Gebz:Vdraft AddendaKwalificatieKernsetGeboortezorg23 Dekkingsgraad: verschil tussen versies

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Regel 14: Regel 14:
 
* 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
 
* 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
 
* 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
 
* 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
 +
* 6. 2e lijn(id: scenario6-23)
 
Zie voor de inhoud van deze scenario's: [[Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23]]. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.
 
Zie voor de inhoud van deze scenario's: [[Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23]]. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.
==Scenario  (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676)==
+
==Scenario  (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020)==
<section begin=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
Regel 25: Regel 26:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Burgerservicenummer
 
|colspan="2"|Burgerservicenummer
|style="background-color: white;"|999910413 - 961921821 - 895623146 - 850810711 - 912345676
+
|style="background-color: white;"|999910413 - 961921821 - 895623146 - 850810711 - 912345676 - 100202020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lokale persoonsidentificatie
 
|colspan="2"|Lokale persoonsidentificatie
|style="background-color: white;"|000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
+
|style="background-color: white;"|000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - 987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Geboortedatum
 
|colspan="2"|Geboortedatum
|style="background-color: white;"|2 mei 1976  - 11 sep 1974  - 5 aug 1985  - 6 aug 1987  - 4 mrt 1993   
+
|style="background-color: white;"|2 mei 1976  - 11 sep 1974  - 5 aug 1985  - 6 aug 1987  - 4 mrt 1993   - 1 jan 1989  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Adres - postcode
 
|colspan="2"|Adres - postcode
|style="background-color: white;"|4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF
+
|style="background-color: white;"|4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF - 1234 AB
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Etniciteit
 
|colspan="2"|Etniciteit
Regel 40: Regel 41:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lengte gemeten
 
|colspan="2"|Lengte gemeten
|style="background-color: white;"|170 cm - 184 cm - 167 cm - 162 cm - 186 cm
+
|style="background-color: white;"|170 cm - 184 cm - 167 cm - 162 cm - 186 cm - 172 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vrouwelijke genitale verminking?
 
|colspan="2"|Vrouwelijke genitale verminking?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Type vrouwelijke genitale verminking
 
|colspan="2"|Type vrouwelijke genitale verminking
 
|style="background-color: white;"|Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')
 
|style="background-color: white;"|Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')
|}<section end=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Anamnese ===
 
=== Anamnese ===
<section begin=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
Regel 71: Regel 72:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Urogenitale aandoening
 
|colspan="2"|Urogenitale aandoening
|style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Pyelonefritis (code = '45816000' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Oncologische aandoening
 
|colspan="2"|Oncologische aandoening
Regel 77: Regel 78:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schildklier aandoening
 
|colspan="2"|Schildklier aandoening
|style="background-color: white;"|Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') - Hypothyreoidie (code = '40930008' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Diabetes mellitus?
 
|colspan="2"|Diabetes mellitus?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Neurologische aandoening
 
|colspan="2"|Neurologische aandoening
|style="background-color: white;"|Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') - Hernia nuclei pulposi (code = '84857004' in codeSystem 'Snomed CT') - Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Infectieziekte
 
|colspan="2"|Infectieziekte
Regel 89: Regel 90:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Mdl aandoening
 
|colspan="2"|Mdl aandoening
|style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - M. Crohn (code = '34000006' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Anemie
 
|colspan="2"|Anemie
|style="background-color: white;"|Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') - IJzergebrek (code = '87522002' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Longaandoening
 
|colspan="2"|Longaandoening
Regel 101: Regel 102:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Orthopedische afwijking
 
|colspan="2"|Orthopedische afwijking
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bloedtransfusie?
 
|colspan="2"|Bloedtransfusie?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Transfusiereactie?
 
|colspan="2"|Transfusiereactie?
Regel 110: Regel 111:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Type operatie
 
|colspan="2"|Type operatie
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Sectio (code = '11466000' in codeSystem 'Snomed CT') - Rug (code = '129152004:260686004=129284003' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Type stollingsprobleem
 
|colspan="2"|Type stollingsprobleem
Regel 116: Regel 117:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Psychiatrie?
 
|colspan="2"|Psychiatrie?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Overige aandoening?
 
|colspan="2"|Overige aandoening?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Overige aandoening
 
|colspan="2"|Overige aandoening
 
|style="background-color: white;"|
 
|style="background-color: white;"|
|}<section end=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Zorgverlening ===
 
