Gebz:Vdraft AddendaKwalificatieKernsetGeboortezorg23 Dekkingsgraad: verschil tussen versies
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Regel 56: | Regel 56: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Autoimmuun aandoening | |colspan="2"|Autoimmuun aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96') - Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Cardiovasculaire aandoening | |colspan="2"|Cardiovasculaire aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96') - Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Urogenitale aandoening | |colspan="2"|Urogenitale aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Oncologische aandoening | |colspan="2"|Oncologische aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Schildklier aandoening | |colspan="2"|Schildklier aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Diabetes mellitus? | |colspan="2"|Diabetes mellitus? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Neurologische aandoening | |colspan="2"|Neurologische aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Infectieziekte | |colspan="2"|Infectieziekte | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Mdl aandoening | |colspan="2"|Mdl aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Anemie | |colspan="2"|Anemie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Longaandoening | |colspan="2"|Longaandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Gynaecologische aandoening | |colspan="2"|Gynaecologische aandoening | ||
Regel 92: | Regel 92: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Orthopedische afwijking | |colspan="2"|Orthopedische afwijking | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bloedtransfusie? | |colspan="2"|Bloedtransfusie? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Transfusiereactie? | |colspan="2"|Transfusiereactie? | ||
Regel 101: | Regel 101: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Type operatie | |colspan="2"|Type operatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Type stollingsprobleem | |colspan="2"|Type stollingsprobleem | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Psychiatrie? | |colspan="2"|Psychiatrie? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Overige aandoening? | |colspan="2"|Overige aandoening? | ||
Regel 125: | Regel 125: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Datum start zorgverantwoordelijkheid | |colspan="7"|Datum start zorgverantwoordelijkheid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 mrt 2014 00:00 - 28 aug 2018 - 12 mei 2014 00:00 - 10 mrt 2014 00:00 - 7 aug 2014 00:00 - 3 feb 2014 00:00 - 9 dec 2013 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Datum einde zorgverantwoordelijkheid | |colspan="7"|Datum einde zorgverantwoordelijkheid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|12 nov 2014 00:00 - 28 nov 2018 - 9 okt 2014 00:00 - 3 nov 2014 00:00 - 15 sep 2014 00:00 - 6 aug 2014 00:00 - 4 aug 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Eindverantwoordelijk in welke perinatale periode? | |colspan="7"|Eindverantwoordelijk in welke perinatale periode? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Conclusie risicostatus na intake | |colspan="7"|Conclusie risicostatus na intake | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="8"|Verwijsdetails | |colspan="8"|Verwijsdetails | ||
Regel 141: | Regel 141: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Datum verwijzing | |colspan="6"|Datum verwijzing | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|6 mei 2014 00:00 - 6 aug 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Verwijzing van | |colspan="7"|Verwijzing van | ||
Regel 152: | Regel 152: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder identificatie nummer | |colspan="4"|Zorgaanbieder identificatie nummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Verwijzing naar | |colspan="7"|Verwijzing naar | ||
Regel 166: | Regel 166: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder identificatie nummer | |colspan="4"|Zorgaanbieder identificatie nummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Type verwijzing | |colspan="5"|Type verwijzing | ||
Regel 266: | Regel 266: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Hypertensieve aandoening | |colspan="3"|Hypertensieve aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapscholestase? | |colspan="3"|Zwangerschapscholestase? | ||
Regel 312: | Regel 312: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Hypertensieve aandoening | |colspan="3"|Hypertensieve aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapscholestase? | |colspan="3"|Zwangerschapscholestase? | ||
Regel 406: | Regel 406: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Perinatale periode | |colspan="6"|Perinatale periode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') |
|}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Zorgverlenerzorginstelling === | === Zorgverlenerzorginstelling === | ||
<section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | <section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
{| 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="4" | Zorgverlenerzorginstelling |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
− | |colspan=" | + | |colspan="3" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorginstelling | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorginstelling agbid | ||
+ | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorginstelling lvrid | |colspan="2"|Zorginstelling lvrid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) |
|}<section end=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap === | === Obstetrische anamnese gegroepeerd per voorgaande zwangerschap === | ||
Regel 430: | Regel 437: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Wijze einde zwangerschap | |colspan="7"|Wijze einde zwangerschap | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Definitieve a terme datum | |colspan="7"|Definitieve a terme datum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 dec 2011 - 9 okt 2014 - 5 jun 2013 - 8 sep 2014 - 5 jun 2013 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 18 aug 2014 - 5 jun 2012 - 22 jul 2014 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="8"|Diagnose | |colspan="8"|Diagnose | ||
Regel 440: | Regel 447: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Gynaecologische aandoening | |colspan="6"|Gynaecologische aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Bloedverlies? | |colspan="6"|Bloedverlies? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Cervixinsufficientie? | |colspan="6"|Cervixinsufficientie? | ||
