MedMij:V1.0 MP9.0.7-AddendaInhoudelijkeGegevens: verschil tussen versies
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| Regel 16: | Regel 16: | ||
|colspan="2"|Naamgegevens | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"|J. XXX_Amaya | |style="background-color: white;"|J. XXX_Amaya | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|999911764 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geboortedatum | |colspan="2"|Geboortedatum | ||
| Regel 26: | Regel 32: | ||
<section begin=MA_XXX_Amaya /> | <section begin=MA_XXX_Amaya /> | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- 1 dag, om 11:25 | |style="background-color: white;"|T- 1 dag, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar | |style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geannuleerd indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|10 maal per dag 1 stuk | |style="background-color: white;"|10 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_1 | |style="background-color: white;"|MBH_513_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09:00 | |style="background-color: white;"|T, om 09:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar | |style="background-color: white;"|Vanaf T, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Bertine | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_1 | |style="background-color: white;"|MBH_513_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T, om 14:32 | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: TA | ||
|style="background-color: white;"|MBH_513_2_TA_1 | |style="background-color: white;"|MBH_513_2_TA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Hans | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgaanbieder | |||
|style="background-color: # | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="background-color: # | |rowspan="9"| | ||
|colspan=" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Toelichting | |||
|style="background-color: white;"|Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 14:32 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T | |style="background-color: white;"|Vanaf T, gedurende 28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MGB | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_3_MGB_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Hans | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Reden van voorschrijven | ||
|style="background-color: white;"| | |style="background-color: white;"|Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per week 5 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- 5 dagen, om 09:35 | |style="background-color: white;"|T- 5 dagen, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Lichaamslengte | |||
|style="background-color: white;"|155 cm. Gemeten: T- 5 dagen, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Lichaamsgewicht | |||
|style="background-color: white;"|54 kg. Gemeten: T- 5 dagen, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Aanvullende informatie | |||
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|In overleg met specialist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4 | ||
|} | |}<section end=MA_XXX_Amaya /> | ||
===Verstrekkingsverzoeken XXX_Amaya === | |||
<section begin=VV_XXX_Amaya /> | |||
{| 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="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|nog in te vullen, zie word... | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| 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="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- 5 dagen, om 09: | |style="background-color: white;"|T- 5 dagen, om 09:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|40 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Afleverlocatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisadres patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Aanvullende wensen | ||
|style="background-color: white;"| | |style="background-color: white;"|Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_513_4_MA_1 | |style="background-color: white;"|MBH_513_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_4 | |style="background-color: white;"|MBH_513_4 | ||
|}<section end= | |}<section end=VV_XXX_Amaya /> | ||
=== | ===Toedieningsafspraken XXX_Amaya === | ||
<section begin= | <section begin=TA_XXX_Amaya /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T, om 12:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, gedurende 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |rowspan="5"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 7 dagen, om 14:52 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|Opname | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|colspan="4 | |||
|style="background-color: white;"|MBH_513_2 | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 5 dagen, om 09:45 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aanvullende informatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Wegens niet leverbaar zijn van Broxil | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4 | ||
|} | |}<section end=TA_XXX_Amaya /> | ||
===Verstrekkingen XXX_Amaya === | |||
<section begin=MVE_XXX_Amaya /> | |||
{| 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="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Aanschrijfdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T, om 14:32 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_513_2_VV_2 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_2 | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| 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="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 5 dagen, om 09:45 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Afleverlocatie | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisadres patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Aanvullende informatie | ||
|style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4 | ||
| | |}<section end=MVE_XXX_Amaya /> | ||
===Medicatiegebruik XXX_Amaya === | |||
<section begin=MGB_XXX_Amaya /> | |||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 2 dagen, om 15:39 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 2 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Hans | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Ziekenhuis Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 2 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Informant | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Zorgverlener: Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T, om 20:40 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 1 dag, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Hans | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Informant | |||
|style="background-color: white;"|Persoon: M. XXX_Amaya - Mantelzorger. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Zorgverlener: Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 886: | Regel 1.096: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T, om 21:39 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - primaire code | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gerelateerde afspraak : MA | |colspan="3"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant | |||
|style="background-color: white;"|Zorgverlener: Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_2 | ||
|} | |} | ||
{| 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" | Medicatie gebruik | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Registratiedatum | |||
|style="background-color: white;"|T, om 20:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, gedurende 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '677965' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '32956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '84190' in codeSystem 'G-Standaard GPK') | |||
|colspan="3"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gerelateerde verstrekking | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_5132_2_MVE_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_5132_2 | ||
|} | |} | ||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 3 dagen, om 20:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Hans | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ziekenhuis Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Reden gebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Lymfekanker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_513_3 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | ||
| Regel 1.117: | Regel 1.291: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T- 4 dagen, om | |style="background-color: white;"|T- 4 dagen, om 22:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- 5 dagen, | |style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gerelateerde afspraak : MA | |colspan="3"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
| Regel 1.151: | Regel 1.331: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 1.181: | Regel 1.341: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 3 dagen, om 22:35 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Stoptype | |||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - primaire code | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag, 0 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_513_4 | ||
|} | |}<section end=MGB_XXX_Amaya /> | ||
==Patiënt Pauline P. XXX_Bourgonje== | |||
<section begin=XXX_Bourgonje /> | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Pauline P. XXX_Bourgonje | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911296 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end=XXX_Bourgonje /> | |||
===Medicatieafspraken XXX_Bourgonje === | |||
<section begin=MA_XXX_Bourgonje /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 7 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Bertine | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="5"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|zo nodig 2 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_123_1 | |||
|}<section end=MA_XXX_Bourgonje /> | |||
===Verstrekkingsverzoeken XXX_Bourgonje === | |||
<section begin=VV_XXX_Bourgonje /> | |||
{| 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="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|MBH identificatie | |||
|style="background-color: white;"|MBH_123_1 | |||
|colspan="2"| | |}<section end=VV_XXX_Bourgonje /> | ||
|style="background-color: white;"| | ===Toedieningsafspraken XXX_Bourgonje === | ||
| | <section begin=TA_XXX_Bourgonje /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 7 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|zo nodig 2 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_123_1_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_123_1 | |||
|}<section end=TA_XXX_Bourgonje /> | |||
===Verstrekkingen XXX_Bourgonje === | |||
<section begin=MVE_XXX_Bourgonje /> | |||
{| 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="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_123_1_VV_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1 | ||
| | |}<section end=MVE_XXX_Bourgonje /> | ||
===Medicatiegebruik XXX_Bourgonje === | |||
<section begin=MGB_XXX_Bourgonje /> | |||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 4 dagen, om 20:58 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Bertine | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Doorn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_123_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_123_1 | |||
|}<section end=MGB_XXX_Bourgonje /> | |||
==Patiënt J. XXX_Cnossen== | |||
|style="background-color: white;"| | <section begin=XXX_Cnossen /> | ||
|}<section end= | |||
== | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|J. XXX_Cnossen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911740 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|4 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end=XXX_Cnossen /> | |||
===Medicatieafspraken XXX_Cnossen === | |||
<section begin=MA_XXX_Cnossen /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 100 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 100 dagen, tot | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 dosis | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |style="background-color: white;"|MBH_313_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 60 dagen, om 13:54 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 500 dagen, om 10:19 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2 | ||
|} | |} | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 366 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|style=" | |||
|colspan=" | |||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="9"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2 | ||
|} | |} | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 100 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 4 dagen, om 13:54 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 300 dagen, om 14:23 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4 | ||
|} | |} | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 222 dagen, om 08:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_4 | |style="background-color: white;"|MBH_313_4 | ||
|}<section end= | |}<section end=MA_XXX_Cnossen /> | ||
== | ===Toedieningsafspraken XXX_Cnossen === | ||