=== Zorgverlening ===
<section begin=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgverlening
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgverlening
Regel 134: Regel 135:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="7"|Datum start zorgverantwoordelijkheid
 
|colspan="7"|Datum start zorgverantwoordelijkheid
|style="background-color: white;"|1 mrt 2014  00:00 - 28 aug 2018  - 12 mei 2014  00:00 - 10 mrt 2014  00:00 - 7 aug 2014  00:00 - 3 feb 2014  00:00 - 9 dec 2013  00:00
+
|style="background-color: white;"|1 mrt 2014  00:00 - 28 aug 2018  - 12 mei 2014  00:00 - 10 mrt 2014  00:00 - 7 aug 2014  00:00 - 3 feb 2014  00:00 - 9 dec 2013   00:00 - 1 mrt 2019   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="7"|Datum einde zorgverantwoordelijkheid
 
|colspan="7"|Datum einde zorgverantwoordelijkheid
|style="background-color: white;"|12 nov 2014  00:00 - 28 nov 2018  - 9 okt 2014  00:00 - 3 nov 2014  00:00 - 15 sep 2014  00:00 - 6 aug 2014  00:00 - 4 aug 2014  00:00
+
|style="background-color: white;"|12 nov 2014  00:00 - 28 nov 2018  - 9 okt 2014  00:00 - 3 nov 2014  00:00 - 15 sep 2014  00:00 - 6 aug 2014  00:00 - 4 aug 2014   00:00 - 15 okt 2019   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="7"|Eindverantwoordelijk in welke perinatale periode?
 
|colspan="7"|Eindverantwoordelijk in welke perinatale periode?
Regel 416: Regel 417:
 
|colspan="6"|Perinatale periode
 
|colspan="6"|Perinatale periode
 
|style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
 
|style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
|}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Zorgverlenerzorginstelling ===
 
=== Zorgverlenerzorginstelling ===
<section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
Regel 431: Regel 432:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorginstelling agbid
 
|colspan="2"|Zorginstelling agbid
|style="background-color: white;"|
+
|style="background-color: white;"|12345678 (in identificerend systeem: 1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorginstelling lvrid
 
|colspan="2"|Zorginstelling lvrid
|style="background-color: white;"|1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
|}<section end=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
Regel 449: Regel 450:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="7"|Definitieve a terme datum
 
|colspan="7"|Definitieve a terme datum
|style="background-color: white;"|1 dec 2011  - 5 jun 2013  - 5 jun 2012   
+
|style="background-color: white;"|1 dec 2011  - 5 jun 2013  - 5 jun 2012   - 1 feb 2017  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="8"|Diagnose
 
|colspan="8"|Diagnose
Regel 462: Regel 463:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Cervixinsufficientie?
 
|colspan="6"|Cervixinsufficientie?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Infectie
 
|colspan="6"|Infectie
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Intra-uterien (code = '301775005' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Hyperemesis gravidarum?
 
|colspan="6"|Hyperemesis gravidarum?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Hypertensieve aandoening
 
|colspan="6"|Hypertensieve aandoening
|style="background-color: white;"|
+
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Zwangerschapscholestase?
 
|colspan="6"|Zwangerschapscholestase?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Diabetes gravidarum met insuline?
 
|colspan="6"|Diabetes gravidarum met insuline?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Afwijkende groei foetus
 
|colspan="6"|Afwijkende groei foetus
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Macrosomie (code = '199616008' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Dreigende partus immaturus?
 
|colspan="6"|Dreigende partus immaturus?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Dreigende partus prematurus?
 
|colspan="6"|Dreigende partus prematurus?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Abruptio placentae?
 
|colspan="6"|Abruptio placentae?
|style="background-color: white;"|
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="7"|Irregulaire antistoffen?
 
|colspan="7"|Irregulaire antistoffen?
Regel 503: Regel 504:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geboorte placenta
 
|colspan="5"|Geboorte placenta
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
+
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Hoeveelheid bloedverlies
 
|colspan="6"|Hoeveelheid bloedverlies
|style="background-color: white;"|550 ml
+
|style="background-color: white;"|550 ml - 895 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Vorige uitkomst per kind
 
|colspan="7"|Vorige uitkomst per kind
Regel 517: Regel 518:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|8 dec 2011  00:00 - 9 jun 2012  00:00
+
|style="background-color: white;"|8 dec 2011  00:00 - 9 jun 2012  00:00 - 15 dec 2016 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
 