Regel 449: | Regel 456: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Infectie | |colspan="6"|Infectie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Hyperemesis gravidarum? | |colspan="6"|Hyperemesis gravidarum? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Hypertensieve aandoening | |colspan="6"|Hypertensieve aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zwangerschapscholestase? | |colspan="6"|Zwangerschapscholestase? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Diabetes gravidarum met insuline? | |colspan="6"|Diabetes gravidarum met insuline? | ||
Regel 464: | Regel 471: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Afwijkende groei foetus | |colspan="6"|Afwijkende groei foetus | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Dreigende partus immaturus? | |colspan="6"|Dreigende partus immaturus? | ||
Regel 473: | Regel 480: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Abruptio placentae? | |colspan="6"|Abruptio placentae? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Irregulaire antistoffen? | |colspan="7"|Irregulaire antistoffen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="8"|Eerdere bevalling | |colspan="8"|Eerdere bevalling | ||
Regel 487: | Regel 494: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geboorte placenta | |colspan="5"|Geboorte placenta | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|(code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - goed (code = '289431008' in codeSystem 'Snomed CT') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Strippen (code = '236960006' in codeSystem 'Snomed CT') - wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = '' in codeSystem '') - Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = '' in codeSystem '') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = '' in codeSystem '') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Hoeveelheid bloedverlies | |colspan="6"|Hoeveelheid bloedverlies | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2014-03-01T00:00:00 - 2014-11-12T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 1 - - 999910413 - 000000 - 1976-05-02 - - 6 - - 170 cm - 1 - 2011-12-01 - False - - 0cbda760-1fdd-11e9-b56e-0800200c9a66 - 2 - 1 - 2014-10-09 - - - - False - 1 - 000000 - 1 - 1 - - 3 - 2014-10-08T14:30:00 - - - 615 ml - 2 - - - - 2018-08-28 - 2018-11-28 - 1 - 2 - 1 - - - 961921821 - * - 1974-09-11 - - 3 - - 184 cm - 2 - 2013-06-05 - - True - 5460cff0-2089-11e9-b56e-0800200c9a66 - 2 - 0 - 2014-09-08 - - - - False - 2014-05-12T00:00:00 - 2014-10-09T00:00:00 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - - - 961921821 - * - 1974-09-11 - - 3 - - 184 cm - 2 - 2013-06-05 - - True - C2204d20-209a-11e9-b56e-0800200c9a66 - 2 - 0 - 2014-09-08 - - - - False - 1 - 000000 - 1 - 2 - - 3 - 2014-08-30T14:09:00 - - - 980 ml - 1 - - - - - 2014-03-10T00:00:00 - 2014-11-03T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 3 - - 895623146 - 000000 - 1985-08-05 - - 5 - - 167 cm - True - 2 - Ad9c3280-209d-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-09-22 - - - - False - 1 - 000000 - - 2 - 2 - 2 - 2014-08-27T22:09:00 - - - 1740 ml - 9 - - - - - 2014-08-07T00:00:00 - 2014-09-15T00:00:00 - 7 - 8 - 5 - - - 850810711 - * - 1987-08-06 - - 5 - - 162 cm - True - 1 - 05e54070-209f-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-08-18 - True - 1 - 1 - 2 - 2 - 2014-08-03T21:09:00 - - - 1120 ml - 4 - - - - - 2014-02-03T00:00:00 - 2014-08-06T00:00:00 - 2 - 3 - 4 - 5 - 6 - 7 - 5 - - - 850810711 - * - 1987-08-06 - - 5 - - 162 cm - True - 1 - E1691540-209f-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-08-18 - - - - False - 1 - - 1 - 2 - 2 - 2014-08-03T21:09:00 - - - 1120 ml - 4 - - - 2013-12-09T00:00:00 - 2014-08-04T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 3 - - 912345676 - * - 1993-03-04 - - 1 - - 186 cm - 1 - 2012-06-05 - - True - - 68a34ee0-20a0-11e9-b56e-0800200c9a66 - 2 - 1 - 2014-07-22 - - - - 2 - True - 1 - 000000 - 1 - 2 - - 3 - - - 1500 ml - 1 - - - - |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Vorige uitkomst per kind | |colspan="7"|Vorige uitkomst per kind | ||
Regel 508: | Regel 515: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Type partus | |colspan="3"|Type partus | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Percentiel van het geboortegewicht | |colspan="3"|Percentiel van het geboortegewicht | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|50 ≤ P < 90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Apgarscore na 5 min | |colspan="3"|Apgarscore na 5 min | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|8 - 10 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Congenitale afwijkingen? | |colspan="3"|Congenitale afwijkingen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Congenitale afwijkingen groep | |colspan="4"|Congenitale afwijkingen groep | ||
Regel 536: | Regel 543: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Graviditeit | |colspan="4"|Graviditeit | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 - 2 - 2 - 1 - 1 - 1 - 2 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Pariteit voor deze zwangerschap | |colspan="4"|Pariteit voor deze zwangerschap | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 - 0 - 0 - 0 - 0 - 0 - 1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Definitieve a terme datum | |colspan="4"|Definitieve a terme datum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 dec 2011 - 9 okt 2014 - 5 jun 2013 - 8 sep 2014 - 5 jun 2013 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 18 aug 2014 - 5 jun 2012 - 22 jul 2014 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voornemens | |colspan="5"|Voornemens | ||
Regel 549: | Regel 556: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie | |colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Prenatale controle | |colspan="5"|Prenatale controle | ||
Regel 556: | Regel 563: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Datum controle | |colspan="3"|Datum controle | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapsduur | |colspan="3"|Zwangerschapsduur | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|59 dagen - 59 dagen - 155 dagen - 155 dagen - 161 dagen - 161 dagen - 156 dagen - 156 dagen - 149 dagen - 149 dagen - 86 dagen - 86 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Leven voelen | |colspan="3"|Leven voelen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|goed (code = '289431008' in codeSystem 'Snomed CT') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Rookgedrag | |colspan="3"|Rookgedrag | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Alcoholgebruik | |colspan="3"|Alcoholgebruik | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Drugsgebruik? | |colspan="3"|Drugsgebruik? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Nee - Nee - Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gewicht gemeten | |colspan="3"|Gewicht gemeten | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|70 kg - 85 kg - 85 kg - 67 kg - 82 kg - 89 kg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Diagnose | |colspan="5"|Diagnose | ||
