MedMij:V1.0 Sandbox3: verschil tussen versies
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= | =Addenda voor inhoudelijke gegevens= | ||
==Scenario 3af29210-12d2-4e3d-8cd7-05a6adde938f== | |||
<section begin=3af29210-12d2-4e3d-8cd7-05a6adde938f /> | |||
=== Patient=== | |||
==Scenario | |||
<section begin= | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="4" width="25%"| Gegevenselement | |colspan="4" width="25%"| Gegevenselement | ||
| Regel 27: | Regel 18: | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|I. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
| Regel 46: | Regel 28: | ||
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|XXX_Jangi | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1002 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999ZZ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adres soort | ||
|style="background-color: white;"| | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31612345678 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telecom type | ||
|style="background-color: white;"| | |style="background-color: white;"|Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Nummer soort | ||
|style="background-color: white;"| | |style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911727 (in identificerend systeem: BSN) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|10009 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.19829.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|2 aug 1964 00:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |||
=== Allergie intolerantie=== | |||
|} | |||
=== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Allergie intolerantie | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zibroot | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|AI-test-AWE-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informatiebron | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Patient als bron | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Patient | ||
|style="background-color: white;"| | |style="background-color: white;"|patient-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Patient als auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Patient | ||
|style="background-color: white;"| | |style="background-color: white;"|zorgverlener-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Onderwerp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Patient | ||
|style="background-color: white;"|patient-01 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Datum tijd | ||
|style="background-color: white;"|28 aug 2019 12:45 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Veroorzakende stof | ||
|style="background-color: white;"| | |style="background-color: white;"|Bijengif (code = '288328004' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Allergie categorie | ||
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Allergie status | ||
|style="background-color: white;"| | |style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Begin datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|27 aug 2019 14:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Mate van kritiek zijn | ||
|style="background-color: white;"| | |style="background-color: white;"|Licht (code = '255604002' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Laatste reactie datum tijd | ||
| | |style="background-color: white;"|15 nov 2009 00:00 | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Toelichting | ||
|style="background-color: white;"|voor het eerst gestoken door een bij en enorme bulten | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Reactie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Symptoom | ||
|style="background-color: white;"| | |style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Symptoom | ||
|style="background-color: white;"| | |style="background-color: white;"|Jeuk (code = '418363000' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Specifieke stof | ||
|style="background-color: white;"|Bijengif (code = '288328004' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ernst | ||
|style="background-color: white;"| | |style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Wijze van blootstelling | ||
|style="background-color: white;"| | |style="background-color: white;"|Sting by bee (event) (code = '771313007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Reactie tijdstip | ||
|style="background-color: white;"| | |style="background-color: white;"|27 aug 2019 14:00 | ||
|} | |||
=== Alert=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="5" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zibroot | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="18"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|Alert-test-AWE-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.16) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informatiebron | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|zorgverlener-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Betrokkene als auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Contactpersoon | ||
|style="background-color: white;"| | |style="background-color: white;"|contactpersoon-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Onderwerp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Patient | |||
|style="background-color: white;"|patient-01 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Datum tijd | |||
