mp:V9.2.0 kwalificatie medicatieoverzichtBEPERKT MA addendum: verschil tussen versies
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=Addenda voor inhoudelijke gegevens= | =Addenda voor inhoudelijke gegevens= | ||
== | ===Patiënt S. XXX_Jankie=== | ||
<section begin=XXX_Jankie /> | |||
== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
| Regel 112: | Regel 18: | ||
|-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;"|S. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
| Regel 122: | Regel 28: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Jankie | ||
|-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;"|999910437 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|8 mei 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Jankie /><section begin=DG_XXX_Jankie /> | ||
====Documentgegevens XXX_Jankie ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | ||
| Regel 158: | Regel 53: | ||
|colspan="5"|Auteur - zorgaanbieder | |colspan="5"|Auteur - zorgaanbieder | ||
|-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"|Organisatie naam | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Adresgegevens | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Telefoonnummers | |colspan="4"|Telefoonnummers | ||
| Regel 171: | Regel 66: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|099-12345678 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verificatie patient | |colspan="4"|Verificatie patient | ||
| Regel 185: | Regel 73: | ||
|colspan="4"|Verificatie zorgverlener | |colspan="4"|Verificatie zorgverlener | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end= | |}<section end=DG_XXX_Jankie /><section begin=MBHS_XXX_Jankie /><section begin=MBH_MBH_920_QA1 /> | ||
==== | ====Medicamenteuze behandeling MBH_920_QA1 ==== | ||
{| 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" | Medicatieafspraak MBH_920_QA1_MA | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_QA1 /><section begin=MBH_MBH_920_QA2 /> | |||
====Medicamenteuze behandeling MBH_920_QA2 ==== | |||
|style="background-color: white;"| | |||
|} | |||
==== | |||
{| 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" | Medicatieafspraak MBH_920_QA2_MA | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen om 08:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 72 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 72 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ISENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MBH_MBH_920_QA2 /><section begin=MBH_MBH_920_QA3 /> | |||
====Medicamenteuze behandeling MBH_920_QA3 ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA3_MA | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 50 dagen om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 11 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 11 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 50 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_QA3 /><section begin=MBH_MBH_920_QA4 /> | |||
====Medicamenteuze behandeling MBH_920_QA4 ==== | |||
|style="background-color: white;"| | |||
|} | |||
{| 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" | Medicatieafspraak MBH_920_QA4_MA | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T + 19 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 3 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 3 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |}<section end=MBH_MBH_920_QA4 /><section begin=MBH_MBH_920_QA5 /> | ||
|style="background-color: white;"| | ====Medicamenteuze behandeling MBH_920_QA5 ==== | ||
| | |||
{| 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" | Medicatieafspraak MBH_920_QA5_MA | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 50 dagen om 08:15 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 7 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_QA5 /><section begin=MBH_MBH_920_QA6 /> | |||
====Medicamenteuze behandeling MBH_920_QA6 ==== | |||
|style="background-color: white;"| | |||
|} | |||
==== | |||
{| 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" | Medicatieafspraak MBH_920_QA6_MA | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 5 dagen om 08:18 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 1 dag, 2 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_QA6 /> | |||
==== Bouwstenen ==== | |||
|style="background-color: white;"| | |||
|} | |||
{| 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" | Bouwstenen | ||
|-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;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"|Zorgaanbieder | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
| | |}<section end=MBHS_XXX_Jankie /> | ||
===Patiënt F. van de XXX_Stijl=== | |||
|style="background-color: white;"| | <section begin=XXX_Stijl /> | ||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-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="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|F. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |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="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Stijl | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999910644 [BSN] | |||
|-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;"|10 aug 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Stijl /><section begin=DG_XXX_Stijl /> | |||
====Documentgegevens XXX_Stijl ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Document datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur - zorgaanbieder | ||
|-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="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| | |||
|style="background-color: white;"|1 | |||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|099-12345678 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verificatie patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verificatie zorgverlener | |||
|style="background-color: white;"|Nee | |||
|}<section end=DG_XXX_Stijl /><section begin=MBHS_XXX_Stijl /><section begin=MBH_MBH_920_dosis_stuks-STJ /> | |||
====Medicamenteuze behandeling MBH_920_dosis_stuks-STJ ==== | |||
{| 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" | Medicatieafspraak MBH_920_dosis_stuks_MA-STJ | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA-STJ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 130 dagen om 11:35 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 130 dagen, tot en met T - 101 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 130 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 101 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_dosis_stuks-STJ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_dosis_stuks-STJ /> | |||
==== Bouwstenen ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | |||
|style="background-color: white;"| | |||
|} | |||
==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |||
|-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;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |rowspan="7"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
| | |}<section end=MBHS_XXX_Stijl /> | ||
===Patiënt A. XXX_Klokgieters=== | |||
<section begin=XXX_Klokgieters /> | |||
{| 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" | Patiënt | ||
|-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;;" | |||
|colspan="5"|Naamgegevens | |||
|-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="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|A. | ||
|-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="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |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="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Klokgieters | ||
|-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;"|999910668 [BSN] | ||
|-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;"|10 aug 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Klokgieters /><section begin=DG_XXX_Klokgieters /> | |||