Regel 581: | Regel 588: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Datum | |colspan="3"|Datum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 3 sep 2014 00:00 - 21 mei 2014 00:00 - 8 aug 2014 00:00 - 8 aug 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 24 jul 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapsduur | |colspan="3"|Zwangerschapsduur | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|59 dagen - 59 dagen - 155 dagen - 155 dagen - 161 dagen - 161 dagen - 156 dagen - 156 dagen - 149 dagen - 149 dagen - 86 dagen - 86 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gynaecologische aandoening | |colspan="3"|Gynaecologische aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Bloedverlies? | |colspan="3"|Bloedverlies? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Partiele mola? | |colspan="3"|Partiele mola? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Cervixinsufficientie? | |colspan="3"|Cervixinsufficientie? | ||
Regel 599: | Regel 606: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Infectie | |colspan="3"|Infectie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Hyperemesis gravidarum? | |colspan="3"|Hyperemesis gravidarum? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Hypertensieve aandoening | |colspan="3"|Hypertensieve aandoening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapscholestase? | |colspan="3"|Zwangerschapscholestase? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Diabetes gravidarum met insuline? | |colspan="3"|Diabetes gravidarum met insuline? | ||
Regel 614: | Regel 621: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Afwijkende groei foetus | |colspan="3"|Afwijkende groei foetus | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Dreigende partus immaturus? | |colspan="3"|Dreigende partus immaturus? | ||
Regel 623: | Regel 630: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Abruptio placentae? | |colspan="3"|Abruptio placentae? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Navelstrengprolaps? | |colspan="3"|Navelstrengprolaps? | ||
Regel 642: | Regel 649: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Intrauteriene behandeling | |colspan="4"|Intrauteriene behandeling | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Maternale sterfte? | |colspan="4"|Maternale sterfte? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Nee - Nee - Ja - Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Wijze einde zwangerschap | |colspan="4"|Wijze einde zwangerschap | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') |
|}<section end=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Bevalling === | === Bevalling === | ||
Regel 660: | Regel 667: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Partusnummer | |colspan="4"|Partusnummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|000000 - 000000 - 000000 - 000000 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Diagnose bevalling | |colspan="5"|Diagnose bevalling | ||
Regel 667: | Regel 674: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Pprom? | |colspan="3"|Pprom? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Prom? | |colspan="3"|Prom? | ||
Regel 676: | Regel 683: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Niet vorderende ontsluiting? | |colspan="3"|Niet vorderende ontsluiting? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Niet vorderende uitdrijving? | |colspan="3"|Niet vorderende uitdrijving? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Verdenking foetale nood? | |colspan="3"|Verdenking foetale nood? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Intrauteriene vruchtdood | |colspan="4"|Intrauteriene vruchtdood | ||
Regel 701: | Regel 708: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aantal geboren kinderen | |colspan="4"|Aantal geboren kinderen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 - 1 - 2 - 1 - 1 - 1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Risicostatus voor baring | |colspan="4"|Risicostatus voor baring | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Interventies begin baring | |colspan="5"|Interventies begin baring | ||
Regel 711: | Regel 718: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Interventie begin baring | |colspan="3"|Interventie begin baring | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Indicatie interventie begin baring | |colspan="3"|Indicatie interventie begin baring | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Wijze waarop de baring begon | |colspan="4"|Wijze waarop de baring begon | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Tijdstip begin actieve ontsluiting | |colspan="4"|Tijdstip begin actieve ontsluiting | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|8 okt 2014 14:30 - 30 aug 2014 14:09 - 27 aug 2014 22:09 - 3 aug 2014 21:09 - 3 aug 2014 21:09 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Medicatie nageboortetijdperk groep | |colspan="5"|Medicatie nageboortetijdperk groep | ||
Regel 727: | Regel 734: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Medicatie nageboortetijdperk? | |colspan="3"|Medicatie nageboortetijdperk? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - UNK - Nee - Ja - Ja - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Soort medicatie nageboortetijdperk | |colspan="3"|Soort medicatie nageboortetijdperk | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Placenta | |colspan="5"|Placenta | ||
Regel 737: | Regel 744: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geboorte placenta | |colspan="3"|Geboorte placenta | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Hoeveelheid bloedverlies | |colspan="4"|Hoeveelheid bloedverlies | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|615 ml - 980 ml - 1740 ml - 1120 ml - 1120 ml - 1500 ml |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Conditie perineum postpartum | |colspan="4"|Conditie perineum postpartum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') |
|}<section end=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Uitkomst per kind === | === Uitkomst per kind === | ||
Regel 759: | Regel 766: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Werkelijke plaats baring type locatie | |colspan="6"|Werkelijke plaats baring type locatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Ziekenhuis baring | |colspan="7"|Ziekenhuis baring | ||
Regel 766: | Regel 773: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Ziekenhuisnummer lvrid | |colspan="5"|Ziekenhuisnummer lvrid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Demografische gegevens | |colspan="7"|Demografische gegevens | ||