<section begin= | <section begin=TA_XXX_Cnossen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 100 dagen, om 12:11 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 dosis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 60 dagen, om 13:54 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Stoptype | |||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 dosis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 500 dagen, om 10:19 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 366 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||
|style="background- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 100 dagen, om 12:30 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 4 dagen, om 14:54 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Stoptype | |||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 300 dagen, om 15:23 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 222 dagen, om 09:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | |||
|style="background- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4 | ||
| | |}<section end=TA_XXX_Cnossen /> | ||
===Medicatiegebruik XXX_Cnossen === | |||
<section begin=MGB_XXX_Cnossen /> | |||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 59 dagen, om 12:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 59 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 59 dagen, tot nader order, 1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|7 jul 2018, om 15:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="17"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="15"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Voornamen | ||
|style="background-color: white;"|John | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|21 apr 2017, om 10:19 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 21 apr 2017, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 druppel | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_313_2 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 365 dagen, om 17:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 366 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="17"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="15"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 366 dagen, tot nader order, geen gebruik | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_2 | ||
|} | |} | ||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|26 mei 2018, om 14:11 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 26 mei 2018, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 26 mei 2018, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_313_3_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_313_3 | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|29 aug 2018, om 13:54 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 29 aug 2018, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="17"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="15"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|tot nader order | |style="background-color: white;"|Vanaf 29 aug 2018, tot nader order, gebruik onderbroken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|7 nov 2017, om 17:23 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf 7 nov 2017, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf 7 nov 2017, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4 | ||
|} | |} | ||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 222 dagen, om 19:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="17"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="15"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order, gebruik onderbroken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_313_4 | ||
| | |}<section end=MGB_XXX_Cnossen /> | ||
==Patiënt R. XXX_Dirksz== | |||
<section begin=XXX_Dirksz /> | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|R. XXX_Dirksz | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|999911326 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end=XXX_Dirksz /> | |||
===Medicatieafspraken XXX_Dirksz === | |||
<section begin=MA_XXX_Dirksz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Straat | ||
|style="background-color: white;"|Dorpsstraat | |||
| | |||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 30 dagen, om 14:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 30 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3 | ||
| | |}<section end=MA_XXX_Dirksz /> | ||
===Verstrekkingsverzoeken XXX_Dirksz === | |||
<section begin=VV_XXX_Dirksz /> | |||
{| 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="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"|MBH_113_1_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 30 dagen, om 14:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="2" width="25%"| Gegevenselement | |colspan="2" width="25%"| Gegevenselement | ||
| Regel 3.942: | Regel 4.174: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 30 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|21 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Beoogd verstrekker | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3 | ||
|}<section end= | |}<section end=VV_XXX_Dirksz /> | ||
=== | ===Toedieningsafspraken XXX_Dirksz === | ||
<section begin= | <section begin=TA_XXX_Dirksz /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 30 dagen, om 14:55 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 30 dagen, om 14:57 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ROTER APC TABLET (code = '2185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3 | ||
|} | |}<section end=TA_XXX_Dirksz /> | ||
===Verstrekkingen XXX_Dirksz === | |||
<section begin=MVE_XXX_Dirksz /> | |||
{| 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="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T- 50 dagen, om 12:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 30 dagen, om 15:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|25 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_113_2 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 30 dagen, om 15:56 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_113_3_VV_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3 | ||
| | |}<section end=MVE_XXX_Dirksz /> | ||
===Medicatiegebruik XXX_Dirksz === | |||
<section begin=MGB_XXX_Dirksz /> | |||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 48 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 13 dagen, om 14:55 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_2 | ||
|} | |} | ||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 29 dagen, om 14:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="7"|Auteur | ||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_113_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |}<section end=MGB_XXX_Dirksz /> | ||
|colspan="2"| | ==Patiënt R. XXX_Gobee== | ||
|style="background-color: white;"| | <section begin=XXX_Gobee /> | ||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="2" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Naamgegevens | |||
|style="background-color: white;"|R. XXX_Gobee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|999911314 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"|1 | |style="background-color: white;"|21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end= | |}<section end=XXX_Gobee /> | ||
=== | ===Medicatieafspraken XXX_Gobee === | ||
<section begin= | <section begin=MA_XXX_Gobee /> | ||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Postcode | ||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_213_1 | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 40 dagen, om 09:13 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|3 | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: white;"| | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|} | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="7" width="25%"| Gegevenselement | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan=" | |||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_4 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Peter | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - primaire code | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |}<section end=MA_XXX_Gobee /> | ||
===Verstrekkingsverzoeken XXX_Gobee === | |||
<section begin=VV_XXX_Gobee /> | |||
{| 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="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T- 50 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|40 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Aantal herhalingen | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Aantal herhalingen | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Auteur | ||
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Verbruiksperiode | ||
|style="background-color: white;"|tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Beoogd verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
| | |}<section end=VV_XXX_Gobee /> | ||
===Toedieningsafspraken XXX_Gobee === | |||
<section begin=TA_XXX_Gobee /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_213_1 | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09: | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09: | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 15 dagen, om 16:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot | |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_4 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 15 dagen, om 16:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|T, | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |}<section end=TA_XXX_Gobee /> | ||
===Verstrekkingen XXX_Gobee === | |||
<section begin=MVE_XXX_Gobee /> | |||
{| 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="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 50 dagen, om 13:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|40 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 40 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2 | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekking | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Datum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T- 15 dagen, om 17:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekker | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Verbruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Relatie naar verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_VV_2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |}<section end=MVE_XXX_Gobee /> | ||
===Medicatiegebruik XXX_Gobee === | |||
<section begin=MGB_XXX_Gobee /> | |||
{| 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="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 47 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - primaire code | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 41 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="18"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 35 dagen, om 19:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gerelateerde afspraak : TA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_TA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"|MBH_213_1 | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 16 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_213_1_MA_3 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Registratiedatum | ||
|style="background-color: white;"|T, om 11:25 | |style="background-color: white;"|T- 10 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="18"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="16"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1_MA_5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_213_1 | ||
|} | |}<section end=MGB_XXX_Gobee /> | ||
==Patiënt I. XXX_Jangi== | |||
<section begin=XXX_Jangi /> | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|I. XXX_Jangi | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Knolweg 1002 9999ZZ Stitswerd | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Telefoonnummers | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911727 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|10009 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|2 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | ||
| | |}<section end=XXX_Jangi /> | ||
|colspan=" | ===Documentgegevens XXX_Jangi === | ||
<section begin=DG_XXX_Jangi /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Documentgegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="3" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Document datum | ||
|style="background-color: white;"|16 aug 2018 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Auteur - zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Verificatie patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Verificatie zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
| | |}<section end=DG_XXX_Jangi /> | ||
===Medicatieafspraken XXX_Jangi === | |||
<section begin=MA_XXX_Jangi /> | |||
{| 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="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 15 dagen, om 09:13 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende | |style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken, 1 maal per dag 2 tabletten, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Exact 4 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_MO_123_3 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09: | |style="background-color: white;"|T- 60 dagen, om 09:13 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="20"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|I. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ternist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 60 dagen, tot nader order, 1 maal per dag 10IE, SUBCUTAAN | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G- | |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_MO_123_4 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 728 dagen, om 09:13 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T, | |style="background-color: white;"|Vanaf T- 728 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Organisatie naam | |||
