vpk:Vprepub-4.0 Testgegevens eOverdracht Aanmeldbericht addendum: verschil tussen versies

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NUMBEREDHEADINGS__
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{{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens aanmeldbericht '''[dit laatste nog toe laten voegen vanuit ADA]'''}}
  
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{{DISPLAYTITLE:eOverdracht 4.0 - testscripts – aanmeldbericht sturend systeem – aanmelding}}
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=Addenda voor inhoudelijke gegevens=
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__NUMBEREDHEADINGS__
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<section begin=eovd-saa-tst-1.1-alle_zibs />
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[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
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==Aanmeldbericht==
  
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{{#lst:vpk:V4.0_kwalificatie_algemeen|versiebeheer}}
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=== Administratieve gegevens===
  
−
= Doelgroep =
+
{| class="wikitable" width="85%"
−
De doelgroep van deze pagina is de leverancier die vanuit het perspectief van het systeem ‘XIS versturende zorgorganisatie’ zelfstandig testen uitvoert met betrekking tot de systeemrol ‘Aanmeldbericht sturend systeem’ binnen de usecase ‘Verpleegkundige aanmelding’ in combinatie met de systeemrol ‘Overdrachtsbericht sturend systeem’ binnen de usecase ‘Verpleegkundige overdracht’.<br>  
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="47"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Erik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|E
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Altenborg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1000
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|14 aug 1964
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eind datum tijd
 +
|style="background-color: white;"|T + 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactpersoon
 +
|-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;"|Johanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|J
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Hanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bakker
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31645678912
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|jbakker@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie naam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie locatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31182435770
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontvangende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}
 +
=== Algemene patienten context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Juridische situatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="tst-1.1-juridischesituatie-01" title="Intern ID = tst-1.1-juridischesituatie-01">Juridische situatie tst-1.1-juridischesituatie-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vertegenwoordiging
 +
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum aanvang
 +
|style="background-color: white;"|T - 1 jaar
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|niet bekend met neurologische klachten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Voorgeschiedenis
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Let op
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Vrijheidsbeperking
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Vrijheidsbeperkende interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Wilsbekwaam
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Juridische situatie
 +
|style="background-color: white;"|Zie [[#tst-1.1-juridischesituatie-01|Juridische situatie: tst-1.1-juridischesituatie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort interventie
 +
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reden van toepassen
 +
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Instemming
 +
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Begin
 +
|style="background-color: white;"|T - 50 dagen
 +
|}
 +
=== Verpleegkundige context zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Actuele patientproblemen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="64"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="tst-1.1-patientprobleem-01" title="Intern ID = tst-1.1-patientprobleem-01">Probleem tst-1.1-patientprobleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|meneer kan niet buigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-01|Probleem: tst-1.1-patientprobleem-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="tst-1.1-patientprobleem-02" title="Intern ID = tst-1.1-patientprobleem-02">Probleem tst-1.1-patientprobleem-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-02|Probleem: tst-1.1-patientprobleem-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="tst-1.1-patientprobleem-03" title="Intern ID = tst-1.1-patientprobleem-03">Probleem tst-1.1-patientprobleem-03</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Actie start datum tijd
 +
|style="background-color: white;"|T - 10 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Actie eind datum tijd
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="tst-1.1-patientprobleem-04" title="Intern ID = tst-1.1-patientprobleem-04">Probleem tst-1.1-patientprobleem-04</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-04|Probleem: tst-1.1-patientprobleem-04]]
 +
|}
 +
=== Verpleegkundige context specificatie gezondheidstoestand===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Voedingvocht
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde systeem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|PEJ sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|centraal veneuze katheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|voor voeding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|voor medicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Uitscheiding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma type
 +
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|na subtotale darmresectie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma type
 +
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 +
|}<section end=eovd-saa-tst-1.1-alle_zibs />
 +
<section begin=eovd-saa-tst-1.1b-alle_zibs />
 +
==Aanmeldbericht - overlap BgZ==
 +
 
 +
=== Administratieve gegevens===
  
−
{{#lst:vpk:V4.0_kwalificatie_algemeen|begrippenlijst}}
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
  