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
Regel 524: Regel 525:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Type partus
 
|colspan="3"|Type partus
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Secundair (code = '274130007' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Percentiel van het geboortegewicht
 
|colspan="3"|Percentiel van het geboortegewicht
|style="background-color: white;"|p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
+
|style="background-color: white;"|p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Apgarscore na 5 min
 
|colspan="3"|Apgarscore na 5 min
Regel 533: Regel 534:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Congenitale afwijkingen?
 
|colspan="3"|Congenitale afwijkingen?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Congenitale afwijkingen groep
 
|colspan="4"|Congenitale afwijkingen groep
Regel 540: Regel 541:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Chromosomale afwijkingen?
 
|colspan="2"|Chromosomale afwijkingen?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Zwangerschap ===
 
=== Zwangerschap ===
<section begin=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschap
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschap
Regel 558: Regel 559:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Definitieve a terme datum
 
|colspan="4"|Definitieve a terme datum
|style="background-color: white;"|9 okt 2014  - 8 sep 2014  - 22 sep 2014  - 18 aug 2014  - 22 jul 2014   
+
|style="background-color: white;"|9 okt 2014  - 8 sep 2014  - 22 sep 2014  - 18 aug 2014  - 22 jul 2014   - 2 okt 2019  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Voornemens
 
|colspan="5"|Voornemens
Regel 572: Regel 573:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Datum controle
 
|colspan="3"|Datum controle
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014  00:00
+
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014   00:00 - 1 mrt 2019   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapsduur
 
|colspan="3"|Zwangerschapsduur
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen
+
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Leven voelen
 
|colspan="3"|Leven voelen
Regel 590: Regel 591:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Gewicht gemeten
 
|colspan="3"|Gewicht gemeten
|style="background-color: white;"|70 kg - 85 kg - 67 kg - 82 kg - 89 kg
+
|style="background-color: white;"|70 kg - 85 kg - 67 kg - 82 kg - 89 kg - 68 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Diagnose
 
|colspan="5"|Diagnose
Regel 597: Regel 598:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Datum
 
|colspan="3"|Datum
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014  00:00
+
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014   00:00 - 1 mrt 2019   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapsduur
 
|colspan="3"|Zwangerschapsduur
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen
+
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Gynaecologische aandoening
 
|colspan="3"|Gynaecologische aandoening
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Overig, niet nader gespecificeerd Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Bloedverlies?
 
|colspan="3"|Bloedverlies?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Partiele mola?
 
|colspan="3"|Partiele mola?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Cervixinsufficientie?
 
|colspan="3"|Cervixinsufficientie?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Infectie
 
|colspan="3"|Infectie
Regel 618: Regel 619:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Hyperemesis gravidarum?
 
|colspan="3"|Hyperemesis gravidarum?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Hypertensieve aandoening
 
|colspan="3"|Hypertensieve aandoening
Regel 624: Regel 625:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapscholestase?
 
|colspan="3"|Zwangerschapscholestase?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Diabetes gravidarum met insuline?
 
|colspan="3"|Diabetes gravidarum met insuline?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Afwijkende groei foetus
 
|colspan="3"|Afwijkende groei foetus
Regel 633: Regel 634:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Dreigende partus immaturus?
 
|colspan="3"|Dreigende partus immaturus?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Dreigende partus prematurus?
 
|colspan="3"|Dreigende partus prematurus?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Abruptio placentae?
 
|colspan="3"|Abruptio placentae?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Navelstrengprolaps?
 
|colspan="3"|Navelstrengprolaps?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Liggingsafwijking
 
|colspan="3"|Liggingsafwijking
Regel 652: Regel 653:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vermoeden iuvd op basis van
 
|colspan="2"|Vermoeden iuvd op basis van
Regel 665: Regel 666:
 
|colspan="4"|Wijze einde zwangerschap
 
|colspan="4"|Wijze einde zwangerschap
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
|}<section end=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Bevalling ===
 
=== Bevalling ===
<section begin=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
Regel 676: Regel 677:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Partusnummer
 
|colspan="4"|Partusnummer
|style="background-color: white;"|000000
+
|style="background-color: white;"|000000 - 4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Diagnose bevalling
 
|colspan="5"|Diagnose bevalling
Regel 683: Regel 684:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pprom?
 
|colspan="3"|Pprom?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Prom?
 
|colspan="3"|Prom?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Koorts?
 
|colspan="3"|Koorts?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Niet vorderende ontsluiting?
 
|colspan="3"|Niet vorderende ontsluiting?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Niet vorderende uitdrijving?
 
|colspan="3"|Niet vorderende uitdrijving?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verdenking foetale nood?
 
