonplaats
|style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
+
|style="background-color: white;"|STITSWERD
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999900730 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|20 okt 1985
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht administratief
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Test uitslag
+
|colspan="4"|Meerling indicator
|style="background-color: white;"|7.3 g/dl
+
|style="background-color: white;"|Nee
|}<section end=medisch_onderzoek_ />
 
=== Bouwstenen ===
 
<section begin=bouwstenen_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bouwstenen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Metingen
+
|colspan="6"|<span id="Kind2" title="Intern ID = Kind2">Patient Kind2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="BP-205D" title="Intern ID = BP-205D">Bloeddruk BP-205D</span>
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Systolische bloeddruk
+
|colspan="3"|Voornamen
|style="background-color: white;"|114
+
|style="background-color: white;"|Jusef
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Diastolische bloeddruk
+
|colspan="3"|Initialen
|style="background-color: white;"|87
+
|style="background-color: white;"|J
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bloeddruk datum tijd
+
|colspan="2"|Achternaam
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|XXX_Kwee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="Gew-205D" title="Intern ID = Gew-205D">Lichaamsgewicht Gew-205D</span>
+
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewicht waarde
+
|colspan="3"|Huisnummer
|style="background-color: white;"|63 kg
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewicht datum tijd
+
|colspan="3"|Postcode
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Kleding
+
|colspan="3"|Woonplaats
|style="background-color: white;"|Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
+
|style="background-color: white;"|STITSWERD
|}<section end=bouwstenen_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
==Vrouw 2, Kaart 3 - data 2e lijn (meerling)==
+
|colspan="4"|Geboortedatum
<section begin= />
+
|style="background-color: white;"|T - 5 dagen
{| class="wikitable" width="85%"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
+
|colspan="4"|Geslacht administratief
|-style="background-color: #1F497D;; color: white; text-align:left;"  
+
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Patient
+
|colspan="4"|Rangnummer
|style="background-color: white;"|Zie [[#Vrouw2|Patient: Vrouw2]]
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Bloedonderzoek
+
|colspan="6"|<span id="Kind3" title="Intern ID = Kind3">Patient Kind3</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test bloedgroep
+
|rowspan="6"|
|style="background-color: white;"|Zie [[#ABO|Laboratorium test bloedgroep: ABO]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test rhesus d
+
|colspan="3"|Voornamen
|style="background-color: white;"|Zie [[#RhD|Laboratorium test rhesus d: RhD]]
+
|style="background-color: white;"|Jamal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Laboratorium test rhesus c
+
|colspan="3"|Initialen
|style="background-color: white;"|Zie [[#Rhc|Laboratorium test rhesus c: Rhc]]
 
|}<section end= />
 
=== Administratief ===
 
<section begin=administratief_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Administratief
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|style="background-color: white;"|Jamila
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
 
|style="background-color: white;"|J
 
|style="background-color: white;"|J
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 1.578: Regel 1.631:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|20 okt 1985
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Geslacht administratief
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Meerling indicator
 
|colspan="4"|Meerling indicator
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="Kind2" title="Intern ID = Kind2">Patient Kind2</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|colspan="4"|Rangnummer
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="6"|<span id="ZA2" title="Intern ID = ZA2">Zorgaanbieder ZA2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Jusef
+
|style="background-color: white;"|06020806 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="4"|Organisatie naam
|style="background-color: white;"|J
+
|style="background-color: white;"|Erasmus MC, Sophia kinderziekenhuis
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|style="background-color: white;"|XXX_Kwee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Straat
 
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Dr. Molewaterplein
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
|style="background-color: white;"|1000
+
|style="background-color: white;"|60
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|3015 GJ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|ROTTERDAM
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="3"|Adres soort
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Organisatie type
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|<span id="ZV2" title="Intern ID = ZV2">Zorgverlener ZV2</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|rowspan="15"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rangnummer
+
|colspan="4"|Zorgverlener identificatienummer
|style="background-color: white;"|1
+
|style="background-color: white;"|98765432 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="Kind3" title="Intern ID = Kind3">Patient Kind3</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="18"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="3"|Roepnaam
|style="background-color: white;"|Jamal
+
|style="background-color: white;"|Eduard
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|J
+
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 1.654: Regel 1.696:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Kwee
+
|style="background-color: white;"|XXX_Egelinks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="4"|Geslachtsnaam partner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="2"|Achternaam partner
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|XXX_Gras
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="4"|Specialisme
|style="background-color: white;"|1000
+
|style="background-color: white;"|Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="4"|Zorgaanbieder
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="4"|Zorgverleners rol
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
 +
|}<section end=administratief_ />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlening
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;
 +
|colspan="4"|Zorg episode
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|rowspan="2"|
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="2"|Begin datum
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|T - 193 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=zorgverlening_ />
|colspan="4"|Meerling indicator
+
=== Zwangerschapsgegevens ===
|style="background-color: white;"|Ja
+
<section begin=zwangerschapsgegevens_ />
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
{| class="wikitable" width="85%"
|colspan="4"|Rangnummer
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zwangerschapsgegevens
|style="background-color: white;"|2
+
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="ZA2" title="Intern ID = ZA2">Zorgaanbieder ZA2</span>
+
|colspan="6"|Coordinerend zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|Zorgverlener
|style="background-color: white;"|06020806 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Zie [[#ZV2|Zorgverlener: ZV2]]
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie naam
 
|style="background-color: white;"|Erasmus MC, Sophia kinderziekenhuis
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="6"|Zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|Dr. Molewaterplein
+
|style="background-color: white;"|259 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="4"|Pariteit
|style="background-color: white;"|60
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="4"|Graviditeit
|style="background-color: white;"|3015 GJ
+
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Aterme datum items
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|rowspan="5"|
|style="background-color: white;"|ROTTERDAM
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
+
|colspan="3"|Aterme datum
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|T + 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
+
|colspan="3"|Bepalings methode
|style="background-color: white;"|Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): uit verwijzing verloskundigenpraktijk
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="ZV2" title="Intern ID = ZV2">Zorgverlener ZV2</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="3"|Datum bepaling
 +
|style="background-color: white;"|T - 205 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="3"|Datum laatste menstruatie
|style="background-color: white;"|98765432 (in identificerend systeem: UZI Personen)
+
|style="background-color: white;"|T - 278 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="6"|Definitieve a terme datum observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Roepnaam
+
|colspan="4"|Definitieve a terme datum tijd
|style="background-color: white;"|Eduard
+
|style="background-color: white;"|T - 126 dagen om 13:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="4"|Definitieve a terme waarde
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|T + 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Definitieve a terme methode
 +
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aantal foetussen datum tijd
 +
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Aantal foetussen waarde
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="4"|Observatie methode
|style="background-color: white;"|XXX_Egelinks
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam partner
+
|colspan="6"|Meerling zwangerschap observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam partner
+
|colspan="4"|Meerling zwangerschap datum tijd
|style="background-color: white;"|XXX_Gras
+
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="4"|Typering gemellizwangerschap waarde
|style="background-color: white;"|Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
+
|colspan="4"|Aantal foetussen observatie
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
+
|style="background-color: white;"|Zie [[#AantalFoetussen|Aantal foetussen observatie: AantalFoetussen]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverleners rol
+
|colspan="4"|Observatie methode
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
|}<section end=administratief_ />
 