−
=Inleiding=
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
==eOverdracht omvat 2 use cases==
+
|colspan="6"|Datum overplaatsing
−
{{#lst:vpk:Vdraft_kwalificatie_algemeen_aanmelding|inleiding_1}}
+
|style="background-color: white;"|T + 1 dag
−
Er is een apart testscript beschikbaar voor de pre-kwalificatie met betrekking tot alleen de systeemrol ‘Overdracht sturend systeem’ binnen de use case ‘Verpleegkundige overdracht’ (zie [[vpk:V4.0_testgegevens_overdracht_sturend_vw|hier]]).<br>
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="47"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Erik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|E
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Altenborg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1000
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|14 aug 1964
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eind datum tijd
 +
|style="background-color: white;"|T + 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactpersoon
 +
|-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;"|Johanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|J
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Hanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bakker
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31645678912
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|jbakker@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie naam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie locatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31182435770
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontvangende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}
 +
=== Medische context===
  
−
==Verpleegkundige aanmelding in combinatie met verpleegkundige overdracht==
+
{| class="wikitable" width="85%"
−
Het script op deze pagina biedt de mogelijkheid om de verpleegkundige aanmelding en de verpleegkundige overdracht in combinatie met elkaar te testen.
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
−
{{#lst:vpk:Vdraft_kwalificatie_algemeen_aanmelding|inleiding_2}}
+
|-style="background-color: #1F497D;; color: white; text-align:left;"
−
{{#lst:vpk:V4.0_kwalificatie_algemeen|introductie_test2}}
+
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
  
−
=Scenario's=
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
−
{{#lst:vpk:Vdraft_kwalificatie_algemeen_aanmelding|scenarios_beperking}}
+
|colspan="5"|Medische diagnose
−
{{#lst:vpk:Vdraft_kwalificatie_algemeen_aanmelding|scenarios_algemeen}}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
{{#lst:vpk:Vdraft_kwalificatie_algemeen_aanmelding|scenarios_tabel_sturend}}
+
|rowspan="18"|
−
{{#lst:vpk:V4.0_kwalificatie_algemeen|aandachtspunten}}
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|niet bekend met neurologische klachten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Voorgeschiedenis
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Let op
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
 +
|}<section end=eovd-saa-tst-1.1b-alle_zibs />
 +
<section begin=eovd-saa-tst-q.qb-alle_zibs_kind_0-1_jaar />
 +
==Aanmeldbericht Kinderen 0-1 jaar - overlap BgZ (concept)==
  
−
=Inhoudelijke gegevens=
+
=== Administratieve gegevens===
−
De berichten in ionderstaande tabel verwijzen naar de inhoudelijke gegevens in de hiernaar volgende paragrafen. Bevestigingen en annuleringen bevatten geen inhoudelijke gegevens
 
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; |
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan='4'| Scenario
+
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|-  
+
|colspan="6" width="30%"| Gegevenselement
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan='1' | Stap
+
|| Waarde
−
|style="background-color: white;; text-align:center;" |1.1
 
−
|style="background-color: white;; text-align:center;" |1.2
 
−
|style="background-color: white;; text-align:center;" |1.3
 
−
|style="background-color: white;; text-align:center;" |1.4
 
−
|-
 
−
|style="background-color: white;; font-weight: bold; text-align:center;" colspan='5'| aanmeldfase
 
−
|-
 
−
|style="background-color: #E3E3E3;; font-weight: bold;" colspan='1' | 1. sturend systeem stuurt aanmeldbericht
 
−
|style="background-color: #E3E3E3;;"|Aanmeldbericht 1.1
 
−
|style="background-color: #E3E3E3;;"|Aanmeldbericht 1.2
 
−
|style="background-color: #E3E3E3;;"|Aanmeldbericht 1.3
 
−
|style="background-color: #E3E3E3;;"|Aanmeldbericht 1.4
 
−
|-
 
−
|style="background-color: #F7F7F7;; font-weight: bold;" colspan='1' | 2. simulator stuurt antwoordbericht met als inhoud
 
−
|Antwoordbericht ja
 
−
|Antwoordbericht ja, alternatieve datum
 
−
|Antwoordbericht ja, alternatieve datum
 
−
|Antwoordbericht nee
 
−
|-
 
−
|style="background-color: #E3E3E3;; font-weight: bold;" colspan='1' |3. sturend systeem
 