====Documentgegevens XXX_Klokgieters ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Document datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur - zorgaanbieder | ||
|-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="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
|style="background-color: white;"|1 | |||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|099-12345678 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verificatie patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verificatie zorgverlener | |||
|style="background-color: white;"|Nee | |||
|}<section end=DG_XXX_Klokgieters /><section begin=MBHS_XXX_Klokgieters /><section begin=MBH_MBH_920_aanvullendeinstructie-KLK /> | |||
====Medicamenteuze behandeling MBH_920_aanvullendeinstructie-KLK ==== | |||
{| 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" | Medicatieafspraak MBH_920_aanvullendeinstructie_MA_staken-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA_staken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 10 dagen om 18:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T - 10 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|MBH identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_aanvullendeinstructie_MA-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 4 maanden om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T + 8 maanden'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 8 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |}<section end=MBH_MBH_920_aanvullendeinstructie-KLK /><section begin=MBH_MBH_920_toelichting-KLK /> | ||
====Medicamenteuze behandeling MBH_920_toelichting-KLK ==== | |||
|style="background-color: white;"| | |||
|} | |||
==== | |||
{| 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" | Medicatieafspraak MBH_920_toelichting_MA_wijzigingmetVV-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_wijzigingmetVV-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 2 dagen om 08:02 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|MBH identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_toelichting_MA_techstaken-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_techstaken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen, tot en met T - 3 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 3 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan=" | |||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_toelichting_MA-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 21 dagen om 08:02 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|In overleg met specialist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_toelichting-KLK /><section begin=MBH_MBH_920_redenvanvoorschrijven-KLK /> | ||
==== | ====Medicamenteuze behandeling MBH_920_redenvanvoorschrijven-KLK ==== | ||
{| 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" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV-KLK | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag, tot en met T + 14 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Te sterk effect van medicatie (code = '112251000146103' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Probleem naam | ||
|style="background-color: white;"| | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per week 4 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_techstaken-KLK | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_techstaken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 1 dag om 08:10 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T - 2 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Probleem naam | ||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA-KLK | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 13 dagen om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T + 14 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 13 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Probleem naam | ||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_redenvanvoorschrijven-KLK /><section begin=MBH_MBH_920_chronisch-KLK /> | |||
====Medicamenteuze behandeling MBH_920_chronisch-KLK ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_chronisch_MA-KLK | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 30 dagen om 11:32 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | |||
|-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"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_chronisch-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_chronisch-KLK /><section begin=MBH_MBH_920_Lengte_Gewicht_2-KLK /> | |||
====Medicamenteuze behandeling MBH_920_Lengte_Gewicht_2-KLK ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_Lengte_Gewicht_2_MA-KLK | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_2_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 1 jaar om 07:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 120 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 120 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_2-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_Lengte_Gewicht_2-KLK /><section begin=MBH_MBH_920_logistiekeverbruiksperiode_start_eind-KLK /> | |||
====Medicamenteuze behandeling MBH_920_logistiekeverbruiksperiode_start_eind-KLK ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA-KLK | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_logistiekeverbruiksperiode_start_eind_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 11:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T + 10 dagen, tot en met T + 12 maanden'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 12 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T + 10 dagen, tot en met T + 12 maanden, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_logistiekeverbruiksperiode_start_eind-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA_1-KLK | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_logistiekeverbruiksperiode_start_eind_MA_1-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 10:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 9 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_logistiekeverbruiksperiode_start_eind-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |}<section end=MBH_MBH_920_logistiekeverbruiksperiode_start_eind-KLK /> | ||
|style="background-color: white;"| | ==== Bouwstenen ==== | ||
|}<section end= | |||
== | |||
{| 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" | Bouwstenen | ||
|-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 1.455: | Regel 1.402: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Bertine_van_Doorn" title="Intern ID = Bertine_van_Doorn">Zorgverlener Bertine_van_Doorn</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|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="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|style="background-color: | |-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="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|} | |}<section end=MBHS_XXX_Klokgieters /> | ||
===Patiënt A. XXX_Herweijer=== | |||
<section begin=XXX_Herweijer /> | |||
{| 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" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |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"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|A. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |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="4"| | |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="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Herweijer | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999911466 [BSN] | |||
|-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;"|2 aug 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Herweijer /><section begin=DG_XXX_Herweijer /> | |||
====Documentgegevens XXX_Herweijer ==== | |||
|}<section end= | |||
== | |||
