mp:Vdraft Sandbox: verschil tussen versies
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| Regel 8: | Regel 8: | ||
<section begin=Henegouwen /> | <section begin=Henegouwen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Richard | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|R. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|Henegouwen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|555555112 [BSN] | |style="background-color: white;"|555555112 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|20 feb 1950 | |style="background-color: white;"|20 feb 1950 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | |style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | ||
|}<section end=Henegouwen /> | |}<section end=Henegouwen /> | ||
| Regel 29: | Regel 49: | ||
<section begin=TA_Henegouwen /> | <section begin=TA_Henegouwen /> | ||
{| class="wikitable" width="85%" | {| 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; 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 47: | Regel 67: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 56: | Regel 76: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1046764' in codeSystem ' | |style="background-color: white;"|(code = '1046764' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '9954' in codeSystem ' | |style="background-color: white;"|(code = '9954' 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 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Gebruik bekend | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Gebruik bekend | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 95: | Regel 118: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 107: | Regel 130: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1046764' in codeSystem ' | |style="background-color: white;"|(code = '1046764' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '9954' in codeSystem ' | |style="background-color: white;"|(code = '9954' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 118: | Regel 141: | ||
<section begin=Creiens /> | <section begin=Creiens /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Carel | |style="background-color: white;"|Carel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Identificatienummer | |colspan="3"|Initialen | ||
|style="background-color: white;"|C. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Creiens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999999060 [BSN] | |style="background-color: white;"|999999060 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|1 jun 1950 | |style="background-color: white;"|1 jun 1950 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | |style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | ||
|}<section end=Creiens /> | |}<section end=Creiens /> | ||
| Regel 139: | Regel 179: | ||
<section begin=TA_Creiens /> | <section begin=TA_Creiens /> | ||
{| class="wikitable" width="85%" | {| 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; 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 146: | Regel 186: | ||
|-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- 500 dagen | |style="background-color: white;"|T - 500 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 160: | Regel 205: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 173: | Regel 218: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 7 dagen, 4 maal per dag 1 | |style="background-color: white;"|gedurende 7 dagen, 4 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 182: | Regel 227: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 189: | Regel 234: | ||
|-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- 635 dagen | |style="background-color: white;"|T - 635 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 200: | Regel 245: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 209: | Regel 254: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1417762' in codeSystem ' | |style="background-color: white;"|(code = '1417762' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 216: | Regel 261: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|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"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 225: | Regel 270: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 232: | Regel 277: | ||
|-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- 310 dagen | |style="background-color: white;"|T - 310 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 1826 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|1826 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 246: | Regel 296: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 259: | Regel 309: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 1826 dagen, 2 maal per jaar 1 | |style="background-color: white;"|gedurende 1826 dagen, 2 maal per jaar 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 268: | Regel 318: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 275: | Regel 325: | ||
|-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- 175 dagen | |style="background-color: white;"|T - 175 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 60 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 289: | Regel 344: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 298: | Regel 353: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '719374' in codeSystem ' | |style="background-color: white;"|(code = '719374' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '50997' in codeSystem ' | |style="background-color: white;"|(code = '50997' 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 308: | Regel 363: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 60 dagen, 1 maal per dag | |style="background-color: white;"|gedurende 60 dagen, 1 maal per dag 0.25 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 317: | Regel 372: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 324: | Regel 379: | ||
|-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- 144 dagen | |style="background-color: white;"|T - 144 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 338: | Regel 398: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 347: | Regel 407: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '219584' in codeSystem ' | |style="background-color: white;"|(code = '219584' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '120219' in codeSystem ' | |style="background-color: white;"|(code = '120219' 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 366: | Regel 426: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 373: | Regel 433: | ||
|-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- 652 dagen | |style="background-color: white;"|T - 652 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 650 dagen, gedurende 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 650 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|7 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 387: | Regel 455: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 396: | Regel 464: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '850144' in codeSystem ' | |style="background-color: white;"|(code = '850144' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '95575' in codeSystem ' | |style="background-color: white;"|(code = '95575' 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 406: | Regel 474: | ||
|-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- 650 dagen, gedurende 7 dagen, 2 maal per dag 1 druppel | |style="background-color: white;"|Vanaf T - 650 dagen, gedurende 7 dagen, 2 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 415: | Regel 483: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 422: | Regel 490: | ||
|-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- 287 dagen | |style="background-color: white;"|T - 287 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 287 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 287 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 436: | Regel 509: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 445: | Regel 518: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '15261' in codeSystem ' | |style="background-color: white;"|(code = '15261' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '121363' in codeSystem ' | |style="background-color: white;"|(code = '121363' 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 455: | Regel 528: | ||
|-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- 287 dagen | |style="background-color: white;"|Vanaf T - 287 dagen, 2 maal per dag 5 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 464: | Regel 537: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 471: | Regel 544: | ||
|-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- 71 dagen | |style="background-color: white;"|T - 71 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 71 dagen, tot en met T + 149 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 71 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 149 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 485: | Regel 566: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 494: | Regel 575: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1029746' in codeSystem ' | |style="background-color: white;"|(code = '1029746' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '87424' in codeSystem ' | |style="background-color: white;"|(code = '87424' 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 504: | Regel 585: | ||
|-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- 71 dagen, tot en met T+ 149 dagen | |style="background-color: white;"|Vanaf T - 71 dagen, tot en met T + 149 dagen, 2 maal per dag 2 doses | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 513: | Regel 594: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 520: | Regel 601: | ||