|style="background- | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="background-color: # | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, | |style="background-color: white;"|Vanaf T- 728 dagen, tot nader order, 1 maal per dag 1 tablet ‘s avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_MO_123_6 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"|T, om 09: | |style="background-color: white;"|T+ 3 dagen, om 09:27 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |colspan="6"|Naamgegevens | ||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Straat | ||
|style="background-color: white;"| | |style="background-color: white;"|Dorpsstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59, Elke 8 uur 1 capsule, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_7 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 45 dagen, om 11:50 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"|T- | |style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |rowspan="5"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Huisnummer | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Postcode | ||
|style="background-color: white;"| | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Woonplaats | ||
|style="background-color: white;"| | |style="background-color: white;"|Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59, 1 keer per exact 8 uur 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|exact iedere 8 uur 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_9 | ||
|} | |}<section end=MA_XXX_Jangi /> | ||
===Toedieningsafspraken XXX_Jangi === | |||
<section begin=TA_XXX_Jangi /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 6 dagen, om 11:55 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|T, | |style="background-color: white;"|Vanaf T- 6 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 6 dagen, tot nader order, eerst 2 maal per dag zalf gedurende 7 dagen, daarna 1 maal per dag zalf gedurende 7 dagen, daarna 3 maal per week zalf gedurende 7 dagen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 7 dagen 2 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 7 dagen 1 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 3 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 7 dagen 3 maal per week | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Eczeem oogleden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_2 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 6.500: | Regel 6.853: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 14 dagen, om 15:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot | |style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 6.546: | Regel 6.889: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot | |style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59, 1 maal per dag 2 tabletten, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie naar medicatieafspraak | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 60 dagen, om 15:55 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"|T, | |style="background-color: white;"|Vanaf T- 604 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geneesmiddel - generiekere code | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 604 dagen, tot nader order, Elke dag om 9 uur 10IE, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 10 internationale eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_4 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="4" width="25%"| Gegevenselement | |colspan="4" width="25%"| Gegevenselement | ||
| Regel 6.607: | Regel 6.972: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 36 dagen, om 15:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen, 1 maal per dag 1 tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 323 dagen, om 15:55 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 323 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 323 dagen, tot nader order, 1 maal per dag 2 tabletten ‘s avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 maal per dag 2 stuks 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 28 dagen, om 11:50 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Stoptype | |||
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|Beleidswijziging | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59, 1 maal per dag 2 tabletten ‘s avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie naar medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_8_MA_3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_8 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 36 dagen, om 15:50 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Stoptype | |||
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Poliapotheek Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|Geen of onvoldoende effect | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59, 1 maal per dag 1 tablet ‘s morgens, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk 's ochtends | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_10 | ||
| | |}<section end=TA_XXX_Jangi /> | ||
===Medicatiegebruik XXX_Jangi === | |||
<section begin=MGB_XXX_Jangi /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | ||
| Regel 6.820: | Regel 7.224: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T, om 10:57 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
| Regel 6.829: | Regel 7.233: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ibuprofen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen, 4 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|4 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Kopie indicator | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|Pijn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 6.873: | Regel 7.275: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om 12: | |style="background-color: white;"|T, om 12:58 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
| Regel 6.882: | Regel 7.284: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Product naam | ||
|style="background-color: white;"|Glimepiride | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T- | |style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59, 1 maal per dag 1 tablet | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Kopie indicator | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_3 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 6.926: | Regel 7.320: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 33 dagen, om 13:58 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 36 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - primaire code | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 36 dagen, tot nader order, 1 maal per dag 1 tablet, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gerelateerde afspraak : TA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5_TA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Auteur | ||
|style="background-color: white;"| | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Reden wijzigen of stoppen gebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Te sterk effect (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toelichting | ||
|style="background-color: white;"|Gestopt vanwege bijwerkingen | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_5 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 6.982: | Regel 7.379: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 248 dagen, om 09:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T- 248 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
| Regel 7.007: | Regel 7.407: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T- 248 dagen, tot nader order, 1 maal per dag 12 tablet ‘s avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Zorgverlener: I. Ternist - Medisch specialisten, inwendige geneeskunde. Antonius | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Kopie indicator | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|Patiënt gebruikt niet volgens voorschrift | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 7.032: | Regel 7.435: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 172 dagen, om 15:37 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
| Regel 7.041: | Regel 7.444: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Volgens afspraak indicator | |colspan="3"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59, 1 maal per dag 1 tablet ‘s avonds, oraal, gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gerelateerde afspraak : MA | |colspan="3"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|Veel last van jeuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_MO_123_6 | ||
|} | |}<section end=MGB_XXX_Jangi /> | ||
==Patiënt J. XXX_Kilkenny== | |||
<section begin=XXX_Kilkenny /> | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|J. XXX_Kilkenny | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|999911752 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatienummer | |||
|style="background-color: white;"|22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geboortedatum | |||
|style="background-color: white;"|5 aug 1964 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geslacht | |||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |||
|}<section end=XXX_Kilkenny /> | |||
===Medicatieafspraken XXX_Kilkenny === | |||
<section begin=MA_XXX_Kilkenny /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T- 5 dagen, om 15:34 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Stoptype | ||
|style="background-color: white;"| | |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Relatie naar afspraak of gebruik: MA | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_323_1_MGB_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="23"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="21"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|John | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|de | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vries | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59, 3x per dag 1 tablet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_323_1 | |||
|}<section end=MA_XXX_Kilkenny /> | |||
===Medicatiegebruik XXX_Kilkenny === | |||
<section begin=MGB_XXX_Kilkenny /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik | ||
| Regel 7.141: | Regel 7.624: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Registratiedatum | |colspan="3"|Registratiedatum | ||
|style="background-color: white;"|T, om | |style="background-color: white;"|T- 10 dagen, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruik indicator | |colspan="3"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
|style="background-color: white;"|Vanaf T, tot nader order | |style="background-color: white;"|Vanaf T- 20 dagen, tot nader order | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |colspan="3"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
| Regel 7.169: | Regel 7.649: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot nader order, | |style="background-color: white;"|Vanaf T- 20 dagen, tot nader order, 3x per dag 1 tablet | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie | |colspan="2"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur | |colspan="3"|Auteur | ||
| Regel 7.184: | Regel 7.661: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_323_1 | ||
|} | |}<section end=MGB_XXX_Kilkenny /> | ||
==Patiënt R. XXX_Ruys== | |||
<section begin=XXX_Ruys /> | |||
{| 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="3" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="2" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|R. XXX_Ruys | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911351 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end=XXX_Ruys /> | |||
==Patiënt R. XXX_Strengersz== | |||
<section begin=XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="2" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|R. XXX_Strengersz | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999911338 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Geboortedatum | ||
|style="background-color: white;"|1 aug 1964 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | ||
|}<section end=XXX_Strengersz /> | |||
===Medicatieafspraken XXX_Strengersz === | |||