=== Zorgverlening ===
 
<section begin=zorgverlening_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlening
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorg episode
+
|colspan="6"|Aantal levende kinderen observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin datum
+
|colspan="4"|Aantal levende kinderen datum tijd
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|T - 76 dagen
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
<section begin=zwangerschapsgegevens_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zwangerschapsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Casemanager
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Aantal levende kinderen waarde
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverlener
+
|colspan="4"|Observatie methode
|style="background-color: white;"|Zie [[#ZV2|Zorgverlener: ZV2]]
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Zwangerschap
+
|colspan="6"|Foliumzuurgebruik observatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Foliumzuurgebruik datum tijd
 +
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="4"|Foliumzuurgebruik waarde
 +
|style="background-color: white;"|intake van foliumzuur via voeding vanaf vastgestelde zwangerschap (bevinding) (code = '29771000146106' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Pariteit
+
|colspan="4"|Toelichting
|style="background-color: white;"|1
+
|style="background-color: white;"|op advies verloskundigenpraktijk gestart
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Prenatale controle
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|rowspan="23"|
|style="background-color: white;"|1
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Aterme datum items
+
|colspan="5"|Leven voelen observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aterme datum
+
|colspan="3"|Leven voelen datum tijd
|style="background-color: white;"|T + 10 dagen
+
|style="background-color: white;"|T - 193 dagen om 13:40 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bepalings methode
+
|colspan="3"|Leven voelen waarde
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): uit verwijzing verloskundigenpraktijk
+
|style="background-color: white;"|foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum bepaling
+
|colspan="3"|Observatie methode
|style="background-color: white;"|T - 205 dagen
+
|style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Lichaamsgewicht
 +
|style="background-color: white;"|Zie [[#Gew-193D|Lichaamsgewicht: Gew-193D]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Bloeddruk
 +
|style="background-color: white;"|Zie [[#BP-193D|Bloeddruk: BP-193D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Definitieve a terme datum observatie
+
|colspan="5"|Alcohol gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme datum tijd
+
|colspan="3"|Alcohol gebruik status
|style="background-color: white;"|T - 126 dagen om 13:45 uur
+
|style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Drugs gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme waarde
+
|rowspan="2"|
|style="background-color: white;"|T + 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme methode
+
|colspan="3"|Drugs gebruik status
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
+
|colspan="5"|Tabak gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen datum tijd
+
|colspan="3"|Toelichting
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|gestopt op advies verloskundige
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen waarde
+
|colspan="3"|Tabak gebruik status
|style="background-color: white;"|2
+
|style="background-color: white;"|rookte vroeger (code = '8517006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|colspan="3"|Soort tabak gebruik
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Meerling zwangerschap observatie
+
|colspan="4"|Waarneming gebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling zwangerschap datum tijd
+
|colspan="2"|Start datum
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|1 jun 2019
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Typering gemellizwangerschap waarde
+
|colspan="2"|Stop datum
|style="background-color: white;"|monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 198 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Prenatale controle
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal foetussen observatie
+
|rowspan="2"|
|style="background-color: white;"|Zie [[#AantalFoetussen|Aantal foetussen observatie: AantalFoetussen]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|colspan="4"|Bloeddruk
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#BP-76D|Bloeddruk: BP-76D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Aantal levende kinderen observatie
+
|colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal levende kinderen datum tijd
+
|colspan="4"|Probleem naam
|style="background-color: white;"|T - 76 dagen
+
|style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal levende kinderen waarde
+
|colspan="4"|Probleem begin datum
|style="background-color: white;"|2
+
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Observatie methode
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|71 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Foliumzuurgebruik observatie
+
|colspan="6"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem zwangerschap Probleem2</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem type
 +
|style="background-color: white;"|Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Probleem naam
 +
|style="background-color: white;"|intra-uteriene groeiretardatie (aandoening) (code = '22033007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Foliumzuurgebruik datum tijd
+
|colspan="4"|Probleem begin datum
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|T - 76 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Foliumzuurgebruik waarde
+
|colspan="4"|Zwangerschapsduur
|style="background-color: white;"|intake van foliumzuur via voeding vanaf vastgestelde zwangerschap (bevinding) (code = '29771000146106' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|188 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toelichting
 
|colspan="4"|Toelichting
|style="background-color: white;"|op advies verloskundigenpraktijk gestart
+
|style="background-color: white;"|tweede kind blijft erg achter in ontwikkeling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Prenatale controle
+
|colspan="6"|Verrichting zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="45"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Datum prenatale controle
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Verrichting start datum
 +
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Begin datum tijd
+
|colspan="4"|Verrichting type
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
+
|colspan="6"|Verrichting zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|colspan="4"|Verrichting start datum
|style="background-color: white;"|Zie [[#ZV2|Zorgverlener: ZV2]]
+
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Leven voelen observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Verrichting type
 +
|style="background-color: white;"|opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT')
 +
|}<section end=zwangerschapsgegevens_ />
 +
=== Bevalling ===
 +
<section begin=bevalling_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Leven voelen datum tijd
+
|colspan="5"|Partusnummer
|style="background-color: white;"|T - 193 dagen om 13:40 uur
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Leven voelen waarde
+
|colspan="5"|Zwangerschapsduur
|style="background-color: white;"|foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|259 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitdrijvingsfase
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie methode
+
|rowspan="30"|
|style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Lichaamsgewicht
+
|colspan="4"|Patient
|style="background-color: white;"|Zie [[#Gew-193D|Lichaamsgewicht: Gew-193D]]
+
|style="background-color: white;"|Zie [[#Kind2|Patient: Kind2]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Type partus observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bloeddruk
+
|rowspan="3"|
|style="background-color: white;"|Zie [[#BP-193D|Bloeddruk: BP-193D]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Alcohol gebruik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Observatie datum tijd
 +
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Alcohol gebruik status
+
|colspan="3"|Type partus waarde
|style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Drugs gebruik
+
|colspan="5"|Werkelijke plaats baring type locatie observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Drugs gebruik status
+
|colspan="3"|Observatie datum tijd
|style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 5 dagen om 14:38 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Tabak gebruik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Werkelijke plaats baring waarde
 +
|style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Toelichting
 
