MedMij:V1.0 Sandbox2: verschil tussen versies
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| Regel 8: | Regel 8: | ||
<section begin=demografie_en_identificatie_ /> | <section begin=demografie_en_identificatie_ /> | ||
{| 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" | Demografie en identificatie | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="32"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 41: | Regel 37: | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Mutter | |style="background-color: white;"|XXX_Mutter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| Regel 67: | Regel 59: | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
| Regel 99: | Regel 87: | ||
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | |style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|8 feb 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Meerling indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end=demografie_en_identificatie_ /> | |}<section end=demografie_en_identificatie_ /> | ||
| Regel 307: | Regel 295: | ||
<section begin=demografie_en_identificatie_ /> | <section begin=demografie_en_identificatie_ /> | ||
{| 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" | Demografie en identificatie | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="32"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 340: | Regel 324: | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Mutter | |style="background-color: white;"|XXX_Mutter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| Regel 366: | Regel 346: | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
| Regel 398: | Regel 374: | ||
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | |style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Meerling indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end=demografie_en_identificatie_ /> | |}<section end=demografie_en_identificatie_ /> | ||
| Regel 472: | Regel 448: | ||
<section begin=contactpersonen_ /> | <section begin=contactpersonen_ /> | ||
{| 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" | Contactpersonen | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Contactpersoon | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 506: | Regel 478: | ||
|style="background-color: white;"|Prins | |style="background-color: white;"|Prins | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="10"| | |rowspan="10"| | ||
| Regel 537: | Regel 505: | ||
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Rol | ||
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472') | |style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie | ||
|style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode') | |style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode') | ||
|}<section end=contactpersonen_ /> | |}<section end=contactpersonen_ /> | ||
| Regel 1.303: | Regel 1.271: | ||
<section begin=zorgsetting_ /> | <section begin=zorgsetting_ /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Zorgsetting | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Huisarts | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="20"| | |rowspan="20"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Zorgverlener | ||
|-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="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.351: | Regel 1.315: | ||
|style="background-color: white;"|Oosten | |style="background-color: white;"|Oosten | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Huisartsenpraktijk | |style="background-color: white;"|Huisartsenpraktijk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverleners rol | ||
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | |style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Hoofdbehandelaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="16"| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="14"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.396: | Regel 1.356: | ||
|style="background-color: white;"|Helmond | |style="background-color: white;"|Helmond | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | |style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverleners rol | ||
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Overige behandelaars | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="43"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="13"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.441: | Regel 1.397: | ||
|style="background-color: white;"|Vreeswijk | |style="background-color: white;"|Vreeswijk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | |style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="13"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.479: | Regel 1.431: | ||
|style="background-color: white;"|Janssen | |style="background-color: white;"|Janssen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | |style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="13"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.517: | Regel 1.465: | ||
|style="background-color: white;"|Bruinsma | |style="background-color: white;"|Bruinsma | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | |style="background-color: white;"|bglz-1-1-zorgaanbieder-01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Organisatie naam | ||