<section begin=MA_XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T, om 11:25 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, gedurende 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="24"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"| | |style="background-color: white;"|van | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 à 2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_413_1 | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="7" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="22"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|style="background-color: | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Voornamen | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel - generiekere code | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_2 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_3 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 10:26 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_4 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 10:46 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_5 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_6 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_7 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_8 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_9 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_10 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie 1 | |||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie 2 | |||
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie 3 | |||
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_11 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_12 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 28 dagen, om 09:12 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|0.5 ml per uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_13 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|0.2 à 0.5 ml per uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_13 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_14_MA_1 | |style="background-color: white;"|MBH_413_14 | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatieafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Dorpsstraat | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|1234AA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Ons Dorp | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient code | |||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Sterkte | |||
|style="background-color: white;"|10 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient code | |||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Sterkte | |||
|style="background-color: white;"|90 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|bij hoest | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_15 | |||
|}<section end=MA_XXX_Strengersz /> | |||
===Verstrekkingsverzoeken XXX_Strengersz === | |||
<section begin=VV_XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Datum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Auteur | |||
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|100 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Aantal herhalingen | |||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|10 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|90 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Beoogd verstrekker | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_15_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_15 | |||
|}<section end=VV_XXX_Strengersz /> | |||
===Toedieningsafspraken XXX_Strengersz === | |||
<section begin=TA_XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 à 2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_1_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_1 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_2_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_2 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 50 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_3_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_3 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 10:26 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_4_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_4 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 10:46 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_5_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_5 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_6_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_6 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_7_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_7 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_8_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_8 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_9_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_9 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_10_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_10 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 1 | |||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 2 | |||
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 3 | |||
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_11_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_11 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_12_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_12 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 28 dagen, om 09:12 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|0.5 ml per uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_13_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_13 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T- 20 dagen, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|0.2 à 0.5 ml per uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_13_MA_2 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_13 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 11:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_14_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_14 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afspraakdatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|10 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|90 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|bij hoest | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar medicatieafspraak | |||
|style="background-color: white;"|MBH_413_15_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_15 | |||
|}<section end=TA_XXX_Strengersz /> | |||
===Verstrekkingen XXX_Strengersz === | |||
<section begin=MVE_XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekking | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="2" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Identificatie | |||
|style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Datum | |||
|style="background-color: white;"|T, om 10:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verstrekker | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Distributievorm | |||
|style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Relatie naar verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_413_9_VV_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_9 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Datum | |||
|style="background-color: white;"|T, om 10:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekker | |||
|style="background-color: white;"|Apotheek de Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|10 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Ingredient code | |||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Sterkte | |||
|style="background-color: white;"|90 gram per 100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie naar verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_513_15_VV_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_15 | |||
|}<section end=MVE_XXX_Strengersz /> | |||
===Medicatiegebruik XXX_Strengersz === | |||
<section begin=MGB_XXX_Strengersz /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 16:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 à 2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_1_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_1 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 14:25 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, exact iedere 3 uur 16 IE, subcutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_2_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_2 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 10:45 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 à 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_3_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_3 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T- 15 dagen, om 13:44 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_4_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_4 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 12:38 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 0.5 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_5_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_5 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 21:37 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 10 à 15 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_6_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_6 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 14:05 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_7_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_7 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 23:59 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|op maandag, woensdag en vrijdag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_8_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_8 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 22:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_9_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_9 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 09:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, tot nader order | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_10_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_10 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 15:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Aanvullende instructie | |||
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie 1 | |||
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_11_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_11 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 22:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_12_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_12 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 22:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgverlener identificatie nummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder identificatie nummer | |||
|style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Omschrijving | |||
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningsweg | |||
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gerelateerde afspraak : MA | |||
|style="background-color: white;"|MBH_413_14_MA_1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Auteur | |||
|style="background-color: white;"|Patiënt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|MBH identificatie | |||
|style="background-color: white;"|MBH_413_14 | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Medicatie gebruik | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="7" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Identificatie | |||
|style="background-color: white;"|MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Registratiedatum | |||
|style="background-color: white;"|T, om 10:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Gebruiksperiode | |||
|style="background-color: white;"|Vanaf T, gedurende 4 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="8"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="17"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="15"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Peter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="11"| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Product naam | ||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient code | ||
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Sterkte | ||
|style="background-color: white;"|10 gram per 100 gram | |style="background-color: white;"|10 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient code | ||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Sterkte | ||
|style="background-color: white;"|90 gram per 100 gram | |style="background-color: white;"|90 gram per 100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="8"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | |style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Gerelateerde afspraak : MA | ||
|style="background-color: white;"|MBH_413_15_MA_1 | |style="background-color: white;"|MBH_413_15_MA_1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|Auteur | ||
|style="background-color: white;"|Patiënt | |style="background-color: white;"|Patiënt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="7"|MBH identificatie | ||
|style="background-color: white;"|MBH_413_15 | |style="background-color: white;"|MBH_413_15 | ||
|}<section end=MGB_XXX_Strengersz /> | |}<section end=MGB_XXX_Strengersz /> | ||
[[Categorie:Kwalificatie]] | [[Categorie:Kwalificatie]] | ||
Versie van 30 jan 2019 08:18
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Deze pagina is nog in bewerking |

Addenda voor inhoudelijke gegevens
Patiënt J. XXX_Amaya
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Amaya | |
| Identificatienummer | 999911764 [BSN] | |
| Identificatienummer | 51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 6 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Amaya
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 1 dag, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T- 1 dag, gedurende 1 jaar | ||||||