|colspan="3"|Verdenking foetale nood?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Intrauteriene vruchtdood
 
|colspan="4"|Intrauteriene vruchtdood
Regel 705: Regel 706:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vermoeden iuvd op basis van
 
|colspan="2"|Vermoeden iuvd op basis van
Regel 711: Regel 712:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Vastzittende placenta?
 
|colspan="3"|Vastzittende placenta?
|style="background-color: white;"|
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Fluxus postpartum?
 
|colspan="3"|Fluxus postpartum?
|style="background-color: white;"|
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Aantal geboren kinderen
 
|colspan="4"|Aantal geboren kinderen
Regel 727: Regel 728:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Interventie begin baring
 
|colspan="3"|Interventie begin baring
|style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Primen prostaglandine (code = '236966000' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Indicatie interventie begin baring
 
|colspan="3"|Indicatie interventie begin baring
|style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
+
|style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Wijze waarop de baring begon
 
|colspan="4"|Wijze waarop de baring begon
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
+
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Tijdstip begin actieve ontsluiting
 
|colspan="4"|Tijdstip begin actieve ontsluiting
|style="background-color: white;"|8 okt 2014  14:30 - 30 aug 2014  14:09 - 27 aug 2014  22:09 - 3 aug 2014  21:09
+
|style="background-color: white;"|8 okt 2014  14:30 - 30 aug 2014  14:09 - 27 aug 2014  22:09 - 3 aug 2014  21:09 - 15 okt 2019  03:45
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Medicatie nageboortetijdperk groep
 
|colspan="5"|Medicatie nageboortetijdperk groep
Regel 756: Regel 757:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Hoeveelheid bloedverlies
 
|colspan="4"|Hoeveelheid bloedverlies
|style="background-color: white;"|615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml
+
|style="background-color: white;"|615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml - 650 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Conditie perineum postpartum
 
|colspan="4"|Conditie perineum postpartum
 
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')
 
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')
|}<section end=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Uitkomst per kind ===
 
=== Uitkomst per kind ===
<section begin=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
Regel 782: Regel 783:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ziekenhuisnummer lvrid
 
|colspan="5"|Ziekenhuisnummer lvrid
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0803 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Demografische gegevens
 
|colspan="7"|Demografische gegevens
Regel 799: Regel 800:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geboortedatum
 
|colspan="5"|Geboortedatum
|style="background-color: white;"|8 okt 2014  00:00 - 1 sep 2014  02:34 - 28 aug 2014  06:30 - 28 aug 2014  07:02 - 4 aug 2014  23:35 - 24 jul 2014  02:30
+
|style="background-color: white;"|8 okt 2014  00:00 - 1 sep 2014  02:34 - 28 aug 2014  06:30 - 28 aug 2014  07:02 - 4 aug 2014  23:35 - 24 jul 2014  02:30 - 15 okt 2019 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Rangnummer kind
 
|colspan="5"|Rangnummer kind
Regel 822: Regel 823:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Bijstimulatie toegediend?
 
|colspan="5"|Bijstimulatie toegediend?
|style="background-color: white;"|
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Tijdstip breken vliezen
 
|colspan="5"|Tijdstip breken vliezen
|style="background-color: white;"|8 okt 2014  09:15 - 30 aug 2014  23:04 - 27 aug 2014  22:09 - 27 aug 2014  23:13 - 3 aug 2014  07:04
+
|style="background-color: white;"|8 okt 2014  09:15 - 30 aug 2014  23:04 - 27 aug 2014  22:09 - 27 aug 2014  23:13 - 3 aug 2014  07:04 - 19 okt 2019  04:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Kleur en consistentie vruchtwater
 
|colspan="5"|Kleur en consistentie vruchtwater
Regel 831: Regel 832:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Tijdstip actief meepersen
 
|colspan="5"|Tijdstip actief meepersen
|style="background-color: white;"|8 okt 2014  12:13 - 27 aug 2014  23:49 - 28 aug 2014  06:45 - 4 aug 2014  22:15
+
|style="background-color: white;"|8 okt 2014  12:13 - 27 aug 2014  23:49 - 28 aug 2014  06:45 - 4 aug 2014  22:15 - 19 okt 2019  05:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Episiotomie?
 
|colspan="5"|Episiotomie?
Regel 843: Regel 844:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ruggeprik gewenst niet gekregen?
 
|colspan="5"|Ruggeprik gewenst niet gekregen?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Pijnbestrijding?
 
|colspan="5"|Pijnbestrijding?
Regel 870: Regel 871:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Periode
 
|colspan="4"|Periode
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
+
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Sedatie?
 