−
|style="background-color: #E3E3E3;;"|bevestiging aanmelding
 
−
|style="background-color: #E3E3E3;;"|Aanmeldbericht 1.2 per alternatieve datum
 
−
|style="background-color: #E3E3E3;;"|annulering aanmelding
 
−
|style="background-color: #E3E3E3;;"|
 
−
|-
 
−
|style="background-color: #F7F7F7;; font-weight: bold;" colspan='1' |4. simulator stuurt antwoordbericht met als inhoud
 
−
|
 
−
|Antwoordbericht ja
 
−
|
 
−
|
 
−
|-
 
−
|style="background-color: #E3E3E3;; font-weight: bold;" colspan='1' |5. sturend systeem
 
−
|style="background-color: #E3E3E3;;"|
 
−
|style="background-color: #E3E3E3;;"|bevestiging aanmelding
 
−
|style="background-color: #E3E3E3;;"|
 
−
|style="background-color: #E3E3E3;;"|
 
−
|-
 
−
|style="background-color: white;; font-weight: bold; text-align:center;" colspan='5'| overdrachtsfase
 
−
|-
 
−
|style="background-color: #E3E3E3;; font-weight: bold;" colspan='1' |6. sturend systeem
 
−
|style="background-color: #E3E3E3;;"|Overdrachtsbericht 1.1
 
−
|style="background-color: #E3E3E3;;"|Overdrachtsbericht 1.2
 
−
|style="background-color: #E3E3E3;;"|
 
−
|style="background-color: #E3E3E3;;"|
 
−
|-
 
−
|style="background-color: #F7F7F7;; font-weight: bold;" colspan='1' |7. simulator
 
−
|ontvangstbevestiging
 
−
|ontvangstbevestiging
 
−
|
 
−
|
 
−
|}
 
  
−
==Scenario 1.1==
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
{{#lst:vpk:V4.0_Testgegevens_eOverdracht_addendum|eOvd-SOV-tst-1.1-alle_zibs}}
+
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="47"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Erik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|E
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Altenborg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1000
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|14 aug 1964
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eind datum tijd
 +
|style="background-color: white;"|T + 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactpersoon
 +
|-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;"|Johanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|J
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Hanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bakker
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31645678912
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|jbakker@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie naam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie locatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31182435770
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontvangende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afdeling specialisme
 +
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie type
 +
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}
 +
=== Algemene patienten context===
  
−
==Antwoordberichten==
+
{| class="wikitable" width="85%"
−
===Antwoordbericht Ja XXX===
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
−
{{#lst:vpk:Vdraft_Testgegevens_eOverdracht_Antwoordbericht_addendum|eovd-saw-tst-1-ja}}
+
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
  
−
===Antwoordbericht Ja, maar alternatieve datum==
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
−
{{#lst:vpk:Vdraft_Testgegevens_eOverdracht_Antwoordbericht_addendum|eovd-saw-tst-2-ja_alt_datum}}
+
|colspan="5"|Juridische situatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="JuridischeSituatie-01" title="Intern ID = JuridischeSituatie-01">Juridische situatie JuridischeSituatie-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vertegenwoordiging
 +
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum aanvang
 +
|style="background-color: white;"|T - 1 jaar
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|niet bekend met neurologische klachten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Voorgeschiedenis
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Let op
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alert naam
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Vrijheidsbeperking
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Vrijheidsbeperkende interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Wilsbekwaam
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Juridische situatie
 +
|style="background-color: white;"|Zie [[#JuridischeSituatie-01|Juridische situatie: JuridischeSituatie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort interventie
 +
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reden van toepassen
 +
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Instemming
 +
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Begin
 +
|style="background-color: white;"|T - 50 dagen
 +
|}
 +
=== Verpleegkundige context zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Actuele patientproblemen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="64"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="patientprobleem-01" title="Intern ID = patientprobleem-01">Probleem patientprobleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|meneer kan niet buigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#patientprobleem-01|Probleem: patientprobleem-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="patientprobleem-02" title="Intern ID = patientprobleem-02">Probleem patientprobleem-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#patientprobleem-02|Probleem: patientprobleem-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="eovd-saa-tst-patientprobleem-03" title="Intern ID = eovd-saa-tst-patientprobleem-03">Probleem eovd-saa-tst-patientprobleem-03</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-03|Probleem: eovd-saa-tst-patientprobleem-03]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-03|Probleem: eovd-saa-tst-patientprobleem-03]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Actie start datum tijd
 +
|style="background-color: white;"|T - 10 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Actie eind datum tijd
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patientprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="eovd-saa-tst-patientprobleem-04" title="Intern ID = eovd-saa-tst-patientprobleem-04">Probleem eovd-saa-tst-patientprobleem-04</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Interventie
 +
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-04|Probleem: eovd-saa-tst-patientprobleem-04]]
 +
|}
 +
=== Verpleegkundige context specificatie gezondheidstoestand===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="30%"| Gegevenselement
 +
|| Waarde
  