| Geannuleerd indicator | Ja | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 10 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_513_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:00 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 1 jaar | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Bertine | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_513_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 14:32 | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Relatie naar afspraak of gebruik: TA | MBH_513_2_TA_1 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Hans | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Ziekenhuis Stitswerd | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Toelichting | Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1 | ||||||
| MBH identificatie | MBH_513_2 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 14:32 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 28 dagen | ||||||
| Relatie naar afspraak of gebruik: MGB | MBH_513_3_MGB_1 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Hans | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Ziekenhuis Stitswerd | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Reden van voorschrijven | Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL') | ||||||
| Geneesmiddel - primaire code | METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per week 5 stuks | ||||||
| MBH identificatie | MBH_513_3 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 5 dagen, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 10 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 3 maal per dag 1 stuk | ||||||
| Lichaamslengte | 155 cm. Gemeten: T- 5 dagen, om 09:35 | ||||||
| Lichaamsgewicht | 54 kg. Gemeten: T- 5 dagen, om 09:35 | ||||||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | ||||||
| Toelichting | In overleg met specialist | ||||||
| MBH identificatie | MBH_513_4 | ||||||
Verstrekkingsverzoeken XXX_Amaya
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T, om 14:32 | |
| Auteur | Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd | |
| Te verstrekken hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Toelichting | nog in te vullen, zie word... | |
| Relatie naar medicatieafspraak | MBH_513_2_MA_2 | |
| MBH identificatie | MBH_513_2 | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 5 dagen, om 09:35 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 40 stuks | |
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Afleverlocatie | Huisadres patiënt | |
| Aanvullende wensen | Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051') | |
| Relatie naar medicatieafspraak | MBH_513_4_MA_1 | |
| MBH identificatie | MBH_513_4 | |
Toedieningsafspraken XXX_Amaya
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 12:25 | |||
| Gebruiksperiode | Vanaf T, gedurende 1 jaar | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_513_1_MA_2 | |||
| MBH identificatie | MBH_513_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 7 dagen, om 14:52 | |||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Reden afspraak | Opname | |||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_513_2_MA_1 | |||
| MBH identificatie | MBH_513_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 5 dagen, om 09:45 | |||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Aanvullende informatie | Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053') | |||
| Toelichting | Wegens niet leverbaar zijn van Broxil | |||
| Relatie naar medicatieafspraak | MBH_513_4_MA_1 | |||
| MBH identificatie | MBH_513_4 | |||
Verstrekkingen XXX_Amaya
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Aanschrijfdatum | T, om 14:32 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_513_2_VV_2 | |
| MBH identificatie | MBH_513_2 | |
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 5 dagen, om 09:45 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |
| Afleverlocatie | Huisadres patiënt | |
| Aanvullende informatie | Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052') | |
| Toelichting | Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken. | |
| Relatie naar verstrekkingsverzoek | MBH_513_4_VV_1 | |
| MBH identificatie | MBH_513_4 | |
Medicatiegebruik XXX_Amaya
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 2 dagen, om 15:39 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 2 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Hans | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Ziekenhuis Stitswerd | ||||||
| Geneesmiddel - primaire code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 2 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | ||||||
| Informant | Patiënt | ||||||
| Auteur | Zorgverlener: Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||||||
| MBH identificatie | MBH_513_2 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 20:40 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 1 dag, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Hans | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Ziekenhuis Stitswerd | ||||||
| Geneesmiddel - primaire code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | ||||||
| Informant | Persoon: M. XXX_Amaya - Mantelzorger. | ||||||
| Auteur | Zorgverlener: Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd | ||||||
| MBH identificatie | MBH_513_2 | ||||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 21:39 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T, tot nader order | ||
| Geneesmiddel - primaire code | FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde afspraak : MA | MBH_513_2_MA_1 | ||
| Informant | Zorgverlener: Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | ||
| Auteur | |||
| MBH identificatie | MBH_513_2 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 20:59 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T, gedurende 1 dag | ||
| Geneesmiddel - primaire code | TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer') | ||
| Geneesmiddel - generiekere code | TEMAZEPAM APOTEX TABLET 10MG (code = '677965' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | TEMAZEPAM TABLET 10MG (code = '32956' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | TEMAZEPAM TABLET 10MG (code = '84190' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde verstrekking | MBH_5132_2_MVE_1 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_5132_2 | ||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 3 dagen, om 20:59 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 999001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Hans | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 99901111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Ziekenhuis Stitswerd | ||||||
| Geneesmiddel - primaire code | METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal | ||||||
| Doseerinstructie | 1 maal per week 5 stuks | ||||||
| Gerelateerde afspraak : MA | MBH_513_3_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| Reden gebruik | Lymfekanker | ||||||
| MBH identificatie | MBH_513_3 | ||||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 4 dagen, om 22:35 | ||
| Gebruik indicator | Ja | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59 | ||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Gerelateerde afspraak : MA | MBH_513_4_MA_1 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_513_4 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 3 dagen, om 22:35 | ||
| Gebruik indicator | Nee | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 3 dagen, gedurende 1 dag | ||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 3 dagen, gedurende 1 dag, 0 stuks | ||
| Gerelateerde afspraak : MA | MBH_513_4_MA_1 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_513_4 | ||
Patiënt Pauline P. XXX_Bourgonje
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | Pauline P. XXX_Bourgonje | |
| Identificatienummer | 999911296 [BSN] | |
| Identificatienummer | 12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Bourgonje
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 7 dagen | ||||||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Bertine | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Stitswerd Oost | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | ||||||
| Toedieningsweg | Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | zo nodig 2 maal per dag | ||||||
| MBH identificatie | MBH_123_1 | ||||||
Verstrekkingsverzoeken XXX_Bourgonje
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 7 dagen | |
| Auteur | Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost | |
| Te verstrekken hoeveelheid | 100 gram | |
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_123_1_MA_1 | |
| MBH identificatie | MBH_123_1 | |
Toedieningsafspraken XXX_Bourgonje
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 7 dagen | |||
| Gebruiksperiode | Vanaf T- 7 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid | |||
| Toedieningsweg | Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | zo nodig 2 maal per dag | |||
| Relatie naar medicatieafspraak | MBH_123_1_MA_1 | |||
| MBH identificatie | MBH_123_1 | |||
Verstrekkingen XXX_Bourgonje
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 7 dagen | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 100 gram | |
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_123_1_VV_1 | |
| MBH identificatie | MBH_123_1 | |
Medicatiegebruik XXX_Bourgonje
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 4 dagen, om 20:58 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 5 dagen, gedurende 2 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001112 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Bertine | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Doorn | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 99001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Stitswerd Oost | ||||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK') | ||||||
| Gebruiksinstructie | |||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | 2 maal per dag | ||||||
| Gerelateerde afspraak : MA | MBH_123_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_123_1 | ||||||
Patiënt J. XXX_Cnossen
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Cnossen | |
| Identificatienummer | 999911740 [BSN] | |
| Identificatienummer | 31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 4 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Cnossen
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 100 dagen, om 12:11 | ||||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | ||||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 dosis | ||||||
| MBH identificatie | MBH_313_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 60 dagen, om 13:54 | ||||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | ||||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 dosis | ||||||
| MBH identificatie | MBH_313_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 500 dagen, om 10:19 | ||||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | ||||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||||
| Doseerinstructie | 1 maal per dag 1 druppel | ||||||
| MBH identificatie | MBH_313_2 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 366 dagen, om 17:54 | ||||||
| Gebruiksperiode | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen | ||||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||||
| Doseerinstructie | 1 maal per dag 1 druppel | ||||||
| MBH identificatie | MBH_313_2 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 100 dagen, om 12:11 | ||||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_313_3 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 4 dagen, om 13:54 | ||||||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | ||||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_313_3 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 300 dagen, om 14:23 | ||||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_313_4 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 222 dagen, om 08:54 | ||||||
| Gebruiksperiode | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | ||||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_313_4 | ||||||
Toedieningsafspraken XXX_Cnossen
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 100 dagen, om 12:11 | |||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 dosis | |||
| Relatie naar medicatieafspraak | MBH_313_1_MA_1 | |||
| MBH identificatie | MBH_313_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 60 dagen, om 13:54 | |||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59 | |||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 dosis | |||
| Relatie naar medicatieafspraak | MBH_313_1_MA_2 | |||
| MBH identificatie | MBH_313_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 500 dagen, om 10:19 | |||
| Gebruiksperiode | Vanaf T- 500 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen | |||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
| Doseerinstructie | 1 maal per dag 1 druppel | |||
| Relatie naar medicatieafspraak | MBH_313_2_MA_1 | |||
| MBH identificatie | MBH_313_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 366 dagen, om 17:54 | |||
| Gebruiksperiode | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00 | |||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen | |||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
| Doseerinstructie | 1 maal per dag 1 druppel | |||
| Relatie naar medicatieafspraak | MBH_313_2_MA_2 | |||
| MBH identificatie | MBH_313_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 100 dagen, om 12:30 | |||
| Gebruiksperiode | Vanaf T- 100 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_313_3_MA_1 | |||