|style="background-color: white;"|AA-zkh | |style="background-color: white;"|AA-zkh | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Organisatie locatie | ||
|style="background-color: white;"|Noord | |style="background-color: white;"|Noord | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afdeling specialisme | ||
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="10"| | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Telefoonnummers | |colspan="5"|Telefoonnummers | ||
| Regel 1.570: | Regel 1.514: | ||
|colspan="3"|Email soort | |colspan="3"|Email soort | ||
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Adresgegevens | |colspan="6"|Adresgegevens | ||
| Regel 1.597: | Regel 1.537: | ||
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Organisatie type | ||
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060') | |style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060') | ||
|}<section end=zorgsetting_ /> | |}<section end=zorgsetting_ /> | ||
| Regel 1.603: | Regel 1.543: | ||
<section begin=demografie_en_identificatie_ /> | <section begin=demografie_en_identificatie_ /> | ||
{| 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" | Demografie en identificatie | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="32"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 1.636: | Regel 1.572: | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Mutter | |style="background-color: white;"|XXX_Mutter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| Regel 1.662: | Regel 1.594: | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
| Regel 1.694: | Regel 1.622: | ||
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | |style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Meerling indicator | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end=demografie_en_identificatie_ /> | |}<section end=demografie_en_identificatie_ /> | ||
| Regel 2.217: | Regel 2.145: | ||
<section begin=zorgsetting_ /> | <section begin=zorgsetting_ /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Zorgsetting | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="6" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Huisarts | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="20"| | |rowspan="20"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Zorgverlener | ||
|-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="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.265: | Regel 2.189: | ||
|style="background-color: white;"|Oosten | |style="background-color: white;"|Oosten | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Huisartsenpraktijk | |style="background-color: white;"|Huisartsenpraktijk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverleners rol | ||
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | |style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Hoofdbehandelaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="13"| | |rowspan="13"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.310: | Regel 2.230: | ||
|style="background-color: white;"|Helmond | |style="background-color: white;"|Helmond | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgverleners rol | ||
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Overige behandelaars | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="34"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.348: | Regel 2.264: | ||
|style="background-color: white;"|Vreeswijk | |style="background-color: white;"|Vreeswijk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.379: | Regel 2.291: | ||
|style="background-color: white;"|Janssen | |style="background-color: white;"|Janssen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.410: | Regel 2.318: | ||
|style="background-color: white;"|Bruinsma | |style="background-color: white;"|Bruinsma | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|}<section end=zorgsetting_ /> | |}<section end=zorgsetting_ /> | ||
| Regel 2.416: | Regel 2.324: | ||
<section begin=demografie_en_identificatie_ /> | <section begin=demografie_en_identificatie_ /> | ||
{| 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" | Demografie en identificatie | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Patient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="32"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| Regel 2.449: | Regel 2.353: | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Valk | |style="background-color: white;"|XXX_Valk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| Regel 2.475: | Regel 2.375: | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
| Regel 2.507: | Regel 2.403: | ||
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | |style="background-color: white;"|999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Meerling indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|}<section end=demografie_en_identificatie_ /> | |}<section end=demografie_en_identificatie_ /> | ||
[[Categorie:Kwalificatie]] | [[Categorie:Kwalificatie]] | ||
Versie van 26 aug 2019 12:42
__NUMBEREDHEADINGS__ {{#customtitle:Beschikbaarstellen basisgegevens langdurige zorg: addendum inhoudelijke gegevens kwalificatie}}

Addenda voor inhoudelijke gegevens
Demografie en identificatie