|colspan="5"|Sedatie?
Regel 880: Regel 881:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Type partus
 
|colspan="5"|Type partus
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') - Spontaan (code = '177184002' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ligging bij geboorte
 
|colspan="5"|Ligging bij geboorte
|style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') - Achterhoofd-voor (code = '70028003' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Aanpakker kind - rol aanpakker kind
 
|colspan="5"|Aanpakker kind - rol aanpakker kind
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
+
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Supervisor - rol supervisor
 
|colspan="5"|Supervisor - rol supervisor
Regel 922: Regel 923:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Apgarscore na 5 min
 
|colspan="4"|Apgarscore na 5 min
|style="background-color: white;"|
+
|style="background-color: white;"|9
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortegewicht
 
|colspan="4"|Geboortegewicht
|style="background-color: white;"|3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 3750 gram
+
|style="background-color: white;"|3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 3750 gram - 3550 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Congenitale afwijkingen?
 
|colspan="5"|Congenitale afwijkingen?
Regel 939: Regel 940:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specificatie congenitale afwijking
 
|colspan="3"|Specificatie congenitale afwijking
|style="background-color: white;"|Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') - overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Chromosomale afwijkingen?
 
|colspan="4"|Chromosomale afwijkingen?
Regel 965: Regel 966:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Datum betrokkenheid
 
|colspan="4"|Datum betrokkenheid
|style="background-color: white;"|1 sep 2014  00:00 - 28 aug 2014  00:00 - 4 aug 2014  00:00
+
|style="background-color: white;"|1 sep 2014  00:00 - 28 aug 2014  00:00 - 4 aug 2014   00:00 - 15 okt 2019   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Reden betrokkenheid
 
|colspan="4"|Reden betrokkenheid
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - kunstverlossing (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Type betrokkenheid
 
|colspan="4"|Type betrokkenheid
Regel 974: Regel 975:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorginstelling lvrid
 
|colspan="4"|Zorginstelling lvrid
|style="background-color: white;"|0003 - 9999 - 0001 - 0010
+
|style="background-color: white;"|0003 - 9999 - 0001 - 0010 - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
|}<section end=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Medisch onderzoek ===
 
=== Medisch onderzoek ===
<section begin=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
Regel 994: Regel 995:
 
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
 
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
 
|style="background-color: white;"|Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')
 
|style="background-color: white;"|Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')
|}<section end=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
|}<section end=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Postnatale fase ===
 
=== Postnatale fase ===
<section begin=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />
+
<section begin=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
Regel 1.019: Regel 1.020:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Rangnummer kind
 
|colspan="3"|Rangnummer kind
|style="background-color: white;"|1
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Voeding kind groep
 
|colspan="4"|Voeding kind groep
Regel 1.026: Regel 1.027:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Voeding kind datum
 
|colspan="2"|Voeding kind datum
|style="background-color: white;"|12 okt 2014  - 7 okt 2014  - 3 sep 2014  - 15 sep 2014  - 24 jul 2014   
+
|style="background-color: white;"|12 okt 2014  - 7 okt 2014  - 3 sep 2014  - 15 sep 2014  - 24 jul 2014   - 15 okt 2019  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Substantie voeding kind
 
|colspan="2"|Substantie voeding kind
 
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
|}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 />           
+
|}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />           
 
[[Categorie:Kwalificatie]]
 
[[Categorie:Kwalificatie]]

Versie van 12 feb 2019 15:08

{{#customtitle:Kernset Geboortezorg 2.3 - dekkingsgraad scenario's}}

Naar nictiz.nl

1 Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3

De volgende scenario's zijn meegenomen:

  • 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling (id: scenario1-23)
  • 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_1elijn-23)
  • 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_2elijn-23)
  • 3. zorg volledig in 2e lijn, meerling, 1 kind overleden(id: scenario3-23)
  • 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_1elijn-23)
  • 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
  • 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
  • 6. 2e lijn(id: scenario6-23)

Zie voor de inhoud van deze scenario's: Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.