| MBH identificatie | MBH_313_3 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 4 dagen, om 14:54 | |||
| Gebruiksperiode | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59 | |||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_313_3_MA_2 | |||
| MBH identificatie | MBH_313_3 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 300 dagen, om 15:23 | |||
| Gebruiksperiode | Vanaf T- 300 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_313_4_MA_1 | |||
| MBH identificatie | MBH_313_4 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 222 dagen, om 09:54 | |||
| Gebruiksperiode | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59 | |||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_313_4_MA_2 | |||
| MBH identificatie | MBH_313_4 | |||
Medicatiegebruik XXX_Cnossen
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 59 dagen, om 12:11 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 59 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 59 dagen, tot nader order, 1 maal per dag 1 dosis | ||||||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 dosis | ||||||
| Gerelateerde afspraak : MA | MBH_313_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | 7 jul 2018, om 15:25 | ||||||
| Gebruik indicator | Nee | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf 7 jul 2018, om 07:00, tot nader order | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik | ||||||
| Gerelateerde afspraak : MA | MBH_313_1_MA_2 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | 21 apr 2017, om 10:19 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf 21 apr 2017, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen | ||||||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Aanvullende instructie | in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||||
| Doseerinstructie | 1 maal per dag 1 druppel | ||||||
| Gerelateerde afspraak : MA | MBH_313_2_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_2 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 365 dagen, om 17:54 | ||||||
| Gebruik indicator | Nee | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 366 dagen, tot nader order | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 366 dagen, tot nader order, geen gebruik | ||||||
| Gerelateerde afspraak : MA | MBH_313_2_MA_2 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_2 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | 26 mei 2018, om 14:11 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf 26 mei 2018, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf 26 mei 2018, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_313_3_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_3 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | 29 aug 2018, om 13:54 | ||||||
| Gebruik indicator | Nee | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf 29 aug 2018, tot nader order | ||||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf 29 aug 2018, tot nader order, gebruik onderbroken | ||||||
| Gerelateerde afspraak : MA | MBH_313_3_MA_2 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_3 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | 7 nov 2017, om 17:23 | ||||||
| Gebruik indicator | Nee | ||||||
| Gebruiksperiode | Vanaf 7 nov 2017, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf 7 nov 2017, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_313_4_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_4 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 222 dagen, om 19:35 | ||||||
| Gebruik indicator | Nee | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 222 dagen, tot nader order | ||||||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 222 dagen, tot nader order, gebruik onderbroken | ||||||
| Gerelateerde afspraak : MA | MBH_313_4_MA_2 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_313_4 | ||||||
Patiënt R. XXX_Dirksz
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Dirksz | |
| Identificatienummer | 999911326 [BSN] | |
| Identificatienummer | 11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Dirksz
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | ||||||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_113_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 30 dagen, om 14:55 | ||||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||||||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_113_2 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 30 dagen, om 14:57 | ||||||
| Gebruiksperiode | Vanaf T- 30 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_113_3 | ||||||
Verstrekkingsverzoeken XXX_Dirksz
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 50 dagen, om 11:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_1_MA_1 | |
| MBH identificatie | MBH_113_1 | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 30 dagen, om 14:55 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 21 stuks | |
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_2_MA_1 | |
| MBH identificatie | MBH_113_2 | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 30 dagen, om 14:57 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 21 stuks | |
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_113_3_MA_1 | |
| MBH identificatie | MBH_113_3 | |
Toedieningsafspraken XXX_Dirksz
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal | |||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_113_1_MA_1 | |||
| MBH identificatie | MBH_113_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 30 dagen, om 14:55 | |||
| Gebruiksperiode | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_113_2_MA_1 | |||
| MBH identificatie | MBH_113_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 30 dagen, om 14:57 | |||
| Gebruiksperiode | Vanaf T- 30 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '2185' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_113_2_MA_1 | |||
| MBH identificatie | MBH_113_3 | |||
Verstrekkingen XXX_Dirksz
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 50 dagen, om 12:25 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_113_1_VV_1 | |
| MBH identificatie | MBH_113_1 | |
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 30 dagen, om 15:55 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 25 stuks | |
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_113_2_VV_1 | |
| MBH identificatie | MBH_113_2 | |
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 30 dagen, om 15:56 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 21 stuks | |
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_113_3_VV_1 | |
| MBH identificatie | MBH_113_3 | |
Medicatiegebruik XXX_Dirksz
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 48 dagen, om 11:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 48 dagen, gedurende 1 dag | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal | ||||||
| Toedieningsweg | Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | zo nodig 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_113_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_113_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 13 dagen, om 14:55 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 30 dagen, gedurende 3 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | ||||||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_113_2_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_113_2 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 29 dagen, om 14:57 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_113_3_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_113_3 | ||||||
Patiënt R. XXX_Gobee
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Gobee | |
| Identificatienummer | 999911314 [BSN] | |
| Identificatienummer | 21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Gobee
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 40 dagen, om 09:13 | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_1 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 40 dagen, om 09:13 | ||||||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 30 dagen | ||||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_2 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 15 dagen, om 16:25 | ||||||
| Gebruiksperiode | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_3 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 15 dagen, om 16:25 | ||||||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 30 dagen | ||||||
| Relatie naar afspraak of gebruik: MA | MBH_213_1_MA_4 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_213_1 | ||||||
Verstrekkingsverzoeken XXX_Gobee
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 50 dagen, om 11:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 40 stuks | |
| Aantal herhalingen | 1 | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_1 | |
| MBH identificatie | MBH_213_1 | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 40 dagen, om 09:13 | |
| Auteur | John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Te verstrekken hoeveelheid | 60 stuks | |
| Aantal herhalingen | 1 | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_3 | |
| MBH identificatie | MBH_213_1 | |
| Verstrekkingsverzoek | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |
| Datum | T- 15 dagen, om 16:25 | |
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Verbruiksperiode | tot nader order | |
| Beoogd verstrekker | Apotheek De Gulle Gaper | |
| Relatie naar medicatieafspraak | MBH_213_1_MA_5 | |
| MBH identificatie | MBH_213_1 | |
Toedieningsafspraken XXX_Gobee
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||
| Gebruiksperiode | Vanaf T- 50 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_213_1_MA_1 | |||
| MBH identificatie | MBH_213_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 40 dagen, om 09:13 | |||
| Gebruiksperiode | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59 | |||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | zo nodig 1 à 2 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_213_1_MA_2 | |||
| MBH identificatie | MBH_213_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 40 dagen, om 09:13 | |||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_213_1_MA_3 | |||
| MBH identificatie | MBH_213_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 15 dagen, om 16:25 | |||
| Gebruiksperiode | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59 | |||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_213_1_MA_4 | |||
| MBH identificatie | MBH_213_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 15 dagen, om 16:25 | |||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_213_1_MA_5 | |||
| MBH identificatie | MBH_213_1 | |||
Verstrekkingen XXX_Gobee
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 50 dagen, om 13:25 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 40 stuks | |
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_1 | |
| MBH identificatie | MBH_213_1 | |
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 40 dagen, om 09:13 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 60 stuks | |
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_2 | |
| MBH identificatie | MBH_213_1 | |
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T- 15 dagen, om 17:25 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 30 stuks | |
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |
| Verbruiksduur | 30 dagen | |
| Relatie naar verstrekkingsverzoek | MBH_213_1_VV_2 | |
| MBH identificatie | MBH_213_1 | |
Medicatiegebruik XXX_Gobee
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 47 dagen, om 11:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 3 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 41 dagen, om 11:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 46 dagen, gedurende 6 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 46 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 35 dagen, om 19:25 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 40 dagen, gedurende 6 dagen | ||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 40 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal | ||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| Doseerinstructie | 2 maal per dag 1 stuk | ||
| Gerelateerde afspraak : TA | MBH_213_1_TA_3 | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_213_1 | ||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 16 dagen, om 11:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 34 dagen, gedurende 19 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_3 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_213_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 10 dagen, om 11:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 14 dagen, gedurende 5 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_213_1_MA_5 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_213_1 | ||||||
Patiënt I. XXX_Jangi
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | I. XXX_Jangi | |
| Adresgegevens | Knolweg 1002 9999ZZ Stitswerd | |
| Telefoonnummers | ||
| Identificatienummer | 999911727 [BSN] | |
| Identificatienummer | 10009 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 2 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Documentgegevens XXX_Jangi
| Documentgegevens | |||
| Gegevenselement | Waarde | ||
| Document datum | 16 aug 2018 | ||
| Auteur - zorgaanbieder | |||
| Organisatie naam | |||
| Verificatie patient | Nee | ||
| Verificatie zorgverlener | Nee | ||