{| 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" | Documentgegevens | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Document datum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur - zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|099-12345678 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verificatie patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verificatie zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
| | |}<section end=DG_XXX_Herweijer /><section begin=MBHS_XXX_Herweijer /><section begin=MBH_MBH_920_aanvullendeinformatiewensen-HRW /> | ||
====Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen-HRW ==== | |||
{| 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" | Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA_onderbreken-HRW | ||
|-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 1.576: | Regel 1.534: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|T | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA_onderbreken-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 1 dag om 18:12 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T - 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Opname in instelling (code = '305335007' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|colspan=" | |||
|-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="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende informatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan="4 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA-HRW | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 08:06 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T + 5 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="4"|Aanvullende informatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
==== | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_aanvullendeinformatiewensen-HRW /><section begin=MBH_MBH_920_Lengte_Gewicht-HRW /> | |||
====Medicamenteuze behandeling MBH_920_Lengte_Gewicht-HRW ==== | |||
{| 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" | Medicatieafspraak MBH_920_Lengte_Gewicht_MA_onderbreken-HRW | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_onderbreken-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 80 dagen om 15:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 80 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 80 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|Identificatie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| 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" | Medicatieafspraak MBH_920_Lengte_Gewicht_MA_1-HRW | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar om 07:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_Lengte_Gewicht-HRW /> | ||
==== | ==== Bouwstenen ==== | ||
{| 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" | Bouwstenen | ||
|-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;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Bertine_van_Doorn" title="Intern ID = Bertine_van_Doorn">Zorgverlener Bertine_van_Doorn</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-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="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
=== | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
|}<section end=MBHS_XXX_Herweijer /> | |||
===Patiënt N. XXX_Maasz=== | |||
<section begin=XXX_Maasz /> | |||
{| 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" | Patiënt | ||
|-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="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=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|N. | ||
|-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="4"| | |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="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Maasz | ||
|-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;"|999910747 [BSN] | ||
|-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;"|10 aug 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Maasz /><section begin=DG_XXX_Maasz /> | |||
|style="background-color: white;"| | ====Documentgegevens XXX_Maasz ==== | ||
| | |||
=== | |||
{| 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" | Documentgegevens | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Document datum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur - zorgaanbieder | ||
|-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"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|099-12345678 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Verificatie patient | ||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verificatie zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|}<section end=DG_XXX_Maasz /><section begin=MBHS_XXX_Maasz /><section begin=MBH_MBH_920_start_duur2-MSZ /> | |||
====Medicamenteuze behandeling MBH_920_start_duur2-MSZ ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_start_duur2_MA-MSZ | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA-MSZ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 60 dagen om 11:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, gedurende 28 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2-MSZ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|-style=" | |}<section end=MBH_MBH_920_start_duur2-MSZ /> | ||
==== Bouwstenen ==== | |||
|style="background-color: white;"| | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|colspan="5"|<span id=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="7"| | |rowspan="7"| | ||
| Regel 2.031: | Regel 1.975: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Specialisme | |colspan="3"|Specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| Regel 2.038: | Regel 1.982: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id=" | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: URA) | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Organisatie naam | |colspan="3"|Organisatie naam | ||
| Regel 2.072: | Regel 1.996: | ||
|colspan="3"|Adresgegevens | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|}<section end=MBHS_XXX_Maasz /> | |||
===Patiënt I. XXX_Jangi=== | |||
<section begin=XXX_Jangi /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |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"| | |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"| | |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=" | |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;"|XXX_Jangi | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Knolweg 1002 9999ZZ Stitswerd 3 Woon-/verblijfadres | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Telefoonnummers | ||
|-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"| | |colspan="3"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|+31612345678 | ||
|-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;"|999911727 [BSN] | ||
|-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;"|10009 met root OID '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 | ||
|style="background-color: white;"|2 aug 1964 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Jangi /><section begin=DG_XXX_Jangi /> | |||
====Documentgegevens XXX_Jangi ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Document datum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur - zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Organisatie naam | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Adresgegevens | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Zalfstraat 6 1235BB Ons Dorp 5 Werkadres | ||
|-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="2"| | ||
|-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;"|+31703655424 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Email adressen | |||
|-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"|Email adres | ||
|style="background-color: white;"| | |style="background-color: white;"|info@apotheekgullegaper.com | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