1.1 Scenario (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020)

Vrouw
Gegevenselement Waarde
Burgerservicenummer 999910413 - 961921821 - 895623146 - 850810711 - 912345676 - 100202020
Lokale persoonsidentificatie 000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - 987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
Geboortedatum 2 mei 1976 - 11 sep 1974 - 5 aug 1985 - 6 aug 1987 - 4 mrt 1993 - 1 jan 1989
Adres - postcode 4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF - 1234 AB
Etniciteit Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
Lengte gemeten 170 cm - 184 cm - 167 cm - 162 cm - 186 cm - 172 cm
Vrouwelijke genitale verminking? Ja - Nee
Type vrouwelijke genitale verminking Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')

1.1.1 Anamnese

Anamnese
Gegevenselement Waarde
Onder behandeling geweest? Ja - Nee
Algemene anamnese
Autoimmuun aandoening Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96')
Cardiovasculaire aandoening Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96') - Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96')
Urogenitale aandoening Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Pyelonefritis (code = '45816000' in codeSystem 'Snomed CT')
Oncologische aandoening Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Schildklier aandoening Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') - Hypothyreoidie (code = '40930008' in codeSystem 'Snomed CT')
Diabetes mellitus? Ja - Nee
Neurologische aandoening Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') - Hernia nuclei pulposi (code = '84857004' in codeSystem 'Snomed CT') - Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Infectieziekte Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
Mdl aandoening Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - M. Crohn (code = '34000006' in codeSystem 'Snomed CT')
Anemie Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') - IJzergebrek (code = '87522002' in codeSystem 'Snomed CT')
Longaandoening Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Gynaecologische aandoening
Orthopedische afwijking Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
Bloedtransfusie? Ja - Nee
Transfusiereactie?
Type operatie Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Sectio (code = '11466000' in codeSystem 'Snomed CT') - Rug (code = '129152004:260686004=129284003' in codeSystem '2.16.840.1.113883.6.96')
Type stollingsprobleem Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Psychiatrie? Ja - Nee
Overige aandoening? Nee
Overige aandoening

1.1.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Datum start zorgverantwoordelijkheid 1 mrt 2014 00:00 - 28 aug 2018 - 12 mei 2014 00:00 - 10 mrt 2014 00:00 - 7 aug 2014 00:00 - 3 feb 2014 00:00 - 9 dec 2013 00:00 - 1 mrt 2019 00:00
Datum einde zorgverantwoordelijkheid 12 nov 2014 00:00 - 28 nov 2018 - 9 okt 2014 00:00 - 3 nov 2014 00:00 - 15 sep 2014 00:00 - 6 aug 2014 00:00 - 4 aug 2014 00:00 - 15 okt 2019 00:00
Eindverantwoordelijk in welke perinatale periode? start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
Conclusie risicostatus na intake 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
Verwijsdetails
Datum verwijzing 6 mei 2014 00:00 - 6 aug 2014 00:00
Verwijzing van
Zorginstelling
Zorgaanbieder identificatie nummer 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Specialisme
Verwijzing naar
Zorginstelling
Zorgaanbieder identificatie nummer 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Specialisme Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.')
Type verwijzing
Redenen van verwijzing
Van 1e naar 2e lijn
Algemene anamnese
Autoimmuun aandoening
Cardiovasculaire aandoening
Urogenitale aandoening
Oncologische aandoening
Schildklier aandoening
Diabetes mellitus?
Neurologische aandoening
Infectieziekte
Mdl aandoening
Anemie
Longaandoening
Gynaecologische aandoening
Orthopedische afwijking
Bloedtransfusie?
Transfusiereactie?
Type operatie
Type stollingsprobleem
Psychiatrie?
Overige aandoening?
Obstetrische anamnese
Gynaecologische aandoening
Bloedverlies?
Partiele mola?
Cervixinsufficientie?
Infectie
Hyperemesis gravidarum?
Hypertensieve aandoening
Zwangerschapscholestase?
Diabetes gravidarum met insuline?
Afwijkende groei foetus
Dreigende partus immaturus?
Dreigende partus prematurus?
Abruptio placentae?
Fluxus postpartum?
Zwangerschap
Gynaecologische aandoening
Bloedverlies?
Partiele mola?
Cervixinsufficientie?
Infectie
Hyperemesis gravidarum?
Hypertensieve aandoening Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
Zwangerschapscholestase?
Diabetes gravidarum met insuline?
Afwijkende groei foetus
Dreigende partus immaturus?
Dreigende partus prematurus?
Abruptio placentae?
Navelstrengprolaps?
Liggingsafwijking
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood?
Einde zwangerschap
Bevalling
Pprom?
Prom?
Koorts?
Niet vorderende ontsluiting?
Niet vorderende uitdrijving?
Verdenking foetale nood?
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood?
Vastzittende placenta?
Conditie perineum postpartum
Fluxus postpartum?
Postnatale fase
Pathologie vrouw
Overig
Van 2e naar 3e lijn
Van 2e naar 1e lijn
Van 3e naar 2e lijn
Perinatale periode voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')