| Demografie en identificatie | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Fiona | ||||
| Initialen | F. | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Mutter | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1001 | ||||
| Postcode | 9999XX | ||||
| Woonplaats | Stitswerd | ||||
| Land | Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34') | ||||
| Adres soort | Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31634567891 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | fmutter@hotmail.com | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||||
| Geboortedatum | 8 feb 1964 | ||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
Klachten en diagnoses
| Klachten en diagnoses | |||
| Gegevenselement | Waarde | ||
| Probleem | |||
| Probleem anatomische locatie | hiel (code = '76853006' in codeSystem 'SNOMED CT') | ||
| Probleem lateraliteit | Links (code = '7771000' in codeSystem 'SNOMED CT') | ||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | decubitus (code = '399912005' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
Uitslagen
| Uitslagen | ||||
| Gegevenselement | Waarde | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Interpretatie vlaggen | Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT') | |||
| Toelichting | Volgens richtlijn herseninfarct: streven naar <1,8mmol/l | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 21 feb 2018 16:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Interpretatie vlaggen | Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT') | |||
| Toelichting | Volgens richtlijn herseninfarct: streven naar <1,8mmol/l | |||
Verpleegkundig zorgplan
| Verpleegkundig zorgplan | |||||||
| Gegevenselement | Waarde | ||||||
| Doelen en interventies | |||||||
| Verpleegkundige interventie | |||||||
| Interventie | aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED CT') | ||||||
| Indicatie | |||||||
| Probleem | bglz-1-3-probleem-01 | ||||||
| Frequentie | 1 per dag | ||||||
| Medisch hulpmiddel | |||||||
| Medisch hulpmiddel | |||||||
| Product | |||||||
| Product type | schuimverband (code = '448416005' in codeSystem 'SNOMED CT') | ||||||
| Anatomische locatie | hiel (code = '76853006' in codeSystem 'SNOMED CT') | ||||||
| Lateraliteit | Links (code = '7771000' in codeSystem 'SNOMED CT') | ||||||
| Medisch hulpmiddel | |||||||
| Medisch hulpmiddel | |||||||
| Product | |||||||
| Product type | huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED CT') | ||||||
| Anatomische locatie | hiel (code = '76853006' in codeSystem 'SNOMED CT') | ||||||
| Lateraliteit | Links (code = '7771000' in codeSystem 'SNOMED CT') | ||||||
| Uitvoerder | |||||||
| Zorgverlener | |||||||
| Zorgverlener | zie Zorgsetting: Overige behandelaars - verpleegkundige | ||||||
| Uitkomsten | |||||||
| Uitkomst van zorg | |||||||
| Zorgresultaat | Decubituswond is verbeterd van categorie 2 naar 1. | ||||||
| Interventie | |||||||
| Verpleegkundige interventie | bglz-1-3-verpleegkundigeinterventie-01 | ||||||
Demografie en identificatie
| Demografie en identificatie | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Fiona | ||||
| Initialen | F. | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Mutter | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1001 | ||||
| Postcode | 9999XX | ||||
| Woonplaats | Stitswerd | ||||
| Land | Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34') | ||||
| Adres soort | Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31634567891 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | fmutter@hotmail.com | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||||
| Geboortedatum | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
Behandelrestricties
| Behandelrestricties | ||||
| Gegevenselement | Waarde | |||
| Behandel aanwijzing | ||||
| Verificatie | ||||
| Geverifieerd | Ja | |||
| Geverifieerd bij | Patiënt (code = '116154003' in codeSystem 'SNOMED CT') | |||
| Verificatie datum | ||||
| Behandeling | Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT') | |||
| Behandeling toegestaan | Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4') | |||
| Begin datum | ||||
| Wilsverklaring | ||||
| Wilsverklaring | bglz-1-1-wilsverklaring-01 | |||
| Wilsverklaring | ||||
| Wilsverklaring type | Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1') | |||
| Wilsverklaring datum | ||||
| Vertegenwoordiger | ||||
| Contactpersoon | bglz-1-1-contactpersoon-01 | |||
Contactpersonen
| Contactpersonen | |||||
| Gegevenselement | Waarde | ||||
| Contactpersoon | |||||
| Naamgegevens | |||||
| Voornamen | Robert | ||||
| Initialen | R. | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||||
| Geslachtsnaam | |||||
| Achternaam | Prins | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 06-34567891 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | bprins@123net.nl | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472') | ||||
| Relatie | Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode') | ||||
Klachten en diagnoses
| Klachten en diagnoses | |||
| Gegevenselement | Waarde | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Toelichting | Niet bekend met neurologische klachten | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | afasie (code = '87486003' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