== | |colspan="4"|Verificatie patient | ||
<section | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verificatie zorgverlener | |||
|style="background-color: white;"|Nee | |||
|}<section end=DG_XXX_Jangi /><section begin=MBHS_XXX_Jangi /><section begin=MBH_MBH_MO_123_1 /> | |||
====Medicamenteuze behandeling MBH_MO_123_1 ==== | |||
<section end=MBH_MBH_MO_123_1 /><section begin=MBH_MBH_MO_123_2 /> | |||
====Medicamenteuze behandeling MBH_MO_123_2 ==== | |||
{| 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" | Toedieningsafspraak MBH_MO_123_2_TA_1 | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 6 dagen om 11:55 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 6 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae42ee8d-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae42ee8d-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="6"| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 6 dagen, eerst gedurende 7 dagen 2 maal per dag, dan gedurende 7 dagen 1 maal per dag, dan gedurende 7 dagen 3 maal per week, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"|eerst gedurende 7 dagen 2 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 7 dagen 1 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="3"|Doseerinstructie 3 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 7 dagen 3 maal per week | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|Eczeem oogleden | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_MO_123_2 /><section begin=MBH_MBH_MO_123_3 /> | ||
==== | ====Medicamenteuze behandeling MBH_MO_123_3 ==== | ||
{| 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" | Medicatieafspraak MBH_MO_123_3_MA_1 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 15 dagen om 09:13 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430ade-e31d-11eb-1685-020000000000|Zorgverlener: uuid_ae430ade-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Exact 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| 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" | Toedieningsafspraak MBH_MO_123_3_TA_1 | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 14 dagen om 15:55 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, tot en met T + 13 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430b0a-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430b0a-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 14 dagen, tot en met T + 13 dagen, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_MO_123_3 /><section begin=MBH_MBH_MO_123_4 /> | ||
== | ====Medicamenteuze behandeling MBH_MO_123_4 ==== | ||
{| 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" | Medicatieafspraak MBH_MO_123_4_MA_1 | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 60 dagen om 09:13 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430b44-e31d-11eb-1685-020000000000|Zorgverlener: uuid_ae430b44-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|10 | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|1 maal per dag 10 internationale eenheid, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 10 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| 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" | Toedieningsafspraak MBH_MO_123_4_TA_1 | ||
|-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 2.347: | Regel 2.327: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|T | |style="background-color: white;"|MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 60 dagen om 15:55 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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;"| | |style="background-color: white;"|Zie [[#uuid_ae430b6d-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430b6d-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-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="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 60 dagen, elke dag om 09:00 10 internationale eenheid, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 09:00 10 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_MO_123_4 /><section begin=MBH_MBH_MO_123_5 /> | |||
====Medicamenteuze behandeling MBH_MO_123_5 ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_MO_123_5_TA_1 | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
| | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 36 dagen om 15:55 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 36 dagen, gedurende 90 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 36 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|90 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430b8c-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430b8c-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 36 dagen, gedurende 90 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|Identificatie | ||
|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"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_MO_123_5 /><section begin=MBH_MBH_MO_123_6 /> | ||
==== | ====Medicamenteuze behandeling MBH_MO_123_6 ==== | ||
{| 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" | Medicatieafspraak MBH_MO_123_6_MA_1 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 728 dagen om 09:13 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430bc4-e31d-11eb-1685-020000000000|Zorgverlener: uuid_ae430bc4-e31d-11eb-1685-020000000000]] | ||
|- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| 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" | Toedieningsafspraak MBH_MO_123_6_TA_1 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 323 dagen om 15:55 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 323 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 323 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-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="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430bef-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430bef-e31d-11eb-1685-020000000000]] | ||
|- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE 10MG TABLET FO (code = '67806' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|SIMVASTATINE 10MG TABLET FO (code = '116572' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 323 dagen, 1 maal per dag 2 stuks 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_MO_123_6 /><section begin=MBH_MBH_MO_123_7 /> | ||
====Medicamenteuze behandeling MBH_MO_123_7 ==== | |||
{| 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" | Medicatieafspraak MBH_MO_123_7_MA_1 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 3 dagen om 09:27:31 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430c5b-e31d-11eb-1685-020000000000|Zorgverlener: uuid_ae430c5b-e31d-11eb-1685-020000000000]] | ||
|- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_MO_123_7 /><section begin=MBH_MBH_MO_123_8 /> | ||
==== | ====Medicamenteuze behandeling MBH_MO_123_8 ==== | ||
{| 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" | Toedieningsafspraak MBH_MO_123_8_TA_2 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 28 dagen om 11:50 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 45 dagen, tot en met T - 29 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 45 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 29 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430c89-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430c89-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|Beleidswijziging | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 45 dagen, tot en met T - 29 dagen, 1 maal per dag 2 stuks 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 2 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_MO_123_8_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_MO_123_8 /><section begin=MBH_MBH_MO_123_9 /> | ||
====Medicamenteuze behandeling MBH_MO_123_9 ==== | |||
{| 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" | Medicatieafspraak MBH_MO_123_9_MA_1 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 45 dagen om 11:50 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430cad-e31d-11eb-1685-020000000000|Zorgverlener: uuid_ae430cad-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|exact iedere 8 uur 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|exact iedere 8 uur 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| | |}<section end=MBH_MBH_MO_123_9 /><section begin=MBH_MBH_MO_123_10 /> | ||
====Medicamenteuze behandeling MBH_MO_123_10 ==== | |||
{| 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" | Toedieningsafspraak MBH_MO_123_10_TA_2 | ||
|-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"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 36 dagen om 15:50 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 56 dagen, tot en met T - 37 dagen'' | ||
|-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="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 56 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 37 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430cd8-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430cd8-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|Geen of onvoldoende effect | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 56 dagen, tot en met T - 37 dagen, 1 maal per dag 1 stuk 's ochtends, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk 's ochtends | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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="3"|Identificatie | ||
|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"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_MO_123_10 /> | ||
==== | ==== Bouwstenen ==== | ||
{| 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" | Bouwstenen | ||
|-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;;" | |||
|colspan="5"|<span id="uuid_ae430ade-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430ade-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430ade-e31d-11eb-1685-020000000000</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |rowspan="7"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430ae6-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430ae6-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430b44-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430b44-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430b44-e31d-11eb-1685-020000000000</span> | ||
|-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="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|I. Ternist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430b4b-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430b4b-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="uuid_ae430bc4-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430bc4-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430bc4-e31d-11eb-1685-020000000000</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430bcc-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430bcc-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430c26-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430c26-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430c26-e31d-11eb-1685-020000000000</span> | ||
|-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="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|I. Ternist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430c2f-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430c2f-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="uuid_ae430c5b-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430c5b-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430c5b-e31d-11eb-1685-020000000000</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#uuid_ae430c63-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430c63-e31d-11eb-1685-020000000000]] | ||
|- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="5"|<span id="uuid_ae430cad-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430cad-e31d-11eb-1685-020000000000">Zorgverlener uuid_ae430cad-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|John de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|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="2"| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#uuid_ae430cb5-e31d-11eb-1685-020000000000|Zorgaanbieder: uuid_ae430cb5-e31d-11eb-1685-020000000000]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="uuid_ae42ee8d-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae42ee8d-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae42ee8d-e31d-11eb-1685-020000000000</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430ae6-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430ae6-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430ae6-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="uuid_ae430b0a-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430b0a-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430b0a-e31d-11eb-1685-020000000000</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430b4b-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430b4b-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430b4b-e31d-11eb-1685-020000000000</span> | ||
|style="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="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|00001113 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430b6d-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430b6d-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430b6d-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430b8c-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430b8c-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430b8c-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Organisatie naam | |||
|style="background-color: white;"|Poliapotheek Antonius | |||
|colspan="3"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id=" | |colspan="5"|<span id="uuid_ae430bcc-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430bcc-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430bcc-e31d-11eb-1685-020000000000</span> | ||
|-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="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430bef-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430bef-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430bef-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|13336578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id=" | |colspan="5"|<span id="uuid_ae430c2f-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430c2f-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430c2f-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|00001113 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="uuid_ae430c63-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430c63-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430c63-e31d-11eb-1685-020000000000</span> | |||
|-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="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id=" | |colspan="5"|<span id="uuid_ae430c89-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430c89-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430c89-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430cb5-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430cb5-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430cb5-e31d-11eb-1685-020000000000</span> | ||
|-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="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="uuid_ae430cd8-e31d-11eb-1685-020000000000" title="Intern ID = uuid_ae430cd8-e31d-11eb-1685-020000000000">Zorgaanbieder uuid_ae430cd8-e31d-11eb-1685-020000000000</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Organisatie naam | |||
|style="background-color: white;"|Poliapotheek Antonius | |||
|}<section end=MBHS_XXX_Jangi /> | |||
===Patiënt R. XXX_Ruys=== | |||
<section begin=XXX_Ruys /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |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"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|R. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |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="4"| | |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="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Ruys | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Adresgegevens | |||
|style="background-color: white;"|Knolweg 1000 9999XA Stitswerd 3 Woon-/verblijfadres | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Telefoonnummers | ||
|-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"| | |colspan="3"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|+31612341234 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999911351 [BSN] | |||
|-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;"|13103 met root OID '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=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Ruys /><section begin=DG_XXX_Ruys /> | |||
====Documentgegevens XXX_Ruys ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Documentgegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Document datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur - zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Straat 5 1598 FG Utrecht 5 Werkadres | ||
|-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="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|+31703655424 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Email adressen | |||
|colspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Email adres | ||
|style="background-color: white;"| | |style="background-color: white;"|info@apotheekgullegaper.com | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Verificatie patient | ||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verificatie zorgverlener | |||
|style="background-color: white;"|Nee | |||
|}<section end=DG_XXX_Ruys /><section begin=MBHS_XXX_Ruys /><section end=MBHS_XXX_Ruys /> | |||
|colspan="4"|Verificatie zorgverlener | |||
|style="background-color: white;"|Nee | |||
|}<section end= | |||
[[Categorie:Kwalificatie]] | [[Categorie:Kwalificatie]] | ||
Versie van 12 aug 2021 07:55
__NUMBEREDHEADINGS__

Addenda voor inhoudelijke gegevens
Patiënt S. XXX_Jankie
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | S. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Jankie | |||
| Identificatienummer | 999910437 [BSN] | |||
| Geboortedatum | 8 mei 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Jankie
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | 099-12345678 | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_920_QA1
| Medicatieafspraak MBH_920_QA1_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA2
| Medicatieafspraak MBH_920_QA2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 100 dagen om 08:04 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 72 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 72 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ISENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 10 ml | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA3
| Medicatieafspraak MBH_920_QA3_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 50 dagen om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, tot en met T - 11 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Einddatum | T - 11 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 50 ml | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA4
| Medicatieafspraak MBH_920_QA4_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 08:12 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T + 19 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T + 19 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 3 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 3 stuks | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA5
| Medicatieafspraak MBH_920_QA5_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 50 dagen om 08:15 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 7 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 7 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA6
| Medicatieafspraak MBH_920_QA6_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:18 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 1 dag | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 1 dag | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 1 dag, 2 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt F. van de XXX_Stijl
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | F. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Voorvoegsels | van de | |||
| Achternaam | XXX_Stijl | |||
| Identificatienummer | 999910644 [BSN] | |||
| Geboortedatum | 10 aug 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Stijl
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | 099-12345678 | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_920_dosis_stuks-STJ
| Medicatieafspraak MBH_920_dosis_stuks_MA-STJ | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_MA-STJ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 130 dagen om 11:35 uur | |||
| Gebruiksperiode | Vanaf T - 130 dagen, tot en met T - 101 dagen | |||
| Ingangsdatum | T - 130 dagen | |||
| Einddatum | T - 101 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 dosis | |||
| MBH identificatie | MBH_920_dosis_stuks-STJ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt A. XXX_Klokgieters
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | A. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Klokgieters | |||
| Identificatienummer | 999910668 [BSN] | |||
| Geboortedatum | 10 aug 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Klokgieters
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | 099-12345678 | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_920_aanvullendeinstructie-KLK
| Medicatieafspraak MBH_920_aanvullendeinstructie_MA_staken-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_MA_staken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T - 10 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinstructie-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_aanvullendeinstructie_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 4 maanden om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T + 8 maanden | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T + 8 maanden | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_aanvullendeinstructie-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_toelichting-KLK
| Medicatieafspraak MBH_920_toelichting_MA_wijzigingmetVV-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA_wijzigingmetVV-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 2 dagen | |||
| Ingangsdatum | T - 2 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_toelichting_MA_techstaken-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA_techstaken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Einddatum | T - 3 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_toelichting_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 21 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Toelichting | In overleg met specialist | |||
| MBH identificatie | MBH_920_toelichting-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_redenvanvoorschrijven-KLK
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 1 dag, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 1 dag | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Te sterk effect van medicatie (code = '112251000146103' in codeSystem 'SNOMED CT') | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 4 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_techstaken-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_techstaken-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T - 2 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T - 2 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 13 dagen om 08:05 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_chronisch-KLK
| Medicatieafspraak MBH_920_chronisch_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 30 dagen om 11:32 uur | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_chronisch-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_Lengte_Gewicht_2-KLK
| Medicatieafspraak MBH_920_Lengte_Gewicht_2_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_2_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 jaar om 07:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 120 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 120 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_Lengte_Gewicht_2-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_logistiekeverbruiksperiode_start_eind-KLK
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 11:00 uur | |||
| Gebruiksperiode | Vanaf T + 10 dagen, tot en met T + 12 maanden | |||
| Ingangsdatum | T + 10 dagen | |||
| Einddatum | T + 12 maanden | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 10 dagen, tot en met T + 12 maanden, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA_1-KLK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA_1-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 10:59:59 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 9 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind-KLK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgverlener Bertine_van_Doorn | ||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Bertine van Doorn | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt A. XXX_Herweijer
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | A. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Herweijer | |||
| Identificatienummer | 999911466 [BSN] | |||
| Geboortedatum | 2 aug 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Herweijer
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | 099-12345678 | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen-HRW
| Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA_onderbreken-HRW | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA_onderbreken-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 18:12 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T - 1 dag | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Opname in instelling (code = '305335007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA-HRW | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:06 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T + 5 dagen | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T + 5 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_Lengte_Gewicht-HRW
| Medicatieafspraak MBH_920_Lengte_Gewicht_MA_onderbreken-HRW | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_MA_onderbreken-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 80 dagen om 15:00 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 80 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 80 dagen | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Lengte_Gewicht-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_Lengte_Gewicht_MA_1-HRW | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_MA_1-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 jaar om 07:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar | |||
| Ingangsdatum | T - 1 jaar | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_Lengte_Gewicht-HRW (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgverlener Bertine_van_Doorn | ||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Bertine van Doorn | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt N. XXX_Maasz
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | N. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Maasz | |||
| Identificatienummer | 999910747 [BSN] | |||
| Geboortedatum | 10 aug 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Maasz
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Dorpsstraat 1 1234AA Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | 099-12345678 | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_920_start_duur2-MSZ
| Medicatieafspraak MBH_920_start_duur2_MA-MSZ | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_MA-MSZ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 60 dagen om 11:30 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, gedurende 28 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Gebruiksduur | 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_start_duur2-MSZ (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt I. XXX_Jangi
| Patiënt | ||||
| 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 | Knolweg 1002 9999ZZ Stitswerd 3 Woon-/verblijfadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | +31612345678 | |||
| Identificatienummer | 999911727 [BSN] | |||
| Identificatienummer | 10009 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |||
| Geboortedatum | 2 aug 1964 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Jangi
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Adresgegevens | Zalfstraat 6 1235BB Ons Dorp 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | +31703655424 | |||
| Email adressen | ||||
| Email adres | info@apotheekgullegaper.com | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||
Medicamenteuze behandeling MBH_MO_123_1
Medicamenteuze behandeling MBH_MO_123_2
| Toedieningsafspraak MBH_MO_123_2_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 6 dagen om 11:55 uur | |||
| Gebruiksperiode | Vanaf T - 6 dagen | |||
| Ingangsdatum | T - 6 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae42ee8d-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 6 dagen, eerst gedurende 7 dagen 2 maal per dag, dan gedurende 7 dagen 1 maal per dag, dan gedurende 7 dagen 3 maal per week, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 7 dagen 2 maal per dag | |||
| Doseerinstructie 2 | dan gedurende 7 dagen 1 maal per dag | |||
| Doseerinstructie 3 | dan gedurende 7 dagen 3 maal per week | |||
| Toelichting | Eczeem oogleden | |||
| Relatie medicatieafspraak | ||||
| Identificatie | ||||
| MBH identificatie | MBH_MO_123_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_3
| Medicatieafspraak MBH_MO_123_3_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 15 dagen om 09:13 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: uuid_ae430ade-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Kopie indicator | Ja | |||
| Toelichting | Exact 4 weken | |||
| MBH identificatie | MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_MO_123_3_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 14 dagen om 15:55 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen, tot en met T + 13 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Einddatum | T + 13 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430b0a-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, tot en met T + 13 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_4
| Medicatieafspraak MBH_MO_123_4_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 60 dagen om 09:13 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: uuid_ae430b44-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 maal per dag 10 internationale eenheid, subcutaan | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 10 internationale eenheid | |||
| Kopie indicator | Ja | |||
| MBH identificatie | MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_MO_123_4_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 60 dagen om 15:55 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430b6d-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, elke dag om 09:00 10 internationale eenheid, subcutaan | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | elke dag om 09:00 10 internationale eenheid | |||
| Kopie indicator | Ja | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_5
| Toedieningsafspraak MBH_MO_123_5_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 36 dagen om 15:55 uur | |||
| Gebruiksperiode | Vanaf T - 36 dagen, gedurende 90 dagen | |||
| Ingangsdatum | T - 36 dagen | |||
| Gebruiksduur | 90 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430b8c-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 36 dagen, gedurende 90 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Kopie indicator | Ja | |||
| Relatie medicatieafspraak | ||||
| Identificatie | ||||
| MBH identificatie | MBH_MO_123_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_6
| Medicatieafspraak MBH_MO_123_6_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 728 dagen om 09:13 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: uuid_ae430bc4-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 maal per dag 1 stuk 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | |||
| Kopie indicator | Ja | |||
| MBH identificatie | MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_MO_123_6_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 323 dagen om 15:55 uur | |||
| Gebruiksperiode | Vanaf T - 323 dagen | |||
| Ingangsdatum | T - 323 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430bef-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE 10MG TABLET FO (code = '67806' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE 10MG TABLET FO (code = '116572' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 323 dagen, 1 maal per dag 2 stuks 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks 's avonds | |||
| Kopie indicator | Ja | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_7
| Medicatieafspraak MBH_MO_123_7_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T + 3 dagen om 09:27:31 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: uuid_ae430c5b-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Kopie indicator | Ja | |||
| MBH identificatie | MBH_MO_123_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_8
| Toedieningsafspraak MBH_MO_123_8_TA_2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 28 dagen om 11:50 uur | |||
| Gebruiksperiode | Vanaf T - 45 dagen, tot en met T - 29 dagen | |||
| Ingangsdatum | T - 45 dagen | |||
| Einddatum | T - 29 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430c89-e31d-11eb-1685-020000000000 | |||
| Reden afspraak | Beleidswijziging | |||
| Geneesmiddel - primaire code | Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 45 dagen, tot en met T - 29 dagen, 1 maal per dag 2 stuks 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks 's avonds | |||
| Kopie indicator | Ja | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_MO_123_8_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_MO_123_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_9
| Medicatieafspraak MBH_MO_123_9_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 45 dagen om 11:50 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: uuid_ae430cad-e31d-11eb-1685-020000000000 | |||
| Geneesmiddel - primaire code | FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | exact iedere 8 uur 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | exact iedere 8 uur 1 stuk | |||
| Kopie indicator | Ja | |||
| MBH identificatie | MBH_MO_123_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_MO_123_10
| Toedieningsafspraak MBH_MO_123_10_TA_2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 36 dagen om 15:50 uur | |||
| Gebruiksperiode | Vanaf T - 56 dagen, tot en met T - 37 dagen | |||
| Ingangsdatum | T - 56 dagen | |||
| Einddatum | T - 37 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430cd8-e31d-11eb-1685-020000000000 | |||
| Reden afspraak | Geen of onvoldoende effect | |||
| Geneesmiddel - primaire code | PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 56 dagen, tot en met T - 37 dagen, 1 maal per dag 1 stuk 's ochtends, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk 's ochtends | |||
| Kopie indicator | Ja | |||
| Relatie medicatieafspraak | ||||
| Identificatie | ||||
| MBH identificatie | MBH_MO_123_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener uuid_ae430ade-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | John de Vries | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430ae6-e31d-11eb-1685-020000000000 | |||
| Zorgverlener uuid_ae430b44-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | I. Ternist | |||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430b4b-e31d-11eb-1685-020000000000 | |||
| Zorgverlener uuid_ae430bc4-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | John de Vries | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430bcc-e31d-11eb-1685-020000000000 | |||
| Zorgverlener uuid_ae430c26-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | I. Ternist | |||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430c2f-e31d-11eb-1685-020000000000 | |||
| Zorgverlener uuid_ae430c5b-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | John de Vries | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430c63-e31d-11eb-1685-020000000000 | |||
| Zorgverlener uuid_ae430cad-e31d-11eb-1685-020000000000 | ||||
| Zorgverlener identificatienummer | ||||
| Naamgegevens | John de Vries | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: uuid_ae430cb5-e31d-11eb-1685-020000000000 | |||
| Zorgaanbieder uuid_ae42ee8d-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Zorgaanbieder uuid_ae430ae6-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder uuid_ae430b0a-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Zorgaanbieder uuid_ae430b4b-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001113 (in identificerend systeem: URA) | |||
| Organisatie naam | Antonius | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder uuid_ae430b6d-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 13336578 (in identificerend systeem: URA) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Zorgaanbieder uuid_ae430b8c-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 13336578 (in identificerend systeem: URA) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Zorgaanbieder uuid_ae430bcc-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder uuid_ae430bef-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 13336578 (in identificerend systeem: URA) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Zorgaanbieder uuid_ae430c2f-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001113 (in identificerend systeem: URA) | |||
| Organisatie naam | Antonius | |||
| Zorgaanbieder uuid_ae430c63-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder uuid_ae430c89-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 13336578 (in identificerend systeem: URA) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Zorgaanbieder uuid_ae430cb5-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder uuid_ae430cd8-e31d-11eb-1685-020000000000 | ||||
| Zorgaanbieder identificatienummer | 13336578 (in identificerend systeem: URA) | |||
| Organisatie naam | Poliapotheek Antonius | |||
Patiënt R. XXX_Ruys
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | R. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Ruys | |||
| Adresgegevens | Knolweg 1000 9999XA Stitswerd 3 Woon-/verblijfadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | +31612341234 | |||
| Identificatienummer | 999911351 [BSN] | |||
| Identificatienummer | 13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |||
| Geboortedatum | 1 aug 1964 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Documentgegevens XXX_Ruys
| Documentgegevens | ||||
| Gegevenselement | Waarde | |||
| Document datum | T | |||
| Auteur - zorgaanbieder | ||||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Adresgegevens | Straat 5 1598 FG Utrecht 5 Werkadres | |||
| Telefoonnummers | ||||
| Telefoonnummer | +31703655424 | |||
| Email adressen | ||||
| Email adres | info@apotheekgullegaper.com | |||
| Verificatie patient | Nee | |||
| Verificatie zorgverlener | Nee | |||