Regel 777: | Regel 784: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Bsn kind | |colspan="4"|Bsn kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 840736526 - 528741913 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geslacht medische observatie | |colspan="5"|Geslacht medische observatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geboortedatum | |colspan="5"|Geboortedatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|8 okt 2014 00:00 - 1 sep 2014 02:34 - 28 aug 2014 06:30 - 28 aug 2014 07:02 - 4 aug 2014 23:35 - 4 aug 2014 23:35 - 24 jul 2014 02:30 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Rangnummer kind | |colspan="5"|Rangnummer kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1808 - 4563 AB - true - - - 550 - - 1 - 2014-03-02T00:00:00 - 59 - 1 - 1 - 1 - false - 70 - 2014-03-02T00:00:00 - 59 - 2 - 1 - 11 - true - 1 - 1 - 2 - - - - - - 2014-05-06T00:00:00 - - - - 3 - 1504 - 5689 CZ - false - true - true - 4 - 2014-05-06T00:00:00 - 155 - 2 - 5 - 1 - false - 85 - 2014-05-06T00:00:00 - 155 - 1 - - - - 0003 - 5689 CZ - false - 1 - true - true - 2014-05-12T00:00:00 - 161 - 3 - 5 - 1 - false - 85 - 2014-05-12T00:00:00 - 161 - 1 - true - 2 - 7 - 2 - UNK - 4 - 3 - - - - - - 2014-09-03T00:00:00 - 16 - - 9999 - 5421 JG - true - - 3 - 2014-05-21T00:00:00 - 156 - 1 - 1 - 1 - false - 67 - 2014-05-21T00:00:00 - 156 - true - 2 - 2 - true - true - true - false - 2 - 3 - - - - - 3 - - - - - - 1 - - - - - - 1410 - 4589 BA - true - - true - 2 - 1 - 3 - - - - - 2014-08-08T00:00:00 - 10 - 2014-08-08T00:00:00 - 17 - - 2014-08-06T00:00:00 - - - - 14 - 0010 - 4589 BA - true - - 3 - 2014-05-07T00:00:00 - 149 - 1 - 1 - 1 - false - 82 - 2014-05-07T00:00:00 - 149 - 2 - true - true - true - 2 - 1 - 3 - - - - - - 0179 - 9562 GF - true - - 2 - true - 3 - - - 7 - 2014-01-09T00:00:00 - 86 - 4 - 6 - 1 - true - 89 - 2014-01-09T00:00:00 - 86 - 1 - true - 7 - 2 - false - 4 - 3 - - - - - - 2014-07-24T00:00:00 - 6 - |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Perinatale sterfte groep | |colspan="6"|Perinatale sterfte groep | ||
Regel 793: | Regel 800: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Perinatale sterfte? | |colspan="4"|Perinatale sterfte? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Nee - Ja - Nee - Nee - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Fase perinatale sterfte | |colspan="4"|Fase perinatale sterfte | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Datumtijd vaststelling perinatale sterfte | |colspan="4"|Datumtijd vaststelling perinatale sterfte | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|28 aug 2014 08:10 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Kindspecifieke maternale gegevens | |colspan="7"|Kindspecifieke maternale gegevens | ||
Regel 809: | Regel 816: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Tijdstip breken vliezen | |colspan="5"|Tijdstip breken vliezen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|8 okt 2014 09:15 - 30 aug 2014 23:04 - 27 aug 2014 22:09 - 27 aug 2014 23:13 - 3 aug 2014 07:04 - 3 aug 2014 07:04 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Kleur en consistentie vruchtwater | |colspan="5"|Kleur en consistentie vruchtwater | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Tijdstip actief meepersen | |colspan="5"|Tijdstip actief meepersen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|8 okt 2014 12:13 - 27 aug 2014 23:49 - 28 aug 2014 06:45 - 4 aug 2014 22:15 - 4 aug 2014 22:15 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Episiotomie? | |colspan="5"|Episiotomie? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - Ja - Ja - Ja - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Indicatie episiotomie | |colspan="5"|Indicatie episiotomie | ||
Regel 824: | Regel 831: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Locatie episiotomie | |colspan="5"|Locatie episiotomie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Ruggeprik gewenst niet gekregen? | |colspan="5"|Ruggeprik gewenst niet gekregen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Nee - Nee - Nee - Nee - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Pijnbestrijding? | |colspan="5"|Pijnbestrijding? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - Ja - Ja - Ja - Ja - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Pijnbestrijding | |colspan="6"|Pijnbestrijding | ||
Regel 841: | Regel 848: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Methode | |colspan="3"|Methode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|(code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Overig middel | |colspan="4"|Overig middel | ||
Regel 848: | Regel 855: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Middel | |colspan="2"|Middel | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toediening | |colspan="2"|Toediening | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Periode | |colspan="4"|Periode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Sedatie? | |colspan="5"|Sedatie? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - Nee - Nee - Nee - Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Kindspecifieke uitkomstgegevens | |colspan="7"|Kindspecifieke uitkomstgegevens | ||
Regel 864: | Regel 871: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Type partus | |colspan="5"|Type partus | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Ligging bij geboorte | |colspan="5"|Ligging bij geboorte | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Aanpakker kind - rol aanpakker kind | |colspan="5"|Aanpakker kind - rol aanpakker kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Supervisor - rol supervisor | |colspan="5"|Supervisor - rol supervisor | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Vaginale kunstverlossing groep | |colspan="6"|Vaginale kunstverlossing groep | ||
Regel 880: | Regel 887: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Vaginale kunstverlossing | |colspan="4"|Vaginale kunstverlossing | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Succes vaginale kunstverlossing? | |colspan="4"|Succes vaginale kunstverlossing? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ja - Ja - Ja - Ja - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Sectio caesarea group | |colspan="6"|Sectio caesarea group | ||
Regel 890: | Regel 897: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Beslismoment sectio caesarea | |colspan="4"|Beslismoment sectio caesarea | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Indicatie primaire sectio | |colspan="4"|Indicatie primaire sectio | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Indicatie secundaire sectio | |colspan="4"|Indicatie secundaire sectio | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Overige interventies | |colspan="5"|Overige interventies | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Lichamelijk onderzoek kind | |colspan="6"|Lichamelijk onderzoek kind | ||