Allergieen
| Allergieen | ||||
| Gegevenselement | Waarde | |||
| Allergie intolerantie | ||||
| Veroorzakende stof | pinda (code = '762952008' in codeSystem 'SNOMED CT') | |||
| Allergie status | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||
| Mate van kritiek zijn | Fataal (code = '399166001' in codeSystem 'SNOMED CT') | |||
| Toelichting | Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen | |||
| Reactie | ||||
| Symptoom | Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT') | |||
| Reactie | ||||
| Symptoom | Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT') | |||
| Reactie beschrijving | Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's. | |||
| Allergie intolerantie | ||||
| Veroorzakende stof | nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT') | |||
| Allergie status | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||
| Mate van kritiek zijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||
| Toelichting | Opgemerkt bij het dragen van nikkel bevattende sieraden. | |||
| Reactie | ||||
| Symptoom | Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT') | |||
| Reactie beschrijving | Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden. | |||
Uitslagen
| Uitslagen | ||||
| Gegevenselement | Waarde | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | Hemoglobine (code = '718-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Interpretatie vlaggen | Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT') | |||
| Laboratorium test | ||||
| Test code | Hematocriet (code = '20570-8' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Onderzoek | hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC') | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Interpretatie vlaggen | Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT') | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Interpretatie vlaggen | Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT') | |||
| Toelichting | Volgens richtlijn herseninfarct: streven naar <1,8mmol/l | |||
Verrichtingen
| Verrichtingen | ||||
| Gegevenselement | Waarde | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Verrichting eind datum | ||||
| Indicatie | ||||
| Probleem | bglz-1-1-probleem-01 | |||
| Verrichting type | CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Locatie | ||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Verrichting eind datum | ||||
| Indicatie | ||||
| Probleem | bglz-1-1-probleem-01 | |||
| Verrichting type | trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Locatie | ||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Indicatie | ||||
| Probleem | bglz-1-1-probleem-05 | |||
| Verrichting type | Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Locatie | ||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-1-1-zorgverlener-04 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Indicatie | ||||
| Probleem | bglz-1-1-probleem-06 | |||
| Verrichting type | Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Locatie | ||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-1-1-zorgverlener-05 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-1-1-zorgverlener-02 | |||
Verpleegkundig zorgplan
| Verpleegkundig zorgplan | ||||||
| Gegevenselement | Waarde | |||||
| Doelen en interventies | ||||||
| Verpleegkundige interventie | ||||||
| Interventie | ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED CT') | |||||
| Indicatie | ||||||
| Probleem | bglz-1-1-probleem-03 | |||||
| Behandeldoel | ||||||
| Behandeldoel | ||||||
| Gewenst zorgresultaat | wassen onafhankelijk | |||||
| Frequentie | 1 per dag | |||||
| Uitvoerder | ||||||
| Zorgverlener | ||||||
| Zorgverlener | bglz-1-1-zorgverlener-03 | |||||
| Verpleegkundige interventie | ||||||
| Interventie | ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED CT') | |||||
| Indicatie | ||||||
| Probleem | bglz-1-1-probleem-04 | |||||
| Behandeldoel | ||||||
| Behandeldoel | ||||||
| Gewenst zorgresultaat | kleden onafhankelijk | |||||
| Frequentie | 2 per dag | |||||
| Uitvoerder | ||||||
| Zorgverlener | ||||||
| Zorgverlener | bglz-1-1-zorgverlener-03 | |||||
| Verpleegkundige interventie | ||||||
| Interventie | patiënt mobiliseren (code = '62013009' in codeSystem 'SNOMED CT') | |||||
| Indicatie | ||||||
| Probleem | bglz-1-1-probleem-05 | |||||
| Behandeldoel | ||||||
| Behandeldoel | ||||||
| Gewenst zorgresultaat | lopen met hulp | |||||
| Uitvoerder | ||||||
| Zorgverlener | ||||||
| Zorgverlener | bglz-1-1-zorgverlener-03 | |||||
| Verpleegkundige interventie | ||||||
| Interventie | wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED CT') | |||||
| Indicatie | ||||||
| Probleem | bglz-1-1-probleem-07 | |||||
| Behandeldoel | ||||||
| Behandeldoel | ||||||
| Gewenst zorgresultaat | huid blijft intact | |||||
| Uitvoerder | ||||||
| Zorgverlener | ||||||
| Zorgverlener | bglz-1-1-zorgverlener-03 | |||||
| Verpleegkundige interventie | ||||||
| Interventie | ondersteuning voor verzorger (code = '386229000' in codeSystem 'SNOMED CT') | |||||
| Indicatie | ||||||
| Probleem | bglz-1-1-probleem-08 | |||||
| Behandeldoel | ||||||
| Behandeldoel | ||||||
| Gewenst zorgresultaat | zorgtaken voor echtgenoot worden gecontinueerd | |||||
| Uitvoerder | ||||||
| Zorgverlener | ||||||