Medicatieafspraken XXX_Jangi
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 15 dagen, om 09:13 | ||||||
| Gebruiksperiode | Vanaf T- 15 dagen, gedurende 4 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 15 dagen, gedurende 4 weken, 1 maal per dag 2 tabletten, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 2 stuks | ||||||
| Kopie indicator | |||||||
| Toelichting | Exact 4 weken | ||||||
| MBH identificatie | MBH_MO_123_3 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 60 dagen, om 09:13 | ||||||
| Gebruiksperiode | Vanaf T- 60 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Initialen | I. | ||||||
| Geslachtsnaam | |||||||
| Achternaam | Ternist | ||||||
| Specialisme | Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | |||||||
| Organisatie naam | Antonius | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 60 dagen, tot nader order, 1 maal per dag 10IE, SUBCUTAAN | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 10 internationale eenheid | ||||||
| Kopie indicator | |||||||
| MBH identificatie | MBH_MO_123_4 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 728 dagen, om 09:13 | ||||||
| Gebruiksperiode | Vanaf T- 728 dagen, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 728 dagen, tot nader order, 1 maal per dag 1 tablet ‘s avonds, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||||||
| Kopie indicator | |||||||
| MBH identificatie | MBH_MO_123_6 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T+ 3 dagen, om 09:27 | ||||||
| Gebruiksperiode | Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59, Elke 8 uur 1 capsule, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk | ||||||
| Kopie indicator | |||||||
| MBH identificatie | MBH_MO_123_7 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 45 dagen, om 11:50 | ||||||
| Gebruiksperiode | Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59, 1 keer per exact 8 uur 1 stuk, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | exact iedere 8 uur 1 stuk | ||||||
| Kopie indicator | |||||||
| MBH identificatie | MBH_MO_123_9 | ||||||
Toedieningsafspraken XXX_Jangi
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 6 dagen, om 11:55 | |||
| Gebruiksperiode | Vanaf T- 6 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 6 dagen, tot nader order, eerst 2 maal per dag zalf gedurende 7 dagen, daarna 1 maal per dag zalf gedurende 7 dagen, daarna 3 maal per week zalf gedurende 7 dagen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 7 dagen 2 maal per dag | |||
| Doseerinstructie 2 | dan gedurende 7 dagen 1 maal per dag | |||
| Doseerinstructie 3 | dan gedurende 7 dagen 3 maal per week | |||
| Toelichting | Eczeem oogleden | |||
| MBH identificatie | MBH_MO_123_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 14 dagen, om 15:55 | |||
| Gebruiksperiode | Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59 | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59, 1 maal per dag 2 tabletten, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie naar medicatieafspraak | MBH_MO_123_3_MA_1 | |||
| MBH identificatie | MBH_MO_123_3 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 60 dagen, om 15:55 | |||
| Gebruiksperiode | Vanaf T- 604 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Geneesmiddel - primaire code | LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 604 dagen, tot nader order, Elke dag om 9 uur 10IE, subcutaan | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | elke dag om 10 internationale eenheid | |||
| Kopie indicator | ||||
| Relatie naar medicatieafspraak | MBH_MO_123_4_MA_1 | |||
| MBH identificatie | MBH_MO_123_4 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 36 dagen, om 15:55 | |||
| Gebruiksperiode | Vanaf T- 36 dagen, gedurende 90 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Geneesmiddel - primaire code | PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 36 dagen, gedurende 90 dagen, 1 maal per dag 1 tablet, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Kopie indicator | ||||
| MBH identificatie | MBH_MO_123_5 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 323 dagen, om 15:55 | |||
| Gebruiksperiode | Vanaf T- 323 dagen, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Geneesmiddel - primaire code | SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 323 dagen, tot nader order, 1 maal per dag 2 tabletten ‘s avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks 's avonds | |||
| Kopie indicator | ||||
| Relatie naar medicatieafspraak | MBH_MO_123_6_MA_1 | |||
| MBH identificatie | MBH_MO_123_6 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 28 dagen, om 11:50 | |||
| Gebruiksperiode | Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59 | |||
| Stoptype | Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Reden afspraak | Beleidswijziging | |||
| Geneesmiddel - primaire code | Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59, 1 maal per dag 2 tabletten ‘s avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks 's avonds | |||
| Kopie indicator | ||||
| Relatie naar medicatieafspraak | MBH_MO_123_8_MA_3 | |||
| MBH identificatie | MBH_MO_123_8 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 36 dagen, om 15:50 | |||
| Gebruiksperiode | Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59 | |||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 13336578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Poliapotheek Antonius | |||
| Reden afspraak | Geen of onvoldoende effect | |||
| Geneesmiddel - primaire code | PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59, 1 maal per dag 1 tablet ‘s morgens, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk 's ochtends | |||
| Kopie indicator | ||||
| MBH identificatie | MBH_MO_123_10 | |||
Medicatiegebruik XXX_Jangi
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_MO_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 10:57 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 3 dagen, gedurende 3 dagen | ||
| Geneesmiddel - Product specificatie | |||
| Product naam | Ibuprofen | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 3 dagen, gedurende 3 dagen, 4 maal per dag 1 tablet, oraal | ||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| Doseerinstructie | 4 maal per dag 1 stuk | ||
| Auteur | Patiënt | ||
| Kopie indicator | |||
| Toelichting | Pijn | ||
| MBH identificatie | MBH_MO_123_1 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_MO_123_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T, om 12:58 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59 | ||
| Geneesmiddel - Product specificatie | |||
| Product naam | Glimepiride | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59, 1 maal per dag 1 tablet | ||
| Doseerinstructie | 1 maal per dag 1 stuk | ||
| Auteur | Patiënt | ||
| Kopie indicator | |||
| MBH identificatie | MBH_MO_123_3 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_MO_123_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 33 dagen, om 13:58 | ||
| Gebruik indicator | Nee | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 36 dagen, tot nader order | ||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||
| Geneesmiddel - primaire code | PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 36 dagen, tot nader order, 1 maal per dag 1 tablet, oraal | ||
| Gerelateerde afspraak : TA | MBH_MO_123_5_TA_1 | ||
| Auteur | Patiënt | ||
| Reden wijzigen of stoppen gebruik | Te sterk effect (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2') | ||
| Kopie indicator | |||
| Toelichting | Gestopt vanwege bijwerkingen | ||
| MBH identificatie | MBH_MO_123_5 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_MO_123_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 248 dagen, om 09:00 | ||
| Gebruik indicator | Ja | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 248 dagen, tot nader order | ||
| Geneesmiddel - primaire code | SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 248 dagen, tot nader order, 1 maal per dag 12 tablet ‘s avonds, oraal | ||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||
| Auteur | Zorgverlener: I. Ternist - Medisch specialisten, inwendige geneeskunde. Antonius | ||
| Kopie indicator | |||
| Toelichting | Patiënt gebruikt niet volgens voorschrift | ||
| MBH identificatie | MBH_MO_123_6 | ||
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_MO_123_6_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 172 dagen, om 15:37 | ||
| Gebruik indicator | Ja | ||
| Volgens afspraak indicator | Nee | ||
| Gebruiksperiode | Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59 | ||
| Geneesmiddel - primaire code | SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59, 1 maal per dag 1 tablet ‘s avonds, oraal, gestopt | ||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||
| Gerelateerde afspraak : MA | MBH_MO_123_6_MA_1 | ||
| Auteur | Patiënt | ||
| Toelichting | Veel last van jeuk | ||
| MBH identificatie | MBH_MO_123_6 | ||
Patiënt J. XXX_Kilkenny
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | J. XXX_Kilkenny | |
| Identificatienummer | 999911752 [BSN] | |
| Identificatienummer | 22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 5 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Kilkenny
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 5 dagen, om 15:34 | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59 | ||||||
| Stoptype | Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1') | ||||||
| Relatie naar afspraak of gebruik: MA | MBH_323_1_MGB_1 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | John | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | de | ||||||
| Achternaam | Vries | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | ||||||
| Geneesmiddel - generiekere code | IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK') | ||||||
| Geneesmiddel - generiekere code | IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59, 3x per dag 1 tablet | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||||
| Doseerinstructie | 3 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_323_1 | ||||||
Medicatiegebruik XXX_Kilkenny
| Medicatie gebruik | |||
| Gegevenselement | Waarde | ||
| Identificatie | MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
| Registratiedatum | T- 10 dagen, om 11:25 | ||
| Gebruik indicator | Ja | ||
| Gebruiksperiode | Vanaf T- 20 dagen, tot nader order | ||
| Geneesmiddel - primaire code | ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK') | ||
| Geneesmiddel - generiekere code | IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK') | ||
| Geneesmiddel - generiekere code | IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK') | ||
| Gebruiksinstructie | |||
| Omschrijving | Vanaf T- 20 dagen, tot nader order, 3x per dag 1 tablet | ||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| Doseerinstructie | 3 maal per dag 1 stuk | ||
| Auteur | Patiënt | ||
| MBH identificatie | MBH_323_1 | ||
Patiënt R. XXX_Ruys
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Ruys | |
| Identificatienummer | 999911351 [BSN] | |
| Identificatienummer | 13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1') | |
Patiënt R. XXX_Strengersz
| Patiënt | ||
| Gegevenselement | Waarde | |
| Naamgegevens | R. XXX_Strengersz | |
| Identificatienummer | 999911338 [BSN] | |
| Identificatienummer | 41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1' | |
| Geboortedatum | 1 aug 1964 | |
| Geslacht | Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1') | |
Medicatieafspraken XXX_Strengersz
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | ||||||
| MBH identificatie | MBH_413_1 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | ||||||
| MBH identificatie | MBH_413_2 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 50 dagen, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | ||||||
| MBH identificatie | MBH_413_3 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 20 dagen, om 10:26 | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | ||||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | 3 maal per dag | ||||||
| MBH identificatie | MBH_413_4 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 20 dagen, om 10:46 | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | ||||||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 0.5 stuk | ||||||
| MBH identificatie | MBH_413_5 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||||||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | ||||||
| MBH identificatie | MBH_413_6 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||||||
| MBH identificatie | MBH_413_7 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | op maandag, woensdag en vrijdag | ||||||
| MBH identificatie | MBH_413_8 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||||||
| MBH identificatie | MBH_413_9 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | ||||||
| Herhaalperiode cyclisch schema | 28 dagen | ||||||
| MBH identificatie | MBH_413_10 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | ||||||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | ||||||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | ||||||
| MBH identificatie | MBH_413_11 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk | ||||||
| MBH identificatie | MBH_413_12 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 28 dagen, om 09:12 | ||||||
| Gebruiksperiode | Vanaf T- 28 dagen, gedurende 8 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | ||||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 0.5 ml per uur | ||||||