Regel 909: | Regel 916: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortegewicht | |colspan="4"|Geboortegewicht | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 4205 gram - 3750 gram |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Congenitale afwijkingen? | |colspan="5"|Congenitale afwijkingen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Nee - Ja - Nee - Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Congenitale afwijkingen groep | |colspan="6"|Congenitale afwijkingen groep | ||
Regel 923: | Regel 930: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Specificatie congenitale afwijking | |colspan="3"|Specificatie congenitale afwijking | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Chromosomale afwijkingen? | |colspan="4"|Chromosomale afwijkingen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Specificatie chromosomale afwijking groep | |colspan="5"|Specificatie chromosomale afwijking groep | ||
Regel 933: | Regel 940: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Specificatie chromosomale afwijking | |colspan="3"|Specificatie chromosomale afwijking | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Problematiek kind? | |colspan="5"|Problematiek kind? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Nee - Ja - Ja - Nee - Nee - Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Problematiek kind | |colspan="5"|Problematiek kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96') - Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96') - Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Kinderarts betrokken? | |colspan="5"|Kinderarts betrokken? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - Ja - Ja - Ja - Ja - Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Betrokkenheid kinderarts | |colspan="6"|Betrokkenheid kinderarts | ||
Regel 949: | Regel 956: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Datum betrokkenheid | |colspan="4"|Datum betrokkenheid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 sep 2014 00:00 - 28 aug 2014 00:00 - 28 aug 2014 00:00 - 4 aug 2014 00:00 - 4 aug 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Reden betrokkenheid | |colspan="4"|Reden betrokkenheid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Type betrokkenheid | |colspan="4"|Type betrokkenheid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorginstelling lvrid | |colspan="4"|Zorginstelling lvrid | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|0003 - 9999 - 0001 - 0010 - 0010 |
|}<section end=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Medisch onderzoek === | === Medisch onderzoek === | ||
Regel 974: | Regel 981: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Irregulaire antistoffen? | |colspan="2"|Irregulaire antistoffen? | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nee - Ja - 1 - Nee - Nee - Ja - 4 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig | |colspan="2"|Welke irregulaire antistoffen vrouw aanwezig | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|(code = '' in codeSystem '') - (code = '' in codeSystem '') - Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - (code = '' in codeSystem '') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96') |
|}<section end=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
=== Postnatale fase === | === Postnatale fase === | ||
Regel 993: | Regel 1.000: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Datum | |colspan="3"|Datum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 3 sep 2014 00:00 - 21 mei 2014 00:00 - 8 aug 2014 00:00 - 8 aug 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 24 jul 2014 00:00 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Pathologie vrouw | |colspan="3"|Pathologie vrouw | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Kindspecifieke gegevens | |colspan="5"|Kindspecifieke gegevens | ||
Regel 1.003: | Regel 1.010: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Rangnummer kind | |colspan="3"|Rangnummer kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Voeding kind groep | |colspan="4"|Voeding kind groep | ||
Regel 1.010: | Regel 1.017: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Voeding kind datum | |colspan="2"|Voeding kind datum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|12 okt 2014 - 7 okt 2014 - 3 sep 2014 - 15 sep 2014 - 24 jul 2014 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Substantie voeding kind | |colspan="2"|Substantie voeding kind | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - borstmelk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') |
|}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | |}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 /> | ||
[[Categorie:Kwalificatie]] | [[Categorie:Kwalificatie]] |
Versie van 25 jan 2019 17:05
{{#customtitle:Kernset Geboortezorg 2.3 - dekkingsgraad scenario's}}
Deze pagina is nog in bewerking |
1 Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3
1.1 Scenario (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676)
Vrouw | ||
Gegevenselement | Waarde | |
Burgerservicenummer | 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 | |
Lokale persoonsidentificatie | 000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - 000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) | |
Geboortedatum | 2 mei 1976 - 11 sep 1974 - 11 sep 1974 - 5 aug 1985 - 6 aug 1987 - 6 aug 1987 - 4 mrt 1993 | |
Adres - postcode | 4563 AB - 5689 CZ - 5689 CZ - 5421 JG - 4589 BA - 4589 BA - 9562 GF | |
Etniciteit | Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28') | |
Lengte gemeten | 170 cm - 184 cm - 184 cm - 167 cm - 162 cm - 162 cm - 186 cm | |
Vrouwelijke genitale verminking? | Ja - Ja - Ja | |
Type vrouwelijke genitale verminking | Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96') |
1.1.1 Anamnese
Anamnese | |||
Gegevenselement | Waarde | ||
Onder behandeling geweest? | Ja - Nee - Nee - Ja - Ja - Ja - Ja | ||
Algemene anamnese | |||
Autoimmuun aandoening | Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96') - Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96') | ||
Cardiovasculaire aandoening | Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96') - Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96') | ||
Urogenitale aandoening | Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') | ||
Oncologische aandoening | Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') | ||
Schildklier aandoening | Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') | ||
Diabetes mellitus? | Ja - Ja - Ja | ||
Neurologische aandoening | Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') | ||
Infectieziekte | Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96') | ||