| Zorgverlener | bglz-1-1-zorgverlener-03 | |||||
| Uitkomsten | ||||||
| Uitkomst van zorg | ||||||
| Zorgresultaat | Wassen met hulp. | |||||
| Interventie | ||||||
| Verpleegkundige interventie | bglz-1-1-verpleegkundigeinterventie-01 | |||||
| Uitkomst van zorg | ||||||
| Zorgresultaat | Kleden met hulp. | |||||
| Interventie | ||||||
| Verpleegkundige interventie | bglz-1-1-verpleegkundigeinterventie-02 | |||||
| Uitkomst van zorg | ||||||
| Zorgresultaat | Lopen geheel afhankelijk. | |||||
| Interventie | ||||||
| Verpleegkundige interventie | bglz-1-1-verpleegkundigeinterventie-03 | |||||
| Uitkomst van zorg | ||||||
| Zorgresultaat | Huid is intact zonder decubitus wonden. | |||||
| Interventie | ||||||
| Verpleegkundige interventie | bglz-1-1-verpleegkundigeinterventie-04 | |||||
| Uitkomst van zorg | ||||||
| Zorgresultaat | Thuiszorg is aangevraagd voor continuering van zorgtaken en huishoudelijke hulp. | |||||
| Interventie | ||||||
| Verpleegkundige interventie | bglz-1-1-verpleegkundigeinterventie-05 | |||||
Zorgsetting
| Zorgsetting | ||||||
| Gegevenselement | Waarde | |||||
| Huisarts | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Laura | |||||
| Initialen | L. | |||||
| Naamgebruik | Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Lanen | |||||
| Geslachtsnaam partner | ||||||
| Voorvoegsels partner | van | |||||
| Achternaam partner | Oosten | |||||
| Specialisme | Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | Huisartsenpraktijk | |||||
| Zorgverleners rol | Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | |||||
| Hoofdbehandelaar | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Niels | |||||
| Initialen | N. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Helmond | |||||
| Specialisme | Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||||
| Zorgverleners rol | Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |||||
| Overige behandelaars | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Petra Johanna | |||||
| Initialen | P.J. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Vreeswijk | |||||
| Specialisme | Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Thomas | |||||
| Initialen | T. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Janssen | |||||
| Specialisme | Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Hilda | |||||
| Initialen | H. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bruinsma | |||||
| Specialisme | Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | bglz-1-1-zorgaanbieder-01 | |||||
| Zorgaanbieder | ||||||
| Organisatie naam | AA-zkh | |||||
| Organisatie locatie | Noord | |||||
| Afdeling specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435768 | |||||
| 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') | |||||
| Email adressen | ||||||
| Email adres | neurologie@AAZ.nl | |||||
| Email soort | Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Adresgegevens | ||||||
| Straat | De Weststraat | |||||
| Huisnummer | 3 | |||||
| Postcode | 9999PK | |||||
| Woonplaats | Stitswerd | |||||
| Land | Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34') | |||||
| Adres soort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Organisatie type | Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060') | |||||
Demografie en identificatie
| Demografie en identificatie | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Fiona | ||||
| Initialen | F. | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Mutter | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1001 | ||||
| Postcode | 9999XX | ||||
| Woonplaats | Stitswerd | ||||
| Land | Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34') | ||||
| Adres soort | Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31634567891 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | fmutter@hotmail.com | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||||
| Geboortedatum | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
Behandelrestricties
| Behandelrestricties | ||||
| Gegevenselement | Waarde | |||
| Behandel aanwijzing | ||||
| Verificatie | ||||
| Geverifieerd | Ja | |||
| Geverifieerd bij | Patiënt (code = '116154003' in codeSystem 'SNOMED CT') | |||
| Verificatie datum | ||||
| Behandeling | Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT') | |||
| Behandeling toegestaan | Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4') | |||
| Begin datum | ||||
| Wilsverklaring | ||||
| Wilsverklaring | bglz-0-1-wilsverklaring-01 | |||
| Wilsverklaring | ||||
| Wilsverklaring type | Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1') | |||
| Wilsverklaring datum | ||||
Klachten en diagnoses
| Klachten en diagnoses | |||
| Gegevenselement | Waarde | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Toelichting | Niet bekend met neurologische klachten | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | afasie (code = '87486003' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
| Probleem | |||
| Probleem type | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | ||
| Probleem naam | overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT') | ||
| Probleem begin datum | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||
Allergieen
| Allergieen | ||||
| Gegevenselement | Waarde | |||
| Allergie intolerantie | ||||