| MBH identificatie | MBH_413_13 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T- 20 dagen, om 11:25 | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 8 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML (HCL) (code = in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | ||||||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 0.2 à 0.5 ml per uur | ||||||
| MBH identificatie | MBH_413_13 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 11:25 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||||||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | ||||||
| MBH identificatie | MBH_413_14 | ||||||
| Medicatieafspraak | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||||
| Afspraakdatum | T, om 09:35 | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Adresgegevens | |||||||
| Straat | Dorpsstraat | ||||||
| Huisnummer | 1 | ||||||
| Postcode | 1234AA | ||||||
| Woonplaats | Ons Dorp | ||||||
| Geneesmiddel - Product specificatie | |||||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||||
| Ingredient | |||||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||||
| Sterkte | 10 gram per 100 gram | ||||||
| Ingredient | |||||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||||
| Sterkte | 90 gram per 100 gram | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | ||||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | bij hoest | ||||||
| MBH identificatie | MBH_413_15 | ||||||
Verstrekkingsverzoeken XXX_Strengersz
| Verstrekkingsverzoek | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Datum | T, om 09:35 | |||
| Auteur | Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners | |||
| Te verstrekken hoeveelheid | 100 ml | |||
| Aantal herhalingen | 1 | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 90 gram per 100 gram | |||
| Beoogd verstrekker | Apotheek De Gulle Gaper | |||
| Relatie naar medicatieafspraak | MBH_413_15_MA_1 | |||
| MBH identificatie | MBH_413_15 | |||
Toedieningsafspraken XXX_Strengersz
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 11:25 | |||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_413_1_MA_1 | |||
| MBH identificatie | MBH_413_1 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 11:25 | |||
| Gebruiksperiode | Vanaf T, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | |||
| Relatie naar medicatieafspraak | MBH_413_2_MA_1 | |||
| MBH identificatie | MBH_413_2 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 50 dagen, om 11:25 | |||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | |||
| Relatie naar medicatieafspraak | MBH_413_3_MA_1 | |||
| MBH identificatie | MBH_413_3 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 20 dagen, om 10:26 | |||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 3 maal per dag | |||
| Relatie naar medicatieafspraak | MBH_413_4_MA_1 | |||
| MBH identificatie | MBH_413_4 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 20 dagen, om 10:46 | |||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||
| Relatie naar medicatieafspraak | MBH_413_5_MA_1 | |||
| MBH identificatie | MBH_413_5 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | |||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | |||
| Relatie naar medicatieafspraak | MBH_413_6_MA_1 | |||
| MBH identificatie | MBH_413_6 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | |||
| Relatie naar medicatieafspraak | MBH_413_7_MA_1 | |||
| MBH identificatie | MBH_413_7 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | |||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||
| Relatie naar medicatieafspraak | MBH_413_8_MA_1 | |||
| MBH identificatie | MBH_413_8 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | |||
| Relatie naar medicatieafspraak | MBH_413_9_MA_1 | |||
| MBH identificatie | MBH_413_9 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Herhaalperiode cyclisch schema | 28 dagen | |||
| Relatie naar medicatieafspraak | MBH_413_10_MA_1 | |||
| MBH identificatie | MBH_413_10 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | |||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | |||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | |||
| Relatie naar medicatieafspraak | MBH_413_11_MA_1 | |||
| MBH identificatie | MBH_413_11 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 11:25 | |||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk | |||
| Relatie naar medicatieafspraak | MBH_413_12_MA_1 | |||
| MBH identificatie | MBH_413_12 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 28 dagen, om 09:12 | |||
| Gebruiksperiode | Vanaf T- 28 dagen, gedurende 8 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal | |||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 0.5 ml per uur | |||
| Relatie naar medicatieafspraak | MBH_413_13_MA_1 | |||
| MBH identificatie | MBH_413_13 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T- 20 dagen, om 11:25 | |||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 8 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal | |||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 0.2 à 0.5 ml per uur | |||
| Relatie naar medicatieafspraak | MBH_413_13_MA_2 | |||
| MBH identificatie | MBH_413_13 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 11:25 | |||
| Gebruiksperiode | Vanaf 16 aug 2018, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - primaire code | DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | |||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | |||
| Relatie naar medicatieafspraak | MBH_413_14_MA_1 | |||
| MBH identificatie | MBH_413_14 | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Afspraakdatum | T, om 09:35 | |||
| Gebruiksperiode | Vanaf T, tot nader order | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01236578 (in identificerend systeem: 2.16.528.1.1007.3.3) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 90 gram per 100 gram | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | bij hoest | |||
| Relatie naar medicatieafspraak | MBH_413_15_MA_1 | |||
| MBH identificatie | MBH_413_15 | |||
Verstrekkingen XXX_Strengersz
| Verstrekking | ||
| Gegevenselement | Waarde | |
| Identificatie | MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |
| Datum | T, om 10:35 | |
| Verstrekker | Apotheek de Gulle Gaper | |
| Verstrekte hoeveelheid | 90 stuks | |
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | |
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | |
| Distributievorm | Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8') | |
| Relatie naar verstrekkingsverzoek | MBH_413_9_VV_1 | |
| MBH identificatie | MBH_413_9 | |
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Datum | T, om 10:35 | |||
| Verstrekker | Apotheek de Gulle Gaper | |||
| Verstrekte hoeveelheid | 100 gram | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
| Sterkte | 90 gram per 100 gram | |||
| Relatie naar verstrekkingsverzoek | MBH_513_15_VV_1 | |||
| MBH identificatie | MBH_413_15 | |||
Medicatiegebruik XXX_Strengersz
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 16:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 60 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal | ||||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_413_1_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_1 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 14:25 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 14 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 14 dagen, exact iedere 3 uur 16 IE, subcutaan | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | exact iedere 12 uur 16 internationale eenheid | ||||||
| Gerelateerde afspraak : MA | MBH_413_2_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_2 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 10:45 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 50 dagen, gedurende 4 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 3 maal per dag 1 à 2 stuks | ||||||
| Gerelateerde afspraak : MA | MBH_413_3_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_3 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T- 15 dagen, om 13:44 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan | ||||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | 3 maal per dag | ||||||
| Gerelateerde afspraak : MA | MBH_413_4_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_4 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 12:38 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T- 20 dagen, gedurende 30 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK') | ||||||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 2 maal per dag 0.5 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_413_5_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_5 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 21:37 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 1 dag | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen | ||||||
| Toedieningsweg | niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | 2 maal per dag 10 à 15 ml | ||||||
| Gerelateerde afspraak : MA | MBH_413_6_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_6 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 14:05 | ||||||
| Gebruik indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, om 07:00, tot en met T, om 23:59 | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE | ||||||
| Toedieningsweg | subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid | ||||||
| Gerelateerde afspraak : MA | MBH_413_7_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_7 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 23:59 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 10 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan | ||||||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||||||
| Doseerinstructie | op maandag, woensdag en vrijdag | ||||||
| Gerelateerde afspraak : MA | MBH_413_8_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_8 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 22:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk 's avonds | ||||||
| Gerelateerde afspraak : MA | MBH_413_9_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_9 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 09:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, tot nader order | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal | ||||||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | ||||||
| Herhaalperiode cyclisch schema | 28 dagen | ||||||
| Gerelateerde afspraak : MA | MBH_413_10_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_10 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 15:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 41 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan | ||||||
| Aanvullende instructie | dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten') | ||||||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | ||||||
| Doseerinstructie | dan gedurende 3 weken 1 maal per dag 2 gram | ||||||
| Doseerinstructie | dan gedurende 6 dagen 1 maal per dag 1 gram | ||||||
| Gerelateerde afspraak : MA | MBH_413_11_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_11 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 22:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Gebruiksperiode | Vanaf T, gedurende 3 weken | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal | ||||||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | bij hoest 1 maal per 3 uur 1 stuk | ||||||
| Gerelateerde afspraak : MA | MBH_413_12_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_12 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 22:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Ja | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Zorgverlener identificatie nummer | 000001111 (in identificerend systeem: 2.16.528.1.1007.3.1) | ||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||||||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal | ||||||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | 1 maal per dag 1 stuk gedurende 16 uur | ||||||
| Gerelateerde afspraak : MA | MBH_413_14_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_14 | ||||||
| Medicatie gebruik | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatie | MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||||
| Registratiedatum | T, om 10:35 | ||||||
| Gebruik indicator | Ja | ||||||
| Volgens afspraak indicator | Nee | ||||||
| Gebruiksperiode | Vanaf T, gedurende 4 dagen | ||||||
| Voorschrijver | |||||||
| Zorgverlener | |||||||
| Naamgegevens | |||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||||||
| Zorgaanbieder | |||||||
| Zorgaanbieder identificatie nummer | 00001111 (in identificerend systeem: 2.16.528.1.1007.3.3) | ||||||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | ||||||
| Geneesmiddel - Product specificatie | |||||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||||
| Ingredient | |||||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||||
| Sterkte | 10 gram per 100 gram | ||||||
| Ingredient | |||||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||||
| Sterkte | 90 gram per 100 gram | ||||||
| Gebruiksinstructie | |||||||
| Omschrijving | Vanaf T, gedurende 4 dagen, aanbrengen, cutaan | ||||||
| Toedieningsweg | cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen') | ||||||
| Doseerinstructie | |||||||
| Gerelateerde afspraak : MA | MBH_413_15_MA_1 | ||||||
| Auteur | Patiënt | ||||||
| MBH identificatie | MBH_413_15 | ||||||