|colspan="3"|Toelichting
|style="background-color: white;"|gestopt op advies verloskundige
+
|style="background-color: white;"|geplande sectio
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ziekenhuis baring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Soort tabak gebruik
+
|rowspan="2"|
|style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Tabak gebruik status
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|rookte vroeger (code = '8517006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Waarneming gebruik
+
|colspan="5"|<span id="Probleem3" title="Intern ID = Probleem3">Probleem kindspecifieke maternale problemen Probleem3</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Start datum
+
|colspan="3"|Probleem naam
|style="background-color: white;"|1 jun 2019
+
|style="background-color: white;"|liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Stop datum
+
|colspan="3"|Probleem begin datum
|style="background-color: white;"|T - 198 dagen
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitwendig onderzoek
+
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Foetale hartslag hartfrequentie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|T - 5 dagen om 14:03 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie datum tijd
+
|colspan="3"|Verrichting eind datum
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|T - 5 dagen om 14:52 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie waarde
+
|rowspan="2"|
|style="background-color: white;"|181 bpm
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag meet methode
+
|colspan="2"|Probleem kindspecifieke maternale problemen
|style="background-color: white;"|Echo (code = '408808009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#Probleem2|Probleem kindspecifieke maternale problemen: Probleem2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag regelmatigheid
+
|colspan="3"|Verrichting type
|style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Interpretatie frequentie
 
|style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetale hartslag hartfrequentie
+
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie datum tijd
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|T - 5 dagen om 14:50 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartfrequentie waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|169
+
|style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitdrijvingsfase
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag meet methode
+
|rowspan="30"|
|style="background-color: white;"|Echo (code = '408808009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hartslag regelmatigheid
+
|colspan="4"|Patient
|style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#Kind3|Patient: Kind3]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Type partus observatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Observatie datum tijd
 +
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie frequentie
+
|colspan="3"|Type partus waarde
|style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Prenatale controle
+
|colspan="5"|Werkelijke plaats baring type locatie observatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Observatie datum tijd
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|T - 5 dagen om 14:38 uur
|colspan="5"|Datum prenatale controle
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Werkelijke plaats baring waarde
 +
|style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Begin datum tijd
+
|colspan="3"|Toelichting
|style="background-color: white;"|T - 76 dagen
+
|style="background-color: white;"|geplande sectio
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
+
|colspan="5"|Ziekenhuis baring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|Zie [[#ZV2|Zorgverlener: ZV2]]
+
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bloeddruk
 
|style="background-color: white;"|Zie [[#BP-76D|Bloeddruk: BP-76D]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
+
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem naam
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 5 dagen om 14:03 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem begin datum
+
|colspan="3"|Verrichting eind datum
|style="background-color: white;"|T - 193 dagen
+
|style="background-color: white;"|T - 5 dagen om 14:52 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem zwangerschap Probleem2</span>
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem type
+
|colspan="2"|Probleem kindspecifieke maternale problemen
|style="background-color: white;"|Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#Probleem2|Probleem kindspecifieke maternale problemen: Probleem2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|small for gestational age (aandoening) (code = '267258002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem begin datum
+
|rowspan="3"|
|style="background-color: white;"|T - 76 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|tweede kind blijft erg achter in ontwikkeling
+
|style="background-color: white;"|T - 5 dagen om 14:52 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting zwangerschap
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Verrichting type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT')
|colspan="4"|Verrichting start datum
 
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting type
 
|style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verrichting zwangerschap
+
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
 
|-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="4"|Verrichting start datum
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|T - 5 dagen om 14:55 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="3"|Verrichting type
|style="background-color: white;"|opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
|}<section end=zwangerschapsgegevens_ />
+
|}<section end=bevalling_ />
=== Bevalling ===
+
=== Kind ===
<section begin=bevalling_ />
+
<section begin=kind_ />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bevalling
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
+
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Partusnummer
 
|style="background-color: white;"|1
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitdrijvingsfase
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="34"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Patient
+
|colspan="5"|Patient
 
|style="background-color: white;"|Zie [[#Kind2|Patient: Kind2]]
 
|style="background-color: white;"|Zie [[#Kind2|Patient: Kind2]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Type partus observatie
+
|colspan="7"|Lichamelijk onderzoek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="25"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geboortegewicht lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|rowspan="4"|
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Type partus waarde
+
|colspan="4"|Gewicht waarde
|style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2605 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Aantal geboren kinderen observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="4"|Gewicht datum tijd
 +
|style="background-color: white;"|T - 5 dagen om 15:10 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|colspan="4"|Kleding
|style="background-color: white;"|T - 5 dagen om 14:38 uur
+
|style="background-color: white;"|Luier (code = 'DIAPER' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Aantal geboren kinderen waarde
 
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Werkelijke plaats baring type locatie observatie
+
|colspan="6"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|colspan="4"|Lengte waarde
|style="background-color: white;"|T - 5 dagen om 14:38 uur
+
|style="background-color: white;"|48
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Werkelijke plaats baring waarde
 
|style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Toelichting
 
|style="background-color: white;"|geplande sectio
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ziekenhuis baring
+
|colspan="6"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="4"|Schedelomvang waarde
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
+
|style="background-color: white;"|32.6 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="Probleem3" title="Intern ID = Probleem3">Probleem kindspecifieke maternale problemen Probleem3</span>
+
|colspan="6"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|rowspan="10"|
|style="background-color: white;"|liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem begin datum
 