|style="background-color: white;"|15 mei 2018 00:00 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Conditie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Probleem | ||
|style="background-color: white;"| | |style="background-color: white;"|probleem-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Alert naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Drager van besmettelijke ziekte (code = '66598005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Alert type | ||
|style="background-color: white;"| | |style="background-color: white;"|conditie (code = '75323-6' in codeSystem 'LOINC') | ||
|} | |||
=== Probleem=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Probleem | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="5" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zibroot | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="17"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|problem-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.22) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Informatiebron | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Betrokkene als bron | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Contactpersoon | ||
|style="background-color: white;"|contactpersoon-01 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgverlener als auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|zorgverlener-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Onderwerp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Patient | ||
|style="background-color: white;"| | |style="background-color: white;"|patient-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Probleem anatomische locatie | ||
| | |style="background-color: white;"|Entire foot (code = '302545001' in codeSystem 'SNOMED CT') | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Probleem lateraliteit | ||
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Probleem type | ||
|style="background-color: white;"| | |style="background-color: white;"|Functionele Beperking (code = '248536006' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Probleem naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Localized lupus erythematosus (code = '21021000146108' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Probleem begin datum | ||
|style="background-color: white;"|7 jan 2016 00:00 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Probleem status | ||
|style="background-color: white;"| | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verificatie status | ||
|style="background-color: white;"| | |style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|matig ernstig | ||
|} | |} | ||
=== | === Zorgverlener=== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zorgverlener | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|zorgverlener-01 (in identificerend systeem: 2.16.840.1.113883.2.4.4.11.999.26.1.139) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van der | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Spek | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Bedrijfsarts (code = '01.008' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|0701234567 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Telecom type | ||
|style="background-color: white;"| | |style="background-color: white;"|Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Nummer soort | ||
|style="background-color: white;"| | |style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgaanbieder | ||
| | |style="background-color: white;"|zorgaanbieder-01 | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Zorgverleners rol | ||
| | |style="background-color: white;"|bedrijfsarts Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor') | ||
|} | |||
|style="background-color: white;"| | === Zorgaanbieder=== | ||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Zorgaanbieder | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="2" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|zorgaanbieder-01 (in identificerend systeem: 2.16.840.1.113883.2.4.4.11.999.26.1.205) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Bedrijfsartsenconsortium | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie locatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Vestiging Amsterdam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Afdeling specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Overige artsen, basisarts (code = '8425' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie type | ||
|style="background-color: white;"| | |style="background-color: white;"|Preventieve gezondheidszorg (code = 'P6' in codeSystem '2.16.840.1.113883.2.4.15.1060') | ||
|} | |||
=== Contactpersoon=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Contactpersoon | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|achternaam-contact | ||
|}<section end= | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Rol | |||
|style="background-color: white;"|Curator (juridisch) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"|Adoptievader (code = 'ADOPTF' in codeSystem 'HL7 RoleCode') | |||
|}<section end=3af29210-12d2-4e3d-8cd7-05a6adde938f /> | |||
[[Categorie:Kwalificatie]] | [[Categorie:Kwalificatie]] | ||
Versie van 1 sep 2019 18:13
__NUMBEREDHEADINGS__ {{#customtitle:Beschikbaarstellen ica vertaling: addendum inhoudelijke gegevens kwalificatie}}

Addenda voor inhoudelijke gegevens
Scenario 3af29210-12d2-4e3d-8cd7-05a6adde938f
Patient
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | I. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Jangi | |||