Mdl aandoening | Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') | ||
Anemie | Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') | ||
Longaandoening | Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') | ||
Gynaecologische aandoening | |||
Orthopedische afwijking | Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') | ||
Bloedtransfusie? | Ja | ||
Transfusiereactie? | |||
Type operatie | Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') | ||
Type stollingsprobleem | Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') | ||
Psychiatrie? | Ja | ||
Overige aandoening? | |||
Overige aandoening |
1.1.2 Zorgverlening
Zorgverlening | |||||||
Gegevenselement | Waarde | ||||||
Datum start zorgverantwoordelijkheid | 1 mrt 2014 00:00 - 28 aug 2018 - 12 mei 2014 00:00 - 10 mrt 2014 00:00 - 7 aug 2014 00:00 - 3 feb 2014 00:00 - 9 dec 2013 00:00 | ||||||
Datum einde zorgverantwoordelijkheid | 12 nov 2014 00:00 - 28 nov 2018 - 9 okt 2014 00:00 - 3 nov 2014 00:00 - 15 sep 2014 00:00 - 6 aug 2014 00:00 - 4 aug 2014 00:00 | ||||||
Eindverantwoordelijk in welke perinatale periode? | start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') | ||||||
Conclusie risicostatus na intake | 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') | ||||||
Verwijsdetails | |||||||
Datum verwijzing | 6 mei 2014 00:00 - 6 aug 2014 00:00 | ||||||
Verwijzing van | |||||||
Zorginstelling | |||||||
Zorgaanbieder identificatie nummer | 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) | ||||||
Specialisme | Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') | ||||||
Verwijzing naar | |||||||
Zorginstelling | |||||||
Zorgaanbieder identificatie nummer | 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) | ||||||
Specialisme | Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') | ||||||
Type verwijzing | |||||||
Redenen van verwijzing | |||||||
Van 1e naar 2e lijn | |||||||
Algemene anamnese | |||||||
Autoimmuun aandoening | |||||||
Cardiovasculaire aandoening | |||||||
Urogenitale aandoening | |||||||
Oncologische aandoening | |||||||
Schildklier aandoening | |||||||
Diabetes mellitus? | |||||||
Neurologische aandoening | |||||||
Infectieziekte | |||||||
Mdl aandoening | |||||||
Anemie | |||||||
Longaandoening | |||||||
Gynaecologische aandoening | |||||||
Orthopedische afwijking | |||||||
Bloedtransfusie? | |||||||
Transfusiereactie? | |||||||
Type operatie | |||||||
Type stollingsprobleem | |||||||
Psychiatrie? | |||||||
Overige aandoening? | |||||||
Obstetrische anamnese | |||||||
Gynaecologische aandoening | |||||||
Bloedverlies? | |||||||
Partiele mola? | |||||||
Cervixinsufficientie? | |||||||
Infectie | |||||||
Hyperemesis gravidarum? | |||||||
Hypertensieve aandoening | Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT') | ||||||
Zwangerschapscholestase? | |||||||
Diabetes gravidarum met insuline? | |||||||
Afwijkende groei foetus | |||||||
Dreigende partus immaturus? | |||||||
Dreigende partus prematurus? | |||||||
Abruptio placentae? | |||||||
Fluxus postpartum? | |||||||
Zwangerschap | |||||||
Gynaecologische aandoening | |||||||
Bloedverlies? | |||||||
Partiele mola? | |||||||
Cervixinsufficientie? | |||||||
Infectie | |||||||
Hyperemesis gravidarum? | |||||||
Hypertensieve aandoening | Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT') | ||||||
Zwangerschapscholestase? | |||||||
Diabetes gravidarum met insuline? | |||||||
Afwijkende groei foetus | |||||||
Dreigende partus immaturus? | |||||||
Dreigende partus prematurus? | |||||||
Abruptio placentae? | |||||||
Navelstrengprolaps? | |||||||
Liggingsafwijking | |||||||
Intrauteriene vruchtdood | |||||||
Vermoeden intrauteriene vruchtdood? | |||||||
Einde zwangerschap | |||||||
Bevalling | |||||||
Pprom? | |||||||
Prom? | |||||||
Koorts? | |||||||
Niet vorderende ontsluiting? | |||||||
Niet vorderende uitdrijving? | |||||||
Verdenking foetale nood? | |||||||
Intrauteriene vruchtdood | |||||||
Vermoeden intrauteriene vruchtdood? | |||||||
Vastzittende placenta? | |||||||
Conditie perineum postpartum | |||||||
Fluxus postpartum? | |||||||
Postnatale fase | |||||||
Pathologie vrouw | |||||||
Overig | |||||||
Van 2e naar 3e lijn | |||||||
Van 2e naar 1e lijn | |||||||
Van 3e naar 2e lijn | |||||||
Perinatale periode | voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') |
1.1.3 Zorgverlenerzorginstelling
Zorgverlenerzorginstelling | |||
Gegevenselement | Waarde | ||
Zorginstelling | |||
Zorginstelling agbid | |||
Zorginstelling lvrid | 1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) |
1.1.4 Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
Obstetrische anamnese gegroepeerd per voorgaande zwangerschap | |||||||
Gegevenselement | Waarde | ||||||
Wijze einde zwangerschap | Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') | ||||||
Definitieve a terme datum | 1 dec 2011 - 9 okt 2014 - 5 jun 2013 - 8 sep 2014 - 5 jun 2013 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 18 aug 2014 - 5 jun 2012 - 22 jul 2014 | ||||||
Diagnose | |||||||
Gynaecologische aandoening | Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Bloedverlies? | Ja - Ja - Ja | ||||||
Cervixinsufficientie? | |||||||
Infectie | Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Hyperemesis gravidarum? | Ja - Ja | ||||||
Hypertensieve aandoening | Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Zwangerschapscholestase? | Ja | ||||||
Diabetes gravidarum met insuline? | |||||||
Afwijkende groei foetus | Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Dreigende partus immaturus? | |||||||
Dreigende partus prematurus? | |||||||
Abruptio placentae? | Ja - Ja | ||||||
Irregulaire antistoffen? | Nee - Ja - Ja - Ja | ||||||
Eerdere bevalling | |||||||
Placenta | |||||||
Geboorte placenta | (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - goed (code = '289431008' in codeSystem 'Snomed CT') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Strippen (code = '236960006' in codeSystem 'Snomed CT') - wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = in codeSystem ) - Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - (code = in codeSystem ) - (code = in codeSystem ) - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = in codeSystem ) - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - (code = in codeSystem ) - (code = in codeSystem ) - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - (code = in codeSystem ) - (code = in codeSystem ) - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - (code = in codeSystem ) - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) | ||||||