| Veroorzakende stof | pinda (code = '762952008' in codeSystem 'SNOMED CT') | |||
| Allergie status | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||
| Mate van kritiek zijn | Fataal (code = '399166001' in codeSystem 'SNOMED CT') | |||
| Toelichting | Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen | |||
| Reactie | ||||
| Symptoom | Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT') | |||
| Reactie | ||||
| Symptoom | Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT') | |||
| Reactie beschrijving | Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's. | |||
| Allergie intolerantie | ||||
| Veroorzakende stof | nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT') | |||
| Allergie status | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||
| Mate van kritiek zijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||
| Toelichting | Opgemerkt bij het dragen van nikkel bevattende sieraden. | |||
| Reactie | ||||
| Symptoom | Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT') | |||
| Reactie beschrijving | Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden. | |||
Uitslagen
| Uitslagen | ||||
| Gegevenselement | Waarde | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | Hemoglobine (code = '718-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Interpretatie vlaggen | Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT') | |||
| Laboratorium test | ||||
| Test code | Hematocriet (code = '20570-8' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Onderzoek | hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC') | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Referentie ondergrens | ||||
| Interpretatie vlaggen | Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT') | |||
| Laboratorium uitslag | ||||
| Laboratorium test | ||||
| Test code | cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC') | |||
| Test datum tijd | 13 jan 2018 15:00 | |||
| Test uitslag | ||||
| Referentie bovengrens | ||||
| Interpretatie vlaggen | Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT') | |||
| Toelichting | Volgens richtlijn herseninfarct: streven naar <1,8mmol/l | |||
Verrichtingen
| Verrichtingen | ||||
| Gegevenselement | Waarde | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Verrichting eind datum | ||||
| Indicatie | ||||
| Probleem | bglz-0-1-probleem-01 | |||
| Verrichting type | CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Verrichting eind datum | ||||
| Indicatie | ||||
| Probleem | bglz-0-1-probleem-01 | |||
| Verrichting type | trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Indicatie | ||||
| Probleem | bglz-0-1-probleem-05 | |||
| Verrichting type | Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-0-1-zorgverlener-04 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
| Verrichting | ||||
| Verrichting start datum | ||||
| Indicatie | ||||
| Probleem | bglz-0-1-probleem-06 | |||
| Verrichting type | Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus') | |||
| Uitvoerder | ||||
| Zorgverlener | bglz-0-1-zorgverlener-05 | |||
| Aanvrager | ||||
| Zorgverlener | bglz-0-1-zorgverlener-02 | |||
Zorgsetting
| Zorgsetting | ||||||
| Gegevenselement | Waarde | |||||
| Huisarts | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Laura | |||||
| Initialen | L. | |||||
| Naamgebruik | Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Lanen | |||||
| Geslachtsnaam partner | ||||||
| Voorvoegsels partner | van | |||||
| Achternaam partner | Oosten | |||||
| Specialisme | Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | Huisartsenpraktijk | |||||
| Zorgverleners rol | Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType') | |||||
| Hoofdbehandelaar | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Niels | |||||
| Initialen | N. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Helmond | |||||
| Specialisme | Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgverleners rol | Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |||||
| Overige behandelaars | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Petra Johanna | |||||
| Initialen | P.J. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Vreeswijk | |||||
| Specialisme | Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Thomas | |||||
| Initialen | T. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Janssen | |||||
| Specialisme | Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Hilda | |||||
| Initialen | H. | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bruinsma | |||||
| Specialisme | Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | |||||
Demografie en identificatie
| Demografie en identificatie | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Gea | ||||
| Initialen | G. | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Valk | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1003 | ||||
| Postcode | 9999ZA | ||||
| Woonplaats | Stitswerd | ||||
| Land | Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34') | ||||
| Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31645678912 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | gvalk@hotmail.com | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3) | ||||
| Geboortedatum | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Ja | ||||