|-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- 10 dagen | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 18 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|18 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 534: | Regel 620: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 543: | Regel 629: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '836982' in codeSystem ' | |style="background-color: white;"|(code = '836982' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '122033' in codeSystem ' | |style="background-color: white;"|(code = '122033' 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 553: | Regel 639: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 18 dagen, 1 maal per 3 dagen 2 | |style="background-color: white;"|gedurende 18 dagen, 1 maal per 3 dagen 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 562: | Regel 648: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 570: | Regel 656: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: #E3E3E3;;"|''gedurende 30 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|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"| | |rowspan="5"| | ||
| Regel 583: | Regel 674: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 596: | Regel 687: | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|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="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 30 dagen, gebruik volgens afspraak | |style="background-color: white;"|gedurende 30 dagen, gebruik volgens afspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): gebruik volgens afspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 605: | Regel 699: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 613: | Regel 707: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 42 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 42 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 626: | Regel 728: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 639: | Regel 741: | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|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="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T+ 42 dagen, | |style="background-color: white;"|Vanaf T, tot en met T + 42 dagen, eerst 1 week 6 stuks per dag; vanaf T + 1wk, gedurende 1 week 5 stuks per dag; vanaf T + 2 weken, gedurende 1 week 4 stuks per dag; vanaf T + 3 weken, gedurende 1 week 3 stuks per dag; vanaf T + 4 weken, gedurende 1 week 2 stuks per dag; vanaf T + 5 weken, gedurende 1 week 1 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): eerst 1 week 6 stuks per dag; vanaf T + 1wk, gedurende 1 week 5 stuks per dag; vanaf T + 2 weken, gedurende 1 week 4 stuks per dag; vanaf T + 3 weken, gedurende 1 week 3 stuks per dag; vanaf T + 4 weken, gedurende 1 week 2 stuks per dag; vanaf T + 5 weken, gedurende 1 week 1 stuks per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 660: | Regel 765: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 500 dagen | |style="background-color: white;"|T - 500 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 671: | Regel 776: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 696: | Regel 801: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 635 dagen | |style="background-color: white;"|T - 635 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 707: | Regel 812: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 719: | Regel 824: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1417762' in codeSystem ' | |style="background-color: white;"|(code = '1417762' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verbruiksduur | |colspan="4"|Verbruiksduur | ||
| Regel 738: | Regel 843: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 310 dagen | |style="background-color: white;"|T - 310 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 749: | Regel 854: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 777: | Regel 882: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 175 dagen | |style="background-color: white;"|T - 175 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 788: | Regel 893: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 800: | Regel 905: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '719374' in codeSystem ' | |style="background-color: white;"|(code = '719374' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '50997' in codeSystem ' | |style="background-color: white;"|(code = '50997' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verbruiksduur | |colspan="4"|Verbruiksduur | ||
| Regel 822: | Regel 927: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 144 dagen | |style="background-color: white;"|T - 144 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 833: | Regel 938: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 845: | Regel 950: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '219584' in codeSystem ' | |style="background-color: white;"|(code = '219584' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '120219' in codeSystem ' | |style="background-color: white;"|(code = '120219' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 864: | Regel 969: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 652 dagen | |style="background-color: white;"|T - 652 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 875: | Regel 980: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 887: | Regel 992: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '850144' in codeSystem ' | |style="background-color: white;"|(code = '850144' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '95575' in codeSystem ' | |style="background-color: white;"|(code = '95575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 906: | Regel 1.011: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 287 dagen | |style="background-color: white;"|T - 287 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 917: | Regel 1.022: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 929: | Regel 1.034: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '15261' in codeSystem ' | |style="background-color: white;"|(code = '15261' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '121363' in codeSystem ' | |style="background-color: white;"|(code = '121363' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 948: | Regel 1.053: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 71 dagen | |style="background-color: white;"|T - 71 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 959: | Regel 1.064: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 971: | Regel 1.076: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1029746' in codeSystem ' | |style="background-color: white;"|(code = '1029746' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '87424' in codeSystem ' | |style="background-color: white;"|(code = '87424' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 990: | Regel 1.095: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 10 dagen | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.001: | Regel 1.106: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.013: | Regel 1.118: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '836982' in codeSystem ' | |style="background-color: white;"|(code = '836982' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '122033' in codeSystem ' | |style="background-color: white;"|(code = '122033' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.043: | Regel 1.148: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.082: | Regel 1.187: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.102: | Regel 1.207: | ||
<section begin=Direnç /> | <section begin=Direnç /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Identificatienummer | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Aygül | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|A. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Direnç | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|555555914 [BSN] | |style="background-color: white;"|555555914 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|20 | |style="background-color: white;"|20 mei 1950 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | |style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | ||
|}<section end=Direnç /> | |}<section end=Direnç /> | ||
| Regel 1.123: | Regel 1.245: | ||
<section begin=TA_Direnç /> | <section begin=TA_Direnç /> | ||
{| class="wikitable" width="85%" | {| 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; 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 1.130: | Regel 1.252: | ||
|-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- 566 dagen | |style="background-color: white;"|T - 566 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 50 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.144: | Regel 1.271: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.157: | Regel 1.284: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 50 dagen, | |style="background-color: white;"|gedurende 50 dagen, 3 maal per dag 8 à 10 eenheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.166: | Regel 1.293: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.173: | Regel 1.300: | ||
|-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- 613 dagen | |style="background-color: white;"|T - 613 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.184: | Regel 1.311: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.193: | Regel 1.320: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1110837' in codeSystem ' | |style="background-color: white;"|(code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '103039' in codeSystem ' | |style="background-color: white;"|(code = '103039' 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 1.203: | Regel 1.330: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|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