| Adresgegevens | ||||
| Straat | Knolweg | |||
| Huisnummer | 1002 | |||
| Postcode | 9999ZZ | |||
| Woonplaats | Stitswerd | |||
| Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||
| Contactgegevens | ||||
| Telefoonnummers | ||||
| Telefoonnummer | +31612345678 | |||
| Telecom type | Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1') | |||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | |||
| Identificatienummer | 999911727 (in identificerend systeem: BSN) | |||
| Identificatienummer | 10009 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.19829.1) | |||
| Geboortedatum | 2 aug 1964 00:00 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Allergie intolerantie
| Allergie intolerantie | |||||
| Gegevenselement | Waarde | ||||
| Zibroot | |||||
| Identificatienummer | AI-test-AWE-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.1) | ||||
| Informatiebron | |||||
| Patient als bron | |||||
| Patient | patient-01 | ||||
| Auteur | |||||
| Patient als auteur | |||||
| Patient | zorgverlener-01 | ||||
| Onderwerp | |||||
| Patient | |||||
| Patient | patient-01 | ||||
| Datum tijd | 28 aug 2019 12:45 | ||||
| Veroorzakende stof | Bijengif (code = '288328004' in codeSystem 'SNOMED CT') | ||||
| Allergie categorie | Stof of product (code = '419199007' in codeSystem 'SNOMED CT') | ||||
| Allergie status | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | ||||
| Begin datum tijd | 27 aug 2019 14:00 | ||||
| Mate van kritiek zijn | Licht (code = '255604002' in codeSystem 'SNOMED CT') | ||||
| Laatste reactie datum tijd | 15 nov 2009 00:00 | ||||
| Toelichting | voor het eerst gestoken door een bij en enorme bulten | ||||
| Reactie | |||||
| Symptoom | Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT') | ||||
| Symptoom | Jeuk (code = '418363000' in codeSystem 'SNOMED CT') | ||||
| Specifieke stof | Bijengif (code = '288328004' in codeSystem 'SNOMED CT') | ||||
| Ernst | Matig (code = '6736007' in codeSystem 'SNOMED CT') | ||||
| Wijze van blootstelling | Sting by bee (event) (code = '771313007' in codeSystem 'SNOMED CT') | ||||
| Reactie tijdstip | 27 aug 2019 14:00 | ||||
Alert
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Zibroot | |||||
| Identificatienummer | Alert-test-AWE-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.16) | ||||
| Informatiebron | |||||
| Zorgverlener | |||||
| Zorgverlener | zorgverlener-01 | ||||
| Auteur | |||||
| Betrokkene als auteur | |||||
| Contactpersoon | contactpersoon-01 | ||||
| Onderwerp | |||||
| Patient | |||||
| Patient | patient-01 | ||||
| Datum tijd | 15 mei 2018 00:00 | ||||
| Conditie | |||||
| Probleem | probleem-01 | ||||
| Alert naam | Drager van besmettelijke ziekte (code = '66598005' in codeSystem 'SNOMED CT') | ||||
| Alert type | conditie (code = '75323-6' in codeSystem 'LOINC') | ||||
Probleem
| Probleem | |||||
| Gegevenselement | Waarde | ||||
| Zibroot | |||||
| Identificatienummer | problem-01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.26.1.22) | ||||
| Informatiebron | |||||
| Betrokkene als bron | |||||
| Contactpersoon | contactpersoon-01 | ||||
| Auteur | |||||
| Zorgverlener als auteur | |||||
| Zorgverlener | zorgverlener-01 | ||||
| Onderwerp | |||||
| Patient | |||||
| Patient | patient-01 | ||||
| Probleem anatomische locatie | Entire foot (code = '302545001' in codeSystem 'SNOMED CT') | ||||
| Probleem lateraliteit | Links (code = '7771000' in codeSystem 'SNOMED CT') | ||||
| Probleem type | Functionele Beperking (code = '248536006' in codeSystem 'SNOMED CT') | ||||
| Probleem naam | Localized lupus erythematosus (code = '21021000146108' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | 7 jan 2016 00:00 | ||||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||||
| Verificatie status | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | ||||
| Toelichting | matig ernstig | ||||
Zorgverlener
| Zorgverlener | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener identificatienummer | zorgverlener-01 (in identificerend systeem: 2.16.840.1.113883.2.4.4.11.999.26.1.139) | |||
| Naamgegevens | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Voorvoegsels | van der | |||
| Achternaam | Spek | |||
| Specialisme | Bedrijfsarts (code = '01.008' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||
| Contactgegevens | ||||
| Telefoonnummers | ||||
| Telefoonnummer | 0701234567 | |||
| Telecom type | Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1') | |||
| Nummer soort | Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | zorgaanbieder-01 | |||
| Zorgverleners rol | bedrijfsarts Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor') | |||
Zorgaanbieder
| Zorgaanbieder | ||
| Gegevenselement | Waarde | |
| Zorgaanbieder identificatienummer | zorgaanbieder-01 (in identificerend systeem: 2.16.840.1.113883.2.4.4.11.999.26.1.205) | |
| Organisatie naam | Bedrijfsartsenconsortium | |
| Organisatie locatie | Vestiging Amsterdam | |
| Afdeling specialisme | Overige artsen, basisarts (code = '8425' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |
| Organisatie type | Preventieve gezondheidszorg (code = 'P6' in codeSystem '2.16.840.1.113883.2.4.15.1060') | |
Contactpersoon
| Contactpersoon | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | achternaam-contact | |||
| Rol | Curator (juridisch) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472') | |||
| Relatie | Adoptievader (code = 'ADOPTF' in codeSystem 'HL7 RoleCode') | |||