1.1.3 Zorgverlenerzorginstelling

Zorgverlenerzorginstelling
Gegevenselement Waarde
Zorginstelling
Zorginstelling agbid 12345678 (in identificerend systeem: 1)
Zorginstelling lvrid 1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)

1.1.4 Obstetrische anamnese gegroepeerd per voorgaande zwangerschap

Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
Gegevenselement Waarde
Wijze einde zwangerschap Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
Definitieve a terme datum 1 dec 2011 - 5 jun 2013 - 5 jun 2012 - 1 feb 2017
Diagnose
Gynaecologische aandoening Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
Bloedverlies? Ja
Cervixinsufficientie? Nee
Infectie Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Intra-uterien (code = '301775005' in codeSystem 'Snomed CT')
Hyperemesis gravidarum? Ja - Nee
Hypertensieve aandoening Zwangerschapshypertensie (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
Zwangerschapscholestase? Ja - Nee
Diabetes gravidarum met insuline? Nee
Afwijkende groei foetus Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Macrosomie (code = '199616008' in codeSystem 'Snomed CT')
Dreigende partus immaturus? Nee
Dreigende partus prematurus? Nee
Abruptio placentae? Ja
Irregulaire antistoffen? Nee - Ja
Eerdere bevalling
Placenta
Geboorte placenta Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
Hoeveelheid bloedverlies 550 ml - 895 ml
Vorige uitkomst per kind
Vorige baring
Geboortedatum 8 dec 2011 00:00 - 9 jun 2012 00:00 - 15 dec 2016
Kindspecifieke gegevens vorige uitkomsten
Type partus Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Secundair (code = '274130007' in codeSystem '2.16.840.1.113883.6.96')
Percentiel van het geboortegewicht p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
Apgarscore na 5 min 8 - 10
Congenitale afwijkingen? Nee - Ja
Congenitale afwijkingen groep
Chromosomale afwijkingen? Nee

1.1.5 Zwangerschap

Zwangerschap
Gegevenselement Waarde
Graviditeit 2 - 1
Pariteit voor deze zwangerschap 1 - 0
Definitieve a terme datum 9 okt 2014 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 22 jul 2014 - 2 okt 2019
Voornemens
Voorgenomen plaats baring tijdens zwangerschap type locatie Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
Prenatale controle
Datum controle 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 1 mrt 2019 00:00
Zwangerschapsduur 59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
Leven voelen goed (code = '289431008' in codeSystem 'Snomed CT') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96')
Rookgedrag niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
Alcoholgebruik geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
Drugsgebruik? Nee - Ja
Gewicht gemeten 70 kg - 85 kg - 67 kg - 82 kg - 89 kg - 68 kg
Diagnose
Datum 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 1 mrt 2019 00:00
Zwangerschapsduur 59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
Gynaecologische aandoening Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Overig, niet nader gespecificeerd Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Bloedverlies? Ja - Nee
Partiele mola? Ja - Nee
Cervixinsufficientie? Nee
Infectie Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT')
Hyperemesis gravidarum? Nee
Hypertensieve aandoening Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96')
Zwangerschapscholestase? Nee
Diabetes gravidarum met insuline? Nee
Afwijkende groei foetus Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96')
Dreigende partus immaturus? Nee
Dreigende partus prematurus? Nee
Abruptio placentae? Ja - Nee
Navelstrengprolaps? Nee
Liggingsafwijking
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood? Nee
Vermoeden iuvd op basis van
Intrauteriene behandeling Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96')
Maternale sterfte? Nee - Ja
Wijze einde zwangerschap Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')

1.1.6 Bevalling

Bevalling
Gegevenselement Waarde
Partusnummer 000000 - 4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
Diagnose bevalling
Pprom? Ja - Nee
Prom? Nee
Koorts? Nee
Niet vorderende ontsluiting? Ja - Nee
Niet vorderende uitdrijving? Ja - Nee
Verdenking foetale nood? Ja - Nee
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood? Nee
Vermoeden iuvd op basis van
Vastzittende placenta? Nee
Fluxus postpartum? Ja
Aantal geboren kinderen 1 - 2
Risicostatus voor baring 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
Interventies begin baring
Interventie begin baring Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Primen prostaglandine (code = '236966000' in codeSystem 'Snomed CT')
Indicatie interventie begin baring wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
Wijze waarop de baring begon Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
Tijdstip begin actieve ontsluiting 8 okt 2014 14:30 - 30 aug 2014 14:09 - 27 aug 2014 22:09 - 3 aug 2014 21:09 - 15 okt 2019 03:45
Medicatie nageboortetijdperk groep
Medicatie nageboortetijdperk? Ja - UNK - Nee
Soort medicatie nageboortetijdperk Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
Placenta
Geboorte placenta Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
Hoeveelheid bloedverlies 615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml - 650 ml
Conditie perineum postpartum 1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')