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
+
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 5 dagen om 14:03 uur
+
|style="background-color: white;"|7
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score5min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 5 dagen om 14:52 uur
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem kindspecifieke maternale problemen
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|Zie [[#Probleem2|Probleem kindspecifieke maternale problemen: Probleem2]]
+
|style="background-color: white;"|10
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=kind_ />
|colspan="3"|Verrichting type
+
=== Kind ===
|style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
+
<section begin=kind_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="5"|Patient
|style="background-color: white;"|T - 5 dagen om 14:50 uur
+
|style="background-color: white;"|Zie [[#Kind3|Patient: Kind3]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Lichamelijk onderzoek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="25"|
|style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitdrijvingsfase
+
|colspan="6"|Geboortegewicht lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="34"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Patient
+
|colspan="4"|Gewicht waarde
|style="background-color: white;"|Zie [[#Kind3|Patient: Kind3]]
+
|style="background-color: white;"|2089 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Type partus observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="4"|Gewicht datum tijd
 +
|style="background-color: white;"|T - 5 dagen om 15:05 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|colspan="4"|Kleding
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|Zonder kleding. (code = 'UNDRESSED' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Type partus waarde
 
|style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Aantal geboren kinderen observatie
+
|colspan="6"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|colspan="4"|Lengte waarde
|style="background-color: white;"|T - 5 dagen om 14:38 uur
+
|style="background-color: white;"|46
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Schedelomvang
 +
|-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"|Aantal geboren kinderen waarde
+
|colspan="4"|Schedelomvang waarde
|style="background-color: white;"|2
+
|style="background-color: white;"|31.8 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Werkelijke plaats baring type locatie observatie
+
|colspan="6"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Observatie datum tijd
+
|rowspan="10"|
|style="background-color: white;"|T - 5 dagen om 14:38 uur
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Werkelijke plaats baring waarde
+
|rowspan="2"|
|style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|geplande sectio
+
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ziekenhuis baring
+
|colspan="4"|Apgar score5min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|Zie [[#ZA2|Zorgaanbieder: ZA2]]
+
|style="background-color: white;"|9
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
+
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|T - 5 dagen om 14:03 uur
+
|style="background-color: white;"|10
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=kind_ />
|colspan="3"|Verrichting eind datum
+
=== Medisch onderzoek ===
|style="background-color: white;"|T - 5 dagen om 14:52 uur
+
<section begin=medisch_onderzoek_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="7"|Verrichting onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem kindspecifieke maternale problemen
+
|colspan="5"|Verrichting start datum
|style="background-color: white;"|Zie [[#Probleem2|Probleem kindspecifieke maternale problemen: Probleem2]]
+
|style="background-color: white;"|T-193D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="5"|Verrichting eind datum
|style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
+
|colspan="7"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="27"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|rowspan="25"|
|style="background-color: white;"|T - 5 dagen om 14:52 uur
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Psie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="13"|
|style="background-color: white;"|inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting kindspecifieke maternale verrichtingen
+
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="2"|Test code
|style="background-color: white;"|T - 5 dagen om 14:55 uur
+
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Test uitslag
|style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
|}<section end=bevalling_ />
 
=== Kind ===
 
<section begin=kind_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Patient
+
|colspan="2"|Test code
|style="background-color: white;"|Zie [[#Kind2|Patient: Kind2]]
+
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboorteplaats
+
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="5"|Laboratorium test hb
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="3"|Test code
|style="background-color: white;"|3015CN
+
|style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="3"|Test uitslag
|style="background-color: white;"|Rotterdam
+
|style="background-color: white;"|7.0 g/dl
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Land
 
|style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Adresgegevens tbv hielprik
+
|colspan="5"|Torch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test torch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Straat
+
|rowspan="3"|
|style="background-color: white;"|Knolweg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Huisnummer
+
|colspan="2"|Test code
|style="background-color: white;"|1000
+
|style="background-color: white;"|Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Postcode
+
|colspan="2"|Test uitslag
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9 k[arb'u]/l
 +
|}<section end=medisch_onderzoek_ />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verrichting onderzoek
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Verrichting start datum
 +
|style="background-color: white;"|T-76D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Woonplaats
+
|colspan="4"|Verrichting eind datum
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|T - 76 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Lichamelijk onderzoek kind
+
|colspan="6"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="25"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboortegewicht lichaamsgewicht
+
|colspan="5"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test hb
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gewicht waarde
+
|rowspan="3"|
|style="background-color: white;"|2605 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Gewicht datum tijd
 
|style="background-color: white;"|T - 5 dagen om 15:10 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Kleding
 
|style="background-color: white;"|Luier (code = 'DIAPER' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Lengte waarde
 
|style="background-color: white;"|48
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Schedelomvang waarde
 
|style="background-color: white;"|32.6 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|7
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score5min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|10
 
|}<section end=kind_ />
 
=== Kind ===
 
<section begin=kind_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Patient
 
|style="background-color: white;"|Zie [[#Kind3|Patient: Kind3]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Geboorteplaats
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|style="background-color: white;"|3015CN
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|Rotterdam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Land
 
|style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Adresgegevens tbv hielprik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Straat
 
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Huisnummer
 
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Postcode
 
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Woonplaats
 
|style="background-color: white;"|STITSWERD
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Lichamelijk onderzoek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="25"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Geboortegewicht lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Gewicht waarde
 
|style="background-color: white;"|2089 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Gewicht datum tijd
 
|style="background-color: white;"|T - 5 dagen om 15:05 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Kleding
 
|style="background-color: white;"|Zonder kleding. (code = 'UNDRESSED' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Lengte waarde
 
|style="background-color: white;"|46
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Schedelomvang waarde
 
|style="background-color: white;"|31.8 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Algemene indruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score1min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score5min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|9
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Apgar score10min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Apgar score totaal
 
|style="background-color: white;"|10
 
|}<section end=kind_ />
 
=== Medisch onderzoek ===
 
<section begin=medisch_onderzoek_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medisch onderzoek
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Verrichting onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting start datum
 
|style="background-color: white;"|T - 193 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="27"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="25"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Psie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test code
 
|style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
|style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test code
 
|style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
|style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test code
 
|style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
|style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Laboratorium test hb
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Test code
 
|style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Test uitslag
 
|style="background-color: white;"|7.0 g/dl
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Torch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Laboratorium test torch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test code
 
|style="background-color: white;"|Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
|style="background-color: white;"|9 k[arb'u]/l
 
|}<section end=medisch_onderzoek_ />
 
=== Medisch onderzoek ===
 
<section begin=medisch_onderzoek_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medisch onderzoek
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting start datum
 
|style="background-color: white;"|T - 76 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Maternale onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Urine bloed en aanvullende onderzoeken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Laboratorium test hb
 
|-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"|Test code
 
|colspan="2"|Test code
Regel 2.593: Regel 2.416:
 
|colspan="6"|Verrichting onderzoek
 
|colspan="6"|Verrichting onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verrichting start datum
 
|colspan="4"|Verrichting start datum
 +
|style="background-color: white;"|T-5D
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Verrichting eind datum
 
|style="background-color: white;"|T - 5 dagen
 
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 2.686: Regel 2.512:
 
|style="background-color: white;"|T - 5 dagen
 
|style="background-color: white;"|T - 5 dagen
 
|}<section end=bouwstenen_ />
 
|}<section end=bouwstenen_ />
==Vrouw 3, geen zwangerschapskaart beschikbaar==
+
==Scenario Vrouw 3, geen zwangerschapskaart beschikbaar==
 