Hoeveelheid bloedverlies | 2014-03-01T00:00:00 - 2014-11-12T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 1 - - 999910413 - 000000 - 1976-05-02 - - 6 - - 170 cm - 1 - 2011-12-01 - False - - 0cbda760-1fdd-11e9-b56e-0800200c9a66 - 2 - 1 - 2014-10-09 - - - - False - 1 - 000000 - 1 - 1 - - 3 - 2014-10-08T14:30:00 - - - 615 ml - 2 - - - - 2018-08-28 - 2018-11-28 - 1 - 2 - 1 - - - 961921821 - * - 1974-09-11 - - 3 - - 184 cm - 2 - 2013-06-05 - - True - 5460cff0-2089-11e9-b56e-0800200c9a66 - 2 - 0 - 2014-09-08 - - - - False - 2014-05-12T00:00:00 - 2014-10-09T00:00:00 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - - - 961921821 - * - 1974-09-11 - - 3 - - 184 cm - 2 - 2013-06-05 - - True - C2204d20-209a-11e9-b56e-0800200c9a66 - 2 - 0 - 2014-09-08 - - - - False - 1 - 000000 - 1 - 2 - - 3 - 2014-08-30T14:09:00 - - - 980 ml - 1 - - - - - 2014-03-10T00:00:00 - 2014-11-03T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 3 - - 895623146 - 000000 - 1985-08-05 - - 5 - - 167 cm - True - 2 - Ad9c3280-209d-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-09-22 - - - - False - 1 - 000000 - - 2 - 2 - 2 - 2014-08-27T22:09:00 - - - 1740 ml - 9 - - - - - 2014-08-07T00:00:00 - 2014-09-15T00:00:00 - 7 - 8 - 5 - - - 850810711 - * - 1987-08-06 - - 5 - - 162 cm - True - 1 - 05e54070-209f-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-08-18 - True - 1 - 1 - 2 - 2 - 2014-08-03T21:09:00 - - - 1120 ml - 4 - - - - - 2014-02-03T00:00:00 - 2014-08-06T00:00:00 - 2 - 3 - 4 - 5 - 6 - 7 - 5 - - - 850810711 - * - 1987-08-06 - - 5 - - 162 cm - True - 1 - E1691540-209f-11e9-b56e-0800200c9a66 - 1 - 0 - 2014-08-18 - - - - False - 1 - - 1 - 2 - 2 - 2014-08-03T21:09:00 - - - 1120 ml - 4 - - - 2013-12-09T00:00:00 - 2014-08-04T00:00:00 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 3 - - 912345676 - * - 1993-03-04 - - 1 - - 186 cm - 1 - 2012-06-05 - - True - - 68a34ee0-20a0-11e9-b56e-0800200c9a66 - 2 - 1 - 2014-07-22 - - - - 2 - True - 1 - 000000 - 1 - 2 - - 3 - - - 1500 ml - 1 - - - - | ||||||
Vorige uitkomst per kind | |||||||
Vorige baring | |||||||
Geboortedatum | |||||||
Kindspecifieke gegevens vorige uitkomsten | |||||||
Type partus | Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') | ||||||
Percentiel van het geboortegewicht | 50 ≤ P < 90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') | ||||||
Apgarscore na 5 min | 8 - 10 | ||||||
Congenitale afwijkingen? | Nee - Nee | ||||||
Congenitale afwijkingen groep | |||||||
Chromosomale afwijkingen? |
1.1.5 Zwangerschap
Zwangerschap | ||||
Gegevenselement | Waarde | |||
Graviditeit | 2 - 2 - 2 - 1 - 1 - 1 - 2 | |||
Pariteit voor deze zwangerschap | 1 - 0 - 0 - 0 - 0 - 0 - 1 | |||
Definitieve a terme datum | 1 dec 2011 - 9 okt 2014 - 5 jun 2013 - 8 sep 2014 - 5 jun 2013 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 18 aug 2014 - 5 jun 2012 - 22 jul 2014 | |||
Voornemens | ||||
Voorgenomen plaats baring tijdens zwangerschap type locatie | Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') | |||
Prenatale controle | ||||
Datum controle | 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 | |||
Zwangerschapsduur | 59 dagen - 59 dagen - 155 dagen - 155 dagen - 161 dagen - 161 dagen - 156 dagen - 156 dagen - 149 dagen - 149 dagen - 86 dagen - 86 dagen | |||
Leven voelen | goed (code = '289431008' in codeSystem 'Snomed CT') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96') | |||
Rookgedrag | niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58') | |||
Alcoholgebruik | geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') - geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59') | |||
Drugsgebruik? | Nee - Nee - Nee - Nee - Nee - Ja | |||
Gewicht gemeten | 70 kg - 85 kg - 85 kg - 67 kg - 82 kg - 89 kg | |||
Diagnose | ||||
Datum | 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 3 sep 2014 00:00 - 21 mei 2014 00:00 - 8 aug 2014 00:00 - 8 aug 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 24 jul 2014 00:00 | |||
Zwangerschapsduur | 59 dagen - 59 dagen - 155 dagen - 155 dagen - 161 dagen - 161 dagen - 156 dagen - 156 dagen - 149 dagen - 149 dagen - 86 dagen - 86 dagen | |||
Gynaecologische aandoening | Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') | |||
Bloedverlies? | Ja - Ja - Ja | |||
Partiele mola? | Ja | |||
Cervixinsufficientie? | ||||
Infectie | Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') | |||
Hyperemesis gravidarum? | Ja - Ja | |||
Hypertensieve aandoening | Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96') | |||
Zwangerschapscholestase? | Ja | |||
Diabetes gravidarum met insuline? | ||||
Afwijkende groei foetus | Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96') | |||
Dreigende partus immaturus? | ||||
Dreigende partus prematurus? | ||||
Abruptio placentae? | Ja - Ja | |||
Navelstrengprolaps? | ||||
Liggingsafwijking | ||||
Intrauteriene vruchtdood | ||||
Vermoeden intrauteriene vruchtdood? | ||||
Vermoeden iuvd op basis van | ||||
Intrauteriene behandeling | Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96') | |||
Maternale sterfte? | Nee - Nee - Nee - Nee - Ja - Nee - Ja | |||
Wijze einde zwangerschap | Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') |
1.1.6 Bevalling
Bevalling | ||||
Gegevenselement | Waarde | |||
Partusnummer | 000000 - 000000 - 000000 - 000000 | |||
Diagnose bevalling | ||||
Pprom? | Ja | |||
Prom? | ||||
Koorts? | ||||
Niet vorderende ontsluiting? | Ja | |||
Niet vorderende uitdrijving? | Ja | |||
Verdenking foetale nood? | Ja | |||
Intrauteriene vruchtdood | ||||
Vermoeden intrauteriene vruchtdood? | ||||
Vermoeden iuvd op basis van | ||||
Vastzittende placenta? | ||||
Fluxus postpartum? | ||||
Aantal geboren kinderen | 1 - 1 - 2 - 1 - 1 - 1 | |||
Risicostatus voor baring | 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') | |||
Interventies begin baring | ||||
Interventie begin baring | Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') | |||
Indicatie interventie begin baring | wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') | |||
Wijze waarop de baring begon | Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') | |||
Tijdstip begin actieve ontsluiting | 8 okt 2014 14:30 - 30 aug 2014 14:09 - 27 aug 2014 22:09 - 3 aug 2014 21:09 - 3 aug 2014 21:09 | |||
Medicatie nageboortetijdperk groep | ||||
Medicatie nageboortetijdperk? | Ja - UNK - Nee - Ja - Ja - Nee | |||
Soort medicatie nageboortetijdperk | Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73') | |||
Placenta | ||||
Geboorte placenta | Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') | |||
Hoeveelheid bloedverlies | 615 ml - 980 ml - 1740 ml - 1120 ml - 1120 ml - 1500 ml | |||
Conditie perineum postpartum | 1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') |
1.1.7 Uitkomst per kind
Uitkomst per kind | |||||||
Gegevenselement | Waarde | ||||||
Baring | |||||||
Werkelijke plaats baring type locatie | Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Ziekenhuis baring | |||||||
Ziekenhuisnummer lvrid | 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) | ||||||