1.1.7 Uitkomst per kind

Uitkomst per kind
Gegevenselement Waarde
Baring
Werkelijke plaats baring type locatie Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
Ziekenhuis baring
Ziekenhuisnummer lvrid 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0803 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Demografische gegevens
Identificaties kind
Bsn kind 999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 528741913
Geslacht medische observatie vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
Geboortedatum 8 okt 2014 00:00 - 1 sep 2014 02:34 - 28 aug 2014 06:30 - 28 aug 2014 07:02 - 4 aug 2014 23:35 - 24 jul 2014 02:30 - 15 okt 2019
Rangnummer kind 1 - 2
Perinatale sterfte groep
Perinatale sterfte? Nee - Ja
Fase perinatale sterfte Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96')
Datumtijd vaststelling perinatale sterfte 28 aug 2014 08:10
Kindspecifieke maternale gegevens
Bijstimulatie toegediend? Ja
Tijdstip breken vliezen 8 okt 2014 09:15 - 30 aug 2014 23:04 - 27 aug 2014 22:09 - 27 aug 2014 23:13 - 3 aug 2014 07:04 - 19 okt 2019 04:30
Kleur en consistentie vruchtwater Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
Tijdstip actief meepersen 8 okt 2014 12:13 - 27 aug 2014 23:49 - 28 aug 2014 06:45 - 4 aug 2014 22:15 - 19 okt 2019 05:00
Episiotomie? Nee - Ja
Indicatie episiotomie
Locatie episiotomie mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
Ruggeprik gewenst niet gekregen? Nee - Ja
Pijnbestrijding? Nee - Ja
Pijnbestrijding
Methode
Methode Epidural anesthesia (procedure) (code = '18946005' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - General anesthesia (procedure) (code = '50697003' in codeSystem '2.16.840.1.113883.6.96')
Overig middel
Middel Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
Toediening Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
Periode tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
Sedatie? Nee - Ja
Kindspecifieke uitkomstgegevens
Type partus Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') - Spontaan (code = '177184002' in codeSystem '2.16.840.1.113883.6.96')
Ligging bij geboorte Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') - Achterhoofd-voor (code = '70028003' in codeSystem 'Snomed CT')
Aanpakker kind - rol aanpakker kind 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
Supervisor - rol supervisor 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
Vaginale kunstverlossing groep
Vaginale kunstverlossing Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96')
Succes vaginale kunstverlossing? Ja - Nee
Sectio caesarea group
Beslismoment sectio caesarea tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')
Indicatie primaire sectio Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
Indicatie secundaire sectio Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
Overige interventies Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96')
Lichamelijk onderzoek kind
Apgarscore na 5 min 9
Geboortegewicht 3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 3750 gram - 3550 gram
Congenitale afwijkingen? Nee - Ja
Congenitale afwijkingen groep
Specificatie congenitale afwijking groep
Specificatie congenitale afwijking Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') - overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
Chromosomale afwijkingen? Nee - Ja
Specificatie chromosomale afwijking groep
Specificatie chromosomale afwijking Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96')
Problematiek kind? Nee - Ja
Problematiek kind Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96') - Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96') - Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96')
Kinderarts betrokken? Nee - Ja
Betrokkenheid kinderarts
Datum betrokkenheid 1 sep 2014 00:00 - 28 aug 2014 00:00 - 4 aug 2014 00:00 - 15 okt 2019 00:00
Reden betrokkenheid Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - kunstverlossing (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
Type betrokkenheid consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
Zorginstelling lvrid 0003 - 9999 - 0001 - 0010 - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)

1.1.8 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
Irregulaire antistoffen? Nee - Ja
Welke irregulaire antistoffen vrouw aanwezig Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')

1.1.9 Postnatale fase

Postnatale fase
Gegevenselement Waarde
Diagnoseinterventie postpartum
Datum 3 sep 2014 00:00 - 8 aug 2014 00:00 - 24 jul 2014 00:00
Pathologie vrouw Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96')
Kindspecifieke gegevens
Rangnummer kind
Voeding kind groep
Voeding kind datum 12 okt 2014 - 7 okt 2014 - 3 sep 2014 - 15 sep 2014 - 24 jul 2014 - 15 okt 2019
Substantie voeding kind borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')