<section begin= /><section end= />
 
<section begin= /><section end= />
 
=== Administratief ===
 
=== Administratief ===
Regel 2.743: Regel 2.569:
 
|style="background-color: white;"|22 okt 1985
 
|style="background-color: white;"|22 okt 1985
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   

Huidige versie van 12 mei 2022 om 11:40



1 Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2

1.1 Scenario Vrouw 1, Kaart 1 - data 1e lijn (actieve zwangerschap)

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Vrouw1

1.1.1 Administratief

Administratief
Gegevenselement Waarde
Patient Vrouw1
Naamgegevens
Voornamen Hanna
Initialen H
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kooij
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900717 (in identificerend systeem: BSN)
Geboortedatum 18 okt 1985
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Zorgaanbieder ZA1
Zorgaanbieder identificatienummer 08001234 (in identificerend systeem: AGB-Z)
Organisatie naam Verloskundigenpraktijk 't Groen
Adresgegevens
Straat Groeneweg
Huisnummer 1000
Postcode 1234ZZ
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Organisatie type Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
Zorgverlener ZV1
Zorgverlener identificatienummer 12340001 (in identificerend systeem: UZI Personen)
Naamgegevens
Voornamen Gemma
Naamgebruik Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Groeneboom
Geslachtsnaam partner
Achternaam partner XXX_Gras
Specialisme eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')

1.1.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 139 dagen

1.1.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Coordinerend zorgverlener
Zorgverlener Zie Zorgverlener: ZV1
Zwangerschap
Zwangerschapsduur 56 dagen
Pariteit 1
Graviditeit 3
Aterme datum items
Aterme datum T + 99 dagen
Bepalings methode Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): zwangerschapstest clearlypink met zwangerschapsduur-indicator
Datum bepaling NullFlavor: UNK
Datum laatste menstruatie T - 209 dagen
Definitieve a terme datum observatie
Definitieve a terme datum tijd T - 125 dagen
Definitieve a terme waarde T + 94 dagen
Definitieve a terme methode echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
Aantal foetussen observatie
Aantal foetussen waarde 1
Aantal levende kinderen observatie
Aantal levende kinderen datum tijd T - 125 dagen
Aantal levende kinderen waarde 1
Observatie methode echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
Fetal loss observatie
Fetal loss datum tijd NullFlavor: ASKU
Fetal loss waarde
Toelichting mw. zegt vroege miskraam te hebben gehad enkele maanden na eerste kind, destijds geen verloskundige gezien
Foliumzuurgebruik observatie
Foliumzuurgebruik datum tijd T - 139 dagen
Foliumzuurgebruik waarde preconceptionele intake van foliumzuur via voeding (bevinding) (code = '29761000146100' in codeSystem 'SNOMED CT')
Prenatale controle
Lichaamsgewicht Zie Lichaamsgewicht: Gewicht-139D
Bloeddruk Zie Bloeddruk: BP-139D
Alcohol gebruik
Toelichting tbv conceptie al gestopt met alcohol consumptie
Alcohol gebruik status drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
Drugs gebruik
Drugs gebruik status heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
Tabak gebruik
Tabak gebruik status heeft nooit gerookt (code = '266919005' in codeSystem 'SNOMED CT')
Prenatale controle
Leven voelen observatie
Leven voelen datum tijd T - 10 dagen
Leven voelen waarde zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
Toelichting voelt sinds enkele dagen minder frequent bewegingen
Lichaamsgewicht Zie Lichaamsgewicht: Gewicht-6D
Bloeddruk Zie Bloeddruk: BP-6D
Probleem zwangerschap Probleem1
Probleem type Symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (code = '418799008' in codeSystem 'SNOMED CT')
Probleem naam zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
Probleem begin datum T - 10 dagen
Probleem eind datum T - 6 dagen
Zwangerschapsduur 189 dagen
Probleem status Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')
Verrichting zwangerschap
Verrichting start datum T - 139 dagen
Verrichting type echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
Verrichting zwangerschap
Verrichting start datum T - 139 dagen
Verrichting type aanbieden van voorlichtingsmateriaal (verrichting) (code = '445283009' in codeSystem 'SNOMED CT')
Verrichting zwangerschap
Verrichting start datum T - 6 dagen
Verrichting type monitoren van foetale hart (regime/therapie) (code = '281568006' in codeSystem 'SNOMED CT')

1.1.4 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Maternale onderzoeksgegevens
Urine bloed en aanvullende onderzoeken
Psie
Laboratorium test bloedgroep ABO
Test code ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
Test uitslag bloedgroep A (bevinding) (code = '112144000' in codeSystem 'SNOMED CT')
Laboratorium test rhesus d RhD
Test code D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
Test uitslag Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
Laboratorium test rhesus c Rhc
Test code Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
Test uitslag Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')

1.1.5 Bouwstenen

Bouwstenen
Gegevenselement Waarde
Metingen
Bloeddruk BP-139D
Systolische bloeddruk 133
Diastolische bloeddruk 89
Bloeddruk datum tijd T - 139 dagen
Bloeddruk BP-6D
Systolische bloeddruk 155
Diastolische bloeddruk 97
Bloeddruk datum tijd T - 6 dagen
Lichaamsgewicht Gewicht-139D
Gewicht waarde 71 kg
Lichaamsgewicht Gewicht-6D
Gewicht waarde 78 kg

1.2 Scenario Vrouw 1, Kaart 2 - data 1e lijn (vorige zwangerschap)

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Vrouw1

1.2.1 Administratief

Administratief
Gegevenselement Waarde
Patient Vrouw1
Naamgegevens
Voornamen Hanna
Initialen H
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kooij
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900717 (in identificerend systeem: BSN)
Geboortedatum 18 okt 1985
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Patient Kind1
Naamgegevens
Voornamen Helen
Initialen H.I.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kooij
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
Geboortedatum T - 587 dagen
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Zorgaanbieder ZA1
Zorgaanbieder identificatienummer 08001234 (in identificerend systeem: AGB-Z)
Organisatie naam Verloskundigenpraktijk 't Groen
Adresgegevens
Straat Groeneweg
Huisnummer 1000
Postcode 1234ZZ
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Organisatie type Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
Zorgverlener ZV1
Zorgverlener identificatienummer 12340001 (in identificerend systeem: UZI Personen)
Naamgegevens
Roepnaam Gemma
Naamgebruik Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Groeneboom
Geslachtsnaam partner
Achternaam partner XXX_Gras
Specialisme Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgverleners rol Case manager (code = '768832004' in codeSystem 'SNOMED CT')

1.2.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 841 dagen
Eind datum T - 587 dagen

1.2.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Coordinerend zorgverlener
Zorgverlener Zie Zorgverlener: ZV1
Zwangerschap
Zwangerschapsduur 294 dagen
Pariteit 1
Graviditeit 1
Aterme datum items
Aterme datum T - 587 dagen
Bepalings methode aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
Datum bepaling NullFlavor: UNK
Datum laatste menstruatie T - 895 dagen
Definitieve a terme datum observatie
Definitieve a terme datum tijd T - 587 dagen
Definitieve a terme waarde T - 587 dagen
Definitieve a terme methode observatie (regime/therapie) (code = '225308005' in codeSystem 'SNOMED CT')
Aantal foetussen observatie
Aantal foetussen waarde 1

1.2.4 Bevalling

Bevalling
Gegevenselement Waarde
Partusnummer 1
Zwangerschapsduur 294 dagen
Probleem maternaal Probleem1
Probleem naam niet vorderende uitdrijving (code = '249166003' in codeSystem 'SNOMED CT')
Probleem begin datum T - 587 dagen om 12:02 uur
Probleem eind datum T - 587 dagen om 12:04 uur
Zwangerschapsduur 294 dagen
Verrichting maternaal Verrichting1
Verrichting start datum T - 587 dagen om 02:19 uur
Verrichting type vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT')
Verrichting maternaal Verrichting2
Verrichting start datum T - 587 dagen om 12:04 uur
Indicatie
Probleem maternaal Zie Probleem zwangerschap: Probleem1
Verrichting type episiotomie mediolateraal rechts (verrichting) (code = '236992007' in codeSystem 'SNOMED CT')
Ontsluitingsfase
Actieve ontsluiting observatie
Observatie datum tijd T - 587 dagen om 02:19 uur
Begin actieve ontsluiting waarde T - 587 dagen om 02:19 uur
Observatie methode palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
Toelichting 5 cm ontsluiting
Wijze begin baring observatie
Observatie datum tijd T - 588 dagen om 23:50 uur
Begin baring waarde spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT')
Observatie methode evaluatie (kwalificatiewaarde) (code = '129265001' in codeSystem 'SNOMED CT')
Uitdrijvingsfase
Patient Zie Patient: Kind1
Type partus observatie
Observatie datum tijd T - 587 dagen om 12:04 uur
Type partus waarde begeleiding van normale bevalling (verrichting) (code = '177184002' in codeSystem 'SNOMED CT')
Werkelijke plaats baring type locatie observatie
Werkelijke plaats baring waarde thuisbevalling (bevinding) (code = '169813005' in codeSystem 'SNOMED CT')
Probleem kindspecifieke maternale problemen Probleem2
Probleem naam foetale nood durante partu (bevinding) (code = '288274003' in codeSystem 'SNOMED CT')
Probleem begin datum T - 587 dagen om 12:02 uur
Probleem eind datum T - 587 dagen om 12:04 uur

1.2.5 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Kind1
Lichamelijk onderzoek kind
Geboortegewicht lichaamsgewicht
Gewicht waarde 3415 gram
Lichaamslengte
Lengte waarde 49.7 cm
Schedelomvang
Schedelomvang waarde 33.6 cm
Bevindingen
Algemene indruk
Apgar score1min
Apgar score totaal 7
Apgar score5min
Apgar score totaal 8
Apgar score10min
Apgar score totaal 10

1.2.6 Bouwstenen

Bouwstenen
Gegevenselement Waarde
Metingen
Bloeddruk BP1
Systolische bloeddruk 95
Diastolische bloeddruk 50
Bloeddruk datum tijd T - 587 dagen
Lichaamsgewicht gew1
Gewicht waarde 63 kg

1.3 Scenario Vrouw 2, Kaart 3 - data 1e lijn (meerling)

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Vrouw2
Bloedonderzoek
Laboratorium test bloedgroep Zie Laboratorium test bloedgroep: ABO
Laboratorium test rhesus d Zie Laboratorium test rhesus d: RhD
Laboratorium test rhesus c Zie Laboratorium test rhesus c: Rhc

1.3.1 Administratief

Administratief
Gegevenselement Waarde
Patient Vrouw2
Naamgegevens
Voornamen Jamila
Initialen J
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kwee
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Identificatienummer 999900730 (in identificerend systeem: BSN)
Geboortedatum 20 okt 1985
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Zorgaanbieder ZA1
Zorgaanbieder identificatienummer 08001234 (in identificerend systeem: AGB-Z)
Organisatie naam Verloskundigenpraktijk 't Groen
Adresgegevens
Straat Groeneweg
Huisnummer 1000
Postcode 9999XY
Woonplaats STITSWERD
Land Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
Adres soort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Organisatie type Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
Zorgverlener ZV1
Zorgverlener identificatienummer 12340001 (in identificerend systeem: UZI Personen)
Naamgegevens
Roepnaam Gemma
Naamgebruik Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Groeneboom
Geslachtsnaam partner
Achternaam partner XXX_Gras
Specialisme eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
Zorgaanbieder Zie Zorgaanbieder: ZA1
Zorgverleners rol Case manager (code = '768832004' in codeSystem 'SNOMED CT')

1.3.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 205 dagen
Eind datum T - 194 dagen

1.3.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Coordinerend zorgverlener
Zorgverlener Zie Zorgverlener: ZV1
Zwangerschap
Zwangerschapsduur 59 dagen
Pariteit 0
Graviditeit 1
Aterme datum items
Aterme datum T - 205 dagen
Bepalings methode aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
Datum bepaling T + 10 dagen
Datum laatste menstruatie T - 278 dagen
Aantal foetussen observatie AantalFoetussen
Aantal foetussen datum tijd T - 205 dagen
Aantal foetussen waarde 2
Observatie methode echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
Meerling zwangerschap observatie
Meerling zwangerschap datum tijd T - 205 dagen
Aantal foetussen observatie Zie Aantal foetussen observatie: AantalFoetussen
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Foliumzuurgebruik observatie
Foliumzuurgebruik datum tijd T - 205 dagen
Foliumzuurgebruik waarde geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem 'SNOMED CT')
Prenatale controle
Lichaamsgewicht Zie Lichaamsgewicht: Gew-205D
Bloeddruk Zie Bloeddruk: BP-205D
Alcohol gebruik
Alcohol gebruik status drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
Drugs gebruik
Drugs gebruik status heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
Tabak gebruik
Tabak gebruik status rookt soms sigaretten (code = '230059006' in codeSystem 'SNOMED CT')
Soort tabak gebruik gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
Waarneming gebruik
Start datum 1 jun 2019
Hoeveelheid 6 keer per dag inhaleren
Probleem zwangerschap Probleem1
Probleem naam meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
Probleem begin datum T - 205 dagen
Zwangerschapsduur 59 dagen
Toelichting mw.door verwijzen naar Sophia
Verrichting zwangerschap
Verrichting start datum T - 205 dagen
Verrichting type bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
Verrichting zwangerschap
Verrichting start datum T - 205 dagen
Verrichting type dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT')

1.3.4 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-195D
Verrichting eind datum T - 195 dagen
Maternale onderzoeksgegevens
Urine bloed en aanvullende onderzoeken
Psie
Laboratorium test bloedgroep ABO
Test code ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
Test uitslag bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
Laboratorium test rhesus d RhD
Test code D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
Test uitslag Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
Laboratorium test rhesus c Rhc
Test code Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
Test uitslag Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
Laboratorium test hb
Test code Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
Test uitslag 7.3 g/dl

1.3.5 Bouwstenen

Bouwstenen
Gegevenselement Waarde
Metingen
Bloeddruk BP-205D
Systolische bloeddruk 114
Diastolische bloeddruk 87
Bloeddruk datum tijd T - 205 dagen
Lichaamsgewicht Gew-205D
Gewicht waarde 63 kg
Gewicht datum tijd T - 205 dagen
Kleding Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')

1.4 Scenario Vrouw 2, Kaart 3 - data 2e lijn (meerling)

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Vrouw2
Bloedonderzoek
Laboratorium test bloedgroep Zie Laboratorium test bloedgroep: ABO
Laboratorium test rhesus d Zie Laboratorium test rhesus d: RhD
Laboratorium test rhesus c Zie Laboratorium test rhesus c: Rhc

1.4.1 Administratief

Administratief
Gegevenselement Waarde
Patient Vrouw2
Naamgegevens
Voornamen Jamila
Initialen J
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kwee
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Identificatienummer 999900730 (in identificerend systeem: BSN)
Geboortedatum 20 okt 1985
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Patient Kind2
Naamgegevens
Voornamen Jusef
Initialen J
Geslachtsnaam
Achternaam XXX_Kwee
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Geboortedatum T - 5 dagen
Geslacht administratief Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja
Rangnummer 1
Patient Kind3
Naamgegevens
Voornamen Jamal
Initialen J
Geslachtsnaam
Achternaam XXX_Kwee
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Geboortedatum T - 5 dagen
Geslacht administratief Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja
Rangnummer 2
Zorgaanbieder ZA2
Zorgaanbieder identificatienummer 06020806 (in identificerend systeem: AGB-Z)
Organisatie naam Erasmus MC, Sophia kinderziekenhuis
Adresgegevens
Straat Dr. Molewaterplein
Huisnummer 60
Postcode 3015 GJ
Woonplaats ROTTERDAM
Adres soort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Organisatie type Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
Zorgverlener ZV2
Zorgverlener identificatienummer 98765432 (in identificerend systeem: UZI Personen)
Naamgegevens
Roepnaam Eduard
Naamgebruik Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Egelinks
Geslachtsnaam partner
Achternaam partner XXX_Gras
Specialisme Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder Zie Zorgaanbieder: ZA2
Zorgverleners rol Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')

1.4.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 193 dagen

1.4.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Coordinerend zorgverlener
Zorgverlener Zie Zorgverlener: ZV2
Zwangerschap
Zwangerschapsduur 259 dagen
Pariteit 1
Graviditeit 1
Aterme datum items
Aterme datum T + 10 dagen
Bepalings methode Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): uit verwijzing verloskundigenpraktijk
Datum bepaling T - 205 dagen
Datum laatste menstruatie T - 278 dagen
Definitieve a terme datum observatie
Definitieve a terme datum tijd T - 126 dagen om 13:45 uur
Definitieve a terme waarde T + 2 dagen
Definitieve a terme methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Aantal foetussen observatie AantalFoetussen
Aantal foetussen datum tijd T - 193 dagen
Aantal foetussen waarde 2
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Meerling zwangerschap observatie
Meerling zwangerschap datum tijd T - 193 dagen
Typering gemellizwangerschap waarde monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT')
Aantal foetussen observatie Zie Aantal foetussen observatie: AantalFoetussen
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Aantal levende kinderen observatie
Aantal levende kinderen datum tijd T - 76 dagen
Aantal levende kinderen waarde 2
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Foliumzuurgebruik observatie
Foliumzuurgebruik datum tijd T - 193 dagen
Foliumzuurgebruik waarde intake van foliumzuur via voeding vanaf vastgestelde zwangerschap (bevinding) (code = '29771000146106' in codeSystem 'SNOMED CT')
Toelichting op advies verloskundigenpraktijk gestart
Prenatale controle
Leven voelen observatie
Leven voelen datum tijd T - 193 dagen om 13:40 uur
Leven voelen waarde foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
Observatie methode palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
Lichaamsgewicht Zie Lichaamsgewicht: Gew-193D
Bloeddruk Zie Bloeddruk: BP-193D
Alcohol gebruik
Alcohol gebruik status drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT')
Drugs gebruik
Drugs gebruik status heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
Tabak gebruik
Toelichting gestopt op advies verloskundige
Tabak gebruik status rookte vroeger (code = '8517006' in codeSystem 'SNOMED CT')
Soort tabak gebruik gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
Waarneming gebruik
Start datum 1 jun 2019
Stop datum T - 198 dagen
Prenatale controle
Bloeddruk Zie Bloeddruk: BP-76D
Probleem zwangerschap Probleem1
Probleem naam meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
Probleem begin datum T - 193 dagen
Zwangerschapsduur 71 dagen
Probleem zwangerschap Probleem2
Probleem type Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT')
Probleem naam intra-uteriene groeiretardatie (aandoening) (code = '22033007' in codeSystem 'SNOMED CT')
Probleem begin datum T - 76 dagen
Zwangerschapsduur 188 dagen
Toelichting tweede kind blijft erg achter in ontwikkeling
Verrichting zwangerschap
Verrichting start datum T - 193 dagen
Verrichting type bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
Verrichting zwangerschap
Verrichting start datum T - 5 dagen
Verrichting type opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT')