Demografische gegevens | |||||||
Identificaties kind | |||||||
Bsn kind | 999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 840736526 - 528741913 | ||||||
Geslacht medische observatie | vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21') | ||||||
Geboortedatum | 8 okt 2014 00:00 - 1 sep 2014 02:34 - 28 aug 2014 06:30 - 28 aug 2014 07:02 - 4 aug 2014 23:35 - 4 aug 2014 23:35 - 24 jul 2014 02:30 | ||||||
Rangnummer kind | 1808 - 4563 AB - true - - - 550 - - 1 - 2014-03-02T00:00:00 - 59 - 1 - 1 - 1 - false - 70 - 2014-03-02T00:00:00 - 59 - 2 - 1 - 11 - true - 1 - 1 - 2 - - - - - - 2014-05-06T00:00:00 - - - - 3 - 1504 - 5689 CZ - false - true - true - 4 - 2014-05-06T00:00:00 - 155 - 2 - 5 - 1 - false - 85 - 2014-05-06T00:00:00 - 155 - 1 - - - - 0003 - 5689 CZ - false - 1 - true - true - 2014-05-12T00:00:00 - 161 - 3 - 5 - 1 - false - 85 - 2014-05-12T00:00:00 - 161 - 1 - true - 2 - 7 - 2 - UNK - 4 - 3 - - - - - - 2014-09-03T00:00:00 - 16 - - 9999 - 5421 JG - true - - 3 - 2014-05-21T00:00:00 - 156 - 1 - 1 - 1 - false - 67 - 2014-05-21T00:00:00 - 156 - true - 2 - 2 - true - true - true - false - 2 - 3 - - - - - 3 - - - - - - 1 - - - - - - 1410 - 4589 BA - true - - true - 2 - 1 - 3 - - - - - 2014-08-08T00:00:00 - 10 - 2014-08-08T00:00:00 - 17 - - 2014-08-06T00:00:00 - - - - 14 - 0010 - 4589 BA - true - - 3 - 2014-05-07T00:00:00 - 149 - 1 - 1 - 1 - false - 82 - 2014-05-07T00:00:00 - 149 - 2 - true - true - true - 2 - 1 - 3 - - - - - - 0179 - 9562 GF - true - - 2 - true - 3 - - - 7 - 2014-01-09T00:00:00 - 86 - 4 - 6 - 1 - true - 89 - 2014-01-09T00:00:00 - 86 - 1 - true - 7 - 2 - false - 4 - 3 - - - - - - 2014-07-24T00:00:00 - 6 - | ||||||
Perinatale sterfte groep | |||||||
Perinatale sterfte? | Nee - Nee - Nee - Ja - Nee - Nee - Nee | ||||||
Fase perinatale sterfte | Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Datumtijd vaststelling perinatale sterfte | 28 aug 2014 08:10 | ||||||
Kindspecifieke maternale gegevens | |||||||
Bijstimulatie toegediend? | |||||||
Tijdstip breken vliezen | 8 okt 2014 09:15 - 30 aug 2014 23:04 - 27 aug 2014 22:09 - 27 aug 2014 23:13 - 3 aug 2014 07:04 - 3 aug 2014 07:04 | ||||||
Kleur en consistentie vruchtwater | Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18') | ||||||
Tijdstip actief meepersen | 8 okt 2014 12:13 - 27 aug 2014 23:49 - 28 aug 2014 06:45 - 4 aug 2014 22:15 - 4 aug 2014 22:15 | ||||||
Episiotomie? | Nee - Ja - Ja - Ja - Ja - Nee | ||||||
Indicatie episiotomie | |||||||
Locatie episiotomie | mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') - mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60') | ||||||
Ruggeprik gewenst niet gekregen? | Nee - Nee - Nee - Nee - Nee - Nee - Nee | ||||||
Pijnbestrijding? | Nee - Ja - Ja - Ja - Ja - Ja - Ja | ||||||
Pijnbestrijding | |||||||
Methode | |||||||
Methode | (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = in codeSystem ) - (code = in codeSystem ) - Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Overig middel | |||||||
Middel | Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Toediening | Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Periode | tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') | ||||||
Sedatie? | Nee - Ja - Nee - Nee - Nee - Nee - Ja | ||||||
Kindspecifieke uitkomstgegevens | |||||||
Type partus | Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') | ||||||
Ligging bij geboorte | Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') | ||||||
Aanpakker kind - rol aanpakker kind | 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') | ||||||
Supervisor - rol supervisor | 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') | ||||||
Vaginale kunstverlossing groep | |||||||
Vaginale kunstverlossing | Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Succes vaginale kunstverlossing? | Ja - Ja - Ja - Ja - Nee | ||||||
Sectio caesarea group | |||||||
Beslismoment sectio caesarea | tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5') | ||||||
Indicatie primaire sectio | Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Indicatie secundaire sectio | Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Overige interventies | Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Lichamelijk onderzoek kind | |||||||
Apgarscore na 5 min | |||||||
Geboortegewicht | 3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 4205 gram - 3750 gram | ||||||
Congenitale afwijkingen? | Nee - Nee - Nee - Ja - Nee - Nee - Ja | ||||||
Congenitale afwijkingen groep | |||||||
Specificatie congenitale afwijking groep | |||||||
Specificatie congenitale afwijking | Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Chromosomale afwijkingen? | Nee - Ja | ||||||
Specificatie chromosomale afwijking groep | |||||||
Specificatie chromosomale afwijking | Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Problematiek kind? | Nee - Nee - Ja - Ja - Nee - Nee - Ja | ||||||
Problematiek kind | Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96') - Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96') - Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Kinderarts betrokken? | Nee - Ja - Ja - Ja - Ja - Ja - Nee | ||||||
Betrokkenheid kinderarts | |||||||
Datum betrokkenheid | 1 sep 2014 00:00 - 28 aug 2014 00:00 - 28 aug 2014 00:00 - 4 aug 2014 00:00 - 4 aug 2014 00:00 | ||||||
Reden betrokkenheid | Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') | ||||||
Type betrokkenheid | consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') | ||||||
Zorginstelling lvrid | 0003 - 9999 - 0001 - 0010 - 0010 |
1.1.8 Medisch onderzoek
Medisch onderzoek | |||
Gegevenselement | Waarde | ||
Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE | |||
Irregulaire antistoffen? | Nee - Ja - 1 - Nee - Nee - Ja - 4 | ||
Welke irregulaire antistoffen vrouw aanwezig | (code = in codeSystem ) - (code = in codeSystem ) - Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - (code = in codeSystem ) - (code = in codeSystem ) - (code = in codeSystem ) - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96') |
1.1.9 Postnatale fase
Postnatale fase | ||||
Gegevenselement | Waarde | |||
Diagnoseinterventie postpartum | ||||
Datum | 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 3 sep 2014 00:00 - 21 mei 2014 00:00 - 8 aug 2014 00:00 - 8 aug 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 24 jul 2014 00:00 | |||
Pathologie vrouw | Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96') | |||
Kindspecifieke gegevens | ||||
Rangnummer kind | 1 | |||
Voeding kind groep | ||||
Voeding kind datum | 12 okt 2014 - 7 okt 2014 - 3 sep 2014 - 15 sep 2014 - 24 jul 2014 | |||
Substantie voeding kind | borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - borstmelk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') |