−
===Antwoordbericht Nee===
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
−
{{#lst:vpk:Vdraft_Testgegevens_eOverdracht_Antwoordbericht_addendum|eovd-saw-tst-3-nee}}
+
|colspan="8"|Voedingvocht
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde systeem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|PEJ sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|centraal veneuze katheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|voor voeding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|voor medicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Uitscheiding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma type
 +
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|na subtotale darmresectie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma type
 +
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 +
|}<section end=eovd-saa-tst-q.qb-alle_zibs_kind_0-1_jaar />

Versie van 30 dec 2021 07:34

Under construction icon-blue.png This article or section is in the middle of an expansion or major restructuring and is not yet ready for use.

NUMBEREDHEADINGS__


Addenda voor inhoudelijke gegevens

Aanmeldbericht

Administratieve gegevens

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

Algemene patienten context

Algemene patienten context
Gegevenselement Waarde
Juridische situatie
Juridische situatie tst-1.1-juridischesituatie-01
Vertegenwoordiging Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
Datum aanvang T - 1 jaar

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem
Probleem naam neoplasma van colon (code = '126838000')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam inverse psoriasis (code = '238600001')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
Probleem naam diabetes mellitus (code = '73211009')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Let op
Alert
Alert naam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
Alert
Alert naam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
Vrijheidsbeperking
Vrijheidsbeperkende interventie
Wilsbekwaam Ja
Juridische situatie Zie Juridische situatie: tst-1.1-juridischesituatie-01
Soort interventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
Reden van toepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem tst-1.1-patientprobleem-01
Probleem naam probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting meneer kan niet buigen
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: tst-1.1-patientprobleem-01
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem tst-1.1-patientprobleem-02
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: tst-1.1-patientprobleem-02
Patientprobleem
Probleem tst-1.1-patientprobleem-03
Probleem naam decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: tst-1.1-patientprobleem-03
Verpleegkundige interventie
Interventie wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: tst-1.1-patientprobleem-03
Actie start datum tijd T - 10 dagen
Actie eind datum tijd T - 1 dag
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem tst-1.1-patientprobleem-04
Probleem naam loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: tst-1.1-patientprobleem-04

Verpleegkundige context specificatie gezondheidstoestand

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

Aanmeldbericht - overlap BgZ

Administratieve gegevens

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

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem
Probleem naam neoplasma van colon (code = '126838000')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam inverse psoriasis (code = '238600001')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
Probleem naam diabetes mellitus (code = '73211009')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Let op
Alert
Alert naam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
Alert
Alert naam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie

Aanmeldbericht Kinderen 0-1 jaar - overlap BgZ (concept)

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 2 dagen
Persoonsgegevens
Patient
Naamgegevens
Voornamen Erik
Initialen E
Geslachtsnaam
Achternaam XXX_Altenborg
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911612 (in identificerend systeem: BSN)
Geboortedatum 14 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Eind datum tijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Contactpersoon
Naamgegevens
Voornamen Johanna
Initialen J
Roepnaam Hanna
Geslachtsnaam
Achternaam Bakker
Contactgegevens
Telefoonnummers
Telefoonnummer +31645678912
Email adressen
Email adres jbakker@123net.nl
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Ontvangende organisatie
Zorgaanbieder
Afdeling specialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Organisatie type Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Algemene patienten context

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

Medische context

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

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem patientprobleem-01
Probleem naam probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting meneer kan niet buigen
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: patientprobleem-01
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem patientprobleem-02
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: patientprobleem-02
Patientprobleem
Probleem eovd-saa-tst-patientprobleem-03
Probleem naam decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-saa-tst-patientprobleem-03
Verpleegkundige interventie
Interventie wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-saa-tst-patientprobleem-03
Actie start datum tijd T - 10 dagen
Actie eind datum tijd T - 1 dag
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem eovd-saa-tst-patientprobleem-04
Probleem naam loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-saa-tst-patientprobleem-04

Verpleegkundige context specificatie gezondheidstoestand

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