1.4.4 Bevalling

Bevalling
Gegevenselement Waarde
Partusnummer 1
Zwangerschapsduur 259 dagen
Uitdrijvingsfase
Patient Zie Patient: Kind2
Type partus observatie
Observatie datum tijd T - 5 dagen
Type partus waarde sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
Werkelijke plaats baring type locatie observatie
Observatie datum tijd T - 5 dagen om 14:38 uur
Werkelijke plaats baring waarde geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Toelichting geplande sectio
Ziekenhuis baring
Zorgaanbieder Zie Zorgaanbieder: ZA2
Probleem kindspecifieke maternale problemen Probleem3
Probleem naam liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem 'SNOMED CT')
Probleem begin datum T - 5 dagen
Verrichting kindspecifieke maternale verrichtingen
Verrichting start datum T - 5 dagen om 14:03 uur
Verrichting eind datum T - 5 dagen om 14:52 uur
Indicatie
Probleem kindspecifieke maternale problemen Zie Probleem kindspecifieke maternale problemen: Probleem2
Verrichting type primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
Verrichting kindspecifieke maternale verrichtingen
Verrichting start datum T - 5 dagen om 14:50 uur
Verrichting type vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
Uitdrijvingsfase
Patient Zie Patient: Kind3
Type partus observatie
Observatie datum tijd T - 5 dagen
Type partus waarde sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
Werkelijke plaats baring type locatie observatie
Observatie datum tijd T - 5 dagen om 14:38 uur
Werkelijke plaats baring waarde geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Toelichting geplande sectio
Ziekenhuis baring
Zorgaanbieder Zie Zorgaanbieder: ZA2
Verrichting kindspecifieke maternale verrichtingen
Verrichting start datum T - 5 dagen om 14:03 uur
Verrichting eind datum T - 5 dagen om 14:52 uur
Indicatie
Probleem kindspecifieke maternale problemen Zie Probleem kindspecifieke maternale problemen: Probleem2
Verrichting type primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
Verrichting kindspecifieke maternale verrichtingen
Verrichting start datum T - 5 dagen om 14:52 uur
Verrichting type inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT')
Verrichting kindspecifieke maternale verrichtingen
Verrichting start datum T - 5 dagen om 14:55 uur
Verrichting type vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')

1.4.5 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Kind2
Lichamelijk onderzoek kind
Geboortegewicht lichaamsgewicht
Gewicht waarde 2605 gram
Gewicht datum tijd T - 5 dagen om 15:10 uur
Kleding Luier (code = 'DIAPER' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
Lichaamslengte
Lengte waarde 48
Schedelomvang
Schedelomvang waarde 32.6 cm
Bevindingen
Algemene indruk
Apgar score1min
Apgar score totaal 7
Apgar score5min
Apgar score totaal 10
Apgar score10min
Apgar score totaal 10

1.4.6 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient Zie Patient: Kind3
Lichamelijk onderzoek kind
Geboortegewicht lichaamsgewicht
Gewicht waarde 2089 gram
Gewicht datum tijd T - 5 dagen om 15:05 uur
Kleding Zonder kleding. (code = 'UNDRESSED' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
Lichaamslengte
Lengte waarde 46
Schedelomvang
Schedelomvang waarde 31.8 cm
Bevindingen
Algemene indruk
Apgar score1min
Apgar score totaal 5
Apgar score5min
Apgar score totaal 9
Apgar score10min
Apgar score totaal 10

1.4.7 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-193D
Verrichting eind datum T - 193 dagen
Maternale onderzoeksgegevens
Urine bloed en aanvullende onderzoeken
Psie
Laboratorium test bloedgroep ABO
Test code ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
Test uitslag bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
Laboratorium test rhesus d RhD
Test code D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
Test uitslag Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
Laboratorium test rhesus c Rhc
Test code Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
Test uitslag Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
Laboratorium test hb
Test code Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
Test uitslag 7.0 g/dl
Torch
Laboratorium test torch
Test code Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC')
Test uitslag 9 k[arb'u]/l

1.4.8 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-76D
Verrichting eind datum T - 76 dagen
Maternale onderzoeksgegevens
Urine bloed en aanvullende onderzoeken
Laboratorium test hb
Test code Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
Test uitslag 6.7 g/dl

1.4.9 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-5D
Verrichting eind datum T - 5 dagen
Maternale onderzoeksgegevens
Urine bloed en aanvullende onderzoeken
Laboratorium test hb
Test code Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
Test uitslag 6.5 g/dl

1.4.10 Bouwstenen

Bouwstenen
Gegevenselement Waarde
Metingen
Bloeddruk BP-193D
Systolische bloeddruk 123
Diastolische bloeddruk 81
Bloeddruk datum tijd T - 193 dagen
Lichaamsgewicht Gew-193D
Gewicht waarde 65 kg
Gewicht datum tijd T - 193 dagen
Metingen
Bloeddruk BP-76D
Systolische bloeddruk 108
Diastolische bloeddruk 79
Bloeddruk datum tijd T - 76 dagen
Metingen
Bloeddruk BP-5D
Systolische bloeddruk 91
Diastolische bloeddruk 57
Bloeddruk datum tijd T - 5 dagen

1.5 Scenario Vrouw 3, geen zwangerschapskaart beschikbaar

1.5.1 Administratief

Administratief
Gegevenselement Waarde
Patient Vrouw3
Naamgegevens
Voornamen Julia
Initialen J
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Laarhoven
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
Identificatienummer 999900754 (in identificerend systeem: BSN)
Geboortedatum 22 okt 1985
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Zorgaanbieder
Zorgaanbieder identificatienummer (in identificerend systeem: AGB-Z)
Zorgverlener
Zorgverlener identificatienummer (in identificerend systeem: AGB-Z)