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

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Regel 4: Regel 4:
 
| text  = This article or section '''is in the middle of an expansion or major restructuring and is not yet ready for use.'''}}
 
| text  = This article or section '''is in the middle of an expansion or major restructuring and is not yet ready for use.'''}}
  
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{{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens aanmeldbericht '''[dit laatste nog toe laten voegen vanuit ADA]'''}}
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{{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens aanmeldbericht}}
  
 
=Addenda voor inhoudelijke gegevens=
 
=Addenda voor inhoudelijke gegevens=
 
<section begin=eovd-saa-tst-1.1-alle_zibs />
 
<section begin=eovd-saa-tst-1.1-alle_zibs />
==Aanmeldbericht==
+
==Test Aanmelding 1.1==
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 25: Regel 25:
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="47"|
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|rowspan="64"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
Regel 96: Regel 96:
 
|colspan="6"|Contactpersoon
 
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
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|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 135: Regel 135:
 
|colspan="2"|Email adres
 
|colspan="2"|Email adres
 
|style="background-color: white;"|jbakker@123net.nl
 
|style="background-color: white;"|jbakker@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Rol
 +
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Relatie
 
|colspan="4"|Relatie
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
+
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactpersoon
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Johannes
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Hans
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels
 +
|style="background-color: white;"|van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Dijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31612121212
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Achterneef
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sturende organisatie
 
|colspan="7"|Sturende organisatie
Regel 207: Regel 248:
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="tst-1.1-juridischesituatie-01" title="Intern ID = tst-1.1-juridischesituatie-01">Juridische situatie tst-1.1-juridischesituatie-01</span>
+
|colspan="4"|<span id="t-1-1-juridischesituatie-01" title="Intern ID = t-1-1-juridischesituatie-01">Juridische situatie t-1-1-juridischesituatie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
Regel 228: Regel 269:
 
|colspan="5"|Medische diagnose
 
|colspan="5"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Probleem
 
|colspan="4"|Probleem
Regel 235: Regel 276:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|colspan="2"|Probleem naam
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|ischemisch cerebrovasculair incident (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|colspan="2"|Probleem status
Regel 249: Regel 290:
 
|colspan="2"|Probleem naam
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 
|style="background-color: white;"|neoplasma van colon (code = '126838000')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|colspan="2"|Probleem status
Regel 317: Regel 348:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Juridische situatie
 
|colspan="2"|Juridische situatie
|style="background-color: white;"|Zie [[#tst-1.1-juridischesituatie-01|Juridische situatie: tst-1.1-juridischesituatie-01]]
+
|style="background-color: white;"|Zie [[#t-1-1-juridischesituatie-01|Juridische situatie: t-1-1-juridischesituatie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Soort interventie
 
|colspan="2"|Soort interventie
Regel 348: Regel 379:
 
|rowspan="15"|
 
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="tst-1.1-patientprobleem-01" title="Intern ID = tst-1.1-patientprobleem-01">Probleem tst-1.1-patientprobleem-01</span>
+
|colspan="5"|<span id="t-1-1-patientprobleem-01" title="Intern ID = t-1-1-patientprobleem-01">Probleem t-1-1-patientprobleem-01</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="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem status
 
|colspan="3"|Probleem status
Regel 373: Regel 404:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-01|Probleem: tst-1.1-patientprobleem-01]]
+
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-01|Probleem: t-1-1-patientprobleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Uitvoerder
 
|colspan="4"|Uitvoerder
Regel 386: Regel 417:
 
|rowspan="11"|
 
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="tst-1.1-patientprobleem-02" title="Intern ID = tst-1.1-patientprobleem-02">Probleem tst-1.1-patientprobleem-02</span>
+
|colspan="5"|<span id="t-1.1-patientprobleem-02" title="Intern ID = t-1.1-patientprobleem-02">Probleem t-1.1-patientprobleem-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
Regel 408: Regel 439:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-02|Probleem: tst-1.1-patientprobleem-02]]
+
|style="background-color: white;"|Zie [[#t-1.1-patientprobleem-02|Probleem: t-1.1-patientprobleem-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patientprobleem
 
|colspan="6"|Patientprobleem
Regel 414: Regel 445:
 
|rowspan="22"|
 
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="tst-1.1-patientprobleem-03" title="Intern ID = tst-1.1-patientprobleem-03">Probleem tst-1.1-patientprobleem-03</span>
+
|colspan="5"|<span id="t-1-1-patientprobleem-03" title="Intern ID = t-1-1-patientprobleem-03">Probleem t-1-1-patientprobleem-03</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
Regel 436: Regel 467:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]]
+
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-03|Probleem: t-1-1-patientprobleem-03]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verpleegkundige interventie
 
|colspan="5"|Verpleegkundige interventie
Regel 450: Regel 481:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]]
+
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-03|Probleem: t-1-1-patientprobleem-03]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Actie start datum tijd
 
|colspan="3"|Actie start datum tijd
Regel 469: Regel 500:
 
|rowspan="11"|
 
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="tst-1.1-patientprobleem-04" title="Intern ID = tst-1.1-patientprobleem-04">Probleem tst-1.1-patientprobleem-04</span>
+
|colspan="5"|<span id="t-1-1-patientprobleem-04" title="Intern ID = t-1-1-patientprobleem-04">Probleem t-1-1-patientprobleem-04</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
Regel 491: Regel 522:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-04|Probleem: tst-1.1-patientprobleem-04]]
+
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-04|Probleem: t-1-1-patientprobleem-04]]
 
|}
 
|}
 
=== Verpleegkundige context specificatie gezondheidstoestand===
 
=== Verpleegkundige context specificatie gezondheidstoestand===
Regel 504: Regel 535:
 
|colspan="8"|Voedingvocht
 
|colspan="8"|Voedingvocht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
+
|rowspan="44"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde systeem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|neus- maagsonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|wegens misselijkheid door chemotherapie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sonde systeem
 
|colspan="7"|Sonde systeem
Regel 555: Regel 611:
 
|colspan="7"|Infuus
 
|colspan="7"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Infuuskatheter
 
|colspan="6"|Infuuskatheter
Regel 573: Regel 629:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Product omschrijving
 
|colspan="3"|Product omschrijving
 +
|style="background-color: white;"|Perifeer intraveneus infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 
|style="background-color: white;"|voor medicatie
 
|style="background-color: white;"|voor medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 587: Regel 646:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Toelichting
 
|colspan="5"|Toelichting
|style="background-color: white;"|na subtotale darmresectie
+
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Stoma
 
|colspan="7"|Stoma
Regel 596: Regel 655:
 
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 
|}<section end=eovd-saa-tst-1.1-alle_zibs />
 
|}<section end=eovd-saa-tst-1.1-alle_zibs />
<section begin=eovd-saa-tst-1.1b-alle_zibs />
+
<section begin=eovd-saa-tst-1.2-zwangerschap />
==Aanmeldbericht - overlap BgZ==
+
==Test Aanmelding 1.2==
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 613: Regel 672:
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="47"|
+
|rowspan="28"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
Regel 622: Regel 681:
 
|-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;;"
 
|colspan="3"|Voornamen
 
|style="background-color: white;"|Erik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|E
+
|style="background-color: white;"|M
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels
 +
|style="background-color: white;"|van de
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Altenborg
+
|style="background-color: white;"|XXX_Quigleys
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 647: Regel 706:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999ZA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 656: Regel 715:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999900912 (in identificerend systeem: 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;"|14 aug 1964
+
|style="background-color: white;"|5 nov 1963
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
Regel 677: Regel 736:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Eind datum tijd
 
|colspan="2"|Eind datum tijd
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|T + 250 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
 
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|style="background-color: white;"|Johanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|style="background-color: white;"|J
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Roepnaam
 
|style="background-color: white;"|Hanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|style="background-color: white;"|Bakker
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|style="background-color: white;"|+31645678912
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Email adres
 
|style="background-color: white;"|jbakker@123net.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Relatie
 
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sturende organisatie
 
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgaanbieder
 
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgaanbieder identificatienummer
 
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie naam
 
|colspan="4"|Organisatie naam
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|HomeCare
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie locatie
 
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|style="background-color: white;"|+31182435770
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Email adres
 
|style="background-color: white;"|neurologie@ABZ.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie type
 
|colspan="4"|Organisatie type
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Ontvangende organisatie
 
|colspan="7"|Ontvangende organisatie
Regel 777: Regel 767:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie type
 
|colspan="4"|Organisatie type
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
|}
 
|}
 
=== Medische context===
 
=== Medische context===
Regel 793: Regel 783:
 
|colspan="5"|Medische diagnose
 
|colspan="5"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Toelichting
 
|style="background-color: white;"|niet bekend met neurologische klachten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Probleem
 
|colspan="4"|Probleem
Regel 813: Regel 790:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|colspan="2"|Probleem naam
|style="background-color: white;"|neoplasma van colon (code = '126838000')
+
|style="background-color: white;"|zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}
 +
=== Verpleegkundige context zorgplan===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="7"|Actuele patientproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Patientprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="12"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Voorgeschiedenis
+
|colspan="5"|<span id="t-1-2-probleem-01" title="Intern ID = t-1-2-probleem-01">Probleem t-1-2-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Probleem status
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Let op
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Toelichting
 +
|style="background-color: white;"|bij lopen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Alert
+
|colspan="5"|Verpleegkundige interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Alert naam
+
|colspan="3"|Interventie
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Alert
+
|colspan="4"|Indicatie
 
|-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"|Alert naam
+
|colspan="2"|Probleem
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
+
|style="background-color: white;"|Zie [[#t-1-2-probleem-01|Probleem: t-1-2-probleem-01]]
|}<section end=eovd-saa-tst-1.1b-alle_zibs />
+
|}<section end=eovd-saa-tst-1.2-zwangerschap />
<section begin=eovd-saa-tst-q.qb-alle_zibs_kind_0-1_jaar />
+
<section begin=eovd-saa-tst-1.3-minimaal />
==Aanmeldbericht Kinderen 0-1 jaar - overlap BgZ (concept)==
+
==Test Aanmelding 1.3==
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 883: Regel 852:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Datum overplaatsing
 
|colspan="6"|Datum overplaatsing
|style="background-color: white;"|T + 2 dagen
+
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="47"|
+
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|style="background-color: white;"|Erik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|E
+
|style="background-color: white;"|J
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 908: Regel 874:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Altenborg
+
|style="background-color: white;"|XXX_Verhulst
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 918: Regel 884:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
|style="background-color: white;"|1000
+
|style="background-color: white;"|1001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999XX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 930: Regel 896:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999900092 (in identificerend systeem: 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;"|14 aug 1964
+
|style="background-color: white;"|18 sep 1963
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
 
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Verzekering
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Eind datum tijd
 
|style="background-color: white;"|T + 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|style="background-color: white;"|Johanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|style="background-color: white;"|J
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Roepnaam
 
|style="background-color: white;"|Hanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|style="background-color: white;"|Bakker
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|style="background-color: white;"|+31645678912
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Email adres
 
|style="background-color: white;"|jbakker@123net.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Relatie
 
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sturende organisatie
 
|colspan="7"|Sturende organisatie
Regel 1.041: Regel 944:
 
|colspan="4"|Organisatie type
 
|colspan="4"|Organisatie type
 
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Ontvangende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Organisatie type
 
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|}
 
|}
=== Algemene patienten context===
+
=== Medische context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="30%"| Gegevenselement
 
|colspan="4" width="30%"| Gegevenselement
Regel 1.065: Regel 954:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Juridische situatie
+
|colspan="5"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|<span id="JuridischeSituatie-01" title="Intern ID = JuridischeSituatie-01">Juridische situatie JuridischeSituatie-01</span>
+
|colspan="4"|Probleem
 
|-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"|Vertegenwoordiging
+
|colspan="2"|Probleem naam
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
+
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum aanvang
+
|colspan="2"|Probleem status
|style="background-color: white;"|T - 1 jaar
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|}
 
|}
=== Medische context===
+
=== Verpleegkundige context zorgplan===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verpleegkundige context zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="30%"| Gegevenselement
+
|colspan="5" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Medische diagnose
+
|colspan="6"|Actuele patientproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Patientprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Toelichting
 
|style="background-color: white;"|niet bekend met neurologische klachten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|<span id="t-1.3-patientprobleem-01" title="Intern ID = t-1.3-patientprobleem-01">Probleem t-1.3-patientprobleem-01</span>
 
|-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"|Probleem naam
 
|colspan="2"|Probleem naam
|style="background-color: white;"|neoplasma van colon (code = '126838000')
+
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Voorgeschiedenis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Let op
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Alert
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-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"|Alert naam
+
|colspan="2"|Interventie
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|}<section end=eovd-saa-tst-1.3-minimaal />
|colspan="4"|Alert
+
<section begin=eovd-saa-tst-1.4-minimaal />
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
==Test Aanmelding 1.4==
|rowspan="2"|
+
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
=== Administratieve gegevens===
|colspan="2"|Alert naam
 
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Vrijheidsbeperking
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Vrijheidsbeperkende interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Wilsbekwaam
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Juridische situatie
 
|style="background-color: white;"|Zie [[#JuridischeSituatie-01|Juridische situatie: JuridischeSituatie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Soort interventie
 
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Reden van toepassen
 
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Instemming
 
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin
 
|style="background-color: white;"|T - 50 dagen
 
|}
 
=== Verpleegkundige context zorgplan===
 
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="30%"| Gegevenselement
 
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Actuele patientproblemen
+
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="64"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patientprobleem
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="patientprobleem-01" title="Intern ID = patientprobleem-01">Probleem patientprobleem-01</span>
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Initialen
|style="background-color: white;"|probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|N
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Toelichting
 
|style="background-color: white;"|meneer kan niet buigen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verpleegkundige interventie
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie
+
|colspan="2"|Voorvoegsels
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|van
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Achternaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|XXX_Grieken
|colspan="2"|Probleem
 
|style="background-color: white;"|Zie [[#patientprobleem-01|Probleem: patientprobleem-01]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Straat
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Patientprobleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|colspan="3"|Huisnummer
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1002
|colspan="5"|<span id="patientprobleem-02" title="Intern ID = patientprobleem-02">Probleem patientprobleem-02</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Woonplaats
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem status
+
|colspan="3"|Adres soort
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999900109 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie
+
|colspan="4"|Geboortedatum
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|18 sep 1963
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Geslacht
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|colspan="2"|Probleem
 
|style="background-color: white;"|Zie [[#patientprobleem-02|Probleem: patientprobleem-02]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patientprobleem
+
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="22"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|<span id="eovd-saa-tst-patientprobleem-03" title="Intern ID = eovd-saa-tst-patientprobleem-03">Probleem eovd-saa-tst-patientprobleem-03</span>
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem status
+
|colspan="4"|Organisatie naam
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|AB-zkh
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="4"|Organisatie locatie
 +
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie
+
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-03|Probleem: eovd-saa-tst-patientprobleem-03]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verpleegkundige interventie
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie
+
|colspan="2"|Telefoonnummer
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|+31182435770
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="4"|Email adressen
 
|-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"|Probleem
+
|colspan="2"|Email adres
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-03|Probleem: eovd-saa-tst-patientprobleem-03]]
+
|style="background-color: white;"|neurologie@ABZ.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Actie start datum tijd
+
|colspan="4"|Organisatie type
|style="background-color: white;"|T - 10 dagen
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="3"|Actie eind datum tijd
+
=== Medische context===
|style="background-color: white;"|T - 1 dag
+
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="5"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgverlener
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patientprobleem
+
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|<span id="eovd-saa-tst-patientprobleem-04" title="Intern ID = eovd-saa-tst-patientprobleem-04">Probleem eovd-saa-tst-patientprobleem-04</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-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"|Probleem naam
+
|colspan="2"|Probleem naam
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem status
+
|colspan="2"|Probleem status
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verpleegkundige interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Interventie
 
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|style="background-color: white;"|Zie [[#eovd-saa-tst-patientprobleem-04|Probleem: eovd-saa-tst-patientprobleem-04]]
 
 
|}
 
|}
=== Verpleegkundige context specificatie gezondheidstoestand===
+
=== Verpleegkundige context zorgplan===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="7" width="30%"| Gegevenselement
 
|colspan="7" width="30%"| Gegevenselement
Regel 1.364: Regel 1.143:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="8"|Voedingvocht
+
|colspan="8"|Actuele patientproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Sonde systeem
+
|colspan="7"|Patientprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Sonde
+
|colspan="6"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="4"|Probleem naam
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|colspan="4"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Probleem status
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|colspan="2"|Product type
 
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Product omschrijving
 
|style="background-color: white;"|PEJ sonde
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Infuus
+
|colspan="6"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Infuuskatheter
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="4"|Interventie
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Product type
 
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Product omschrijving
 
|style="background-color: white;"|centraal veneuze katheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Toelichting
 
|style="background-color: white;"|voor voeding
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Medisch hulpmiddel
 
|colspan="5"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Product
 
|colspan="4"|Product
Regel 1.432: Regel 1.177:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Product type
 
|colspan="2"|Product type
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|(code = '' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=eovd-saa-tst-1.4-minimaal />
|colspan="3"|Product omschrijving
 
|style="background-color: white;"|voor medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="8"|Uitscheiding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Stoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Stoma type
 
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Toelichting
 
|style="background-color: white;"|na subtotale darmresectie
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Stoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Stoma type
 
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 
|}<section end=eovd-saa-tst-q.qb-alle_zibs_kind_0-1_jaar />
 

Versie van 10 jan 2022 08:04

_NUMBEREDHEADINGS__


Addenda voor inhoudelijke gegevens

Test Aanmelding 1.1

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Voornamen Erik
Initialen E
Geslachtsnaam
Achternaam XXX_Altenborg
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911612 (in identificerend systeem: BSN)
Geboortedatum 14 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Eind datum tijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Contactpersoon
Naamgegevens
Voornamen Johanna
Initialen J
Roepnaam Hanna
Geslachtsnaam
Achternaam Bakker
Contactgegevens
Telefoonnummers
Telefoonnummer +31645678912
Email adressen
Email adres jbakker@123net.nl
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
Relatie Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
Contactpersoon
Naamgegevens
Voornamen Johannes
Roepnaam Hans
Geslachtsnaam
Voorvoegsels van
Achternaam Dijk
Contactgegevens
Telefoonnummers
Telefoonnummer +31612121212
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Achterneef
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Ontvangende organisatie
Zorgaanbieder
Afdeling specialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Organisatie type Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Algemene patienten context

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

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair incident (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem
Probleem naam neoplasma van colon (code = '126838000')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam inverse psoriasis (code = '238600001')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
Probleem naam diabetes mellitus (code = '73211009')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Let op
Alert
Alert naam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
Alert
Alert naam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
Vrijheidsbeperking
Vrijheidsbeperkende interventie
Wilsbekwaam Ja
Juridische situatie Zie Juridische situatie: t-1-1-juridischesituatie-01
Soort interventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
Reden van toepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen

Verpleegkundige context zorgplan

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

Verpleegkundige context specificatie gezondheidstoestand

Verpleegkundige context specificatie gezondheidstoestand
Gegevenselement Waarde
Voedingvocht
Sonde systeem
Sonde
Medisch hulpmiddel
Product
Product type Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
Product omschrijving neus- maagsonde
Toelichting wegens misselijkheid door chemotherapie
Sonde systeem
Sonde
Medisch hulpmiddel
Product
Product type PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
Product omschrijving PEJ sonde
Infuus
Infuuskatheter
Medisch hulpmiddel
Product
Product type Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
Product omschrijving centraal veneuze katheter
Toelichting voor voeding
Infuus
Infuuskatheter
Medisch hulpmiddel
Product
Product type Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
Product omschrijving Perifeer intraveneus infuus
Toelichting voor medicatie
Uitscheiding
Stoma
Stoma type eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
Toelichting na subtotale darmresectie wegens coloncarcinoom
Stoma
Stoma type urostoma (code = '281601009' in codeSystem 'SNOMED CT')

Test Aanmelding 1.2

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen M
Geslachtsnaam
Voorvoegsels van de
Achternaam XXX_Quigleys
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999ZA
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900912 (in identificerend systeem: BSN)
Geboortedatum 5 nov 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Eind datum tijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 75616161 (in identificerend systeem: AGB-Z)
Organisatie naam HomeCare
Organisatie type Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Ontvangende organisatie
Zorgaanbieder
Afdeling specialisme Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem t-1-2-probleem-01
Probleem naam pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting bij lopen
Verpleegkundige interventie
Interventie afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-2-probleem-01

Test Aanmelding 1.3

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen J
Geslachtsnaam
Achternaam XXX_Verhulst
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900092 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem t-1.3-patientprobleem-01
Probleem naam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')

Test Aanmelding 1.4

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen N
Geslachtsnaam
Voorvoegsels van
Achternaam XXX_Grieken
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999XX
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900109 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Medisch hulpmiddel
Product
Product type (code = in codeSystem 'SNOMED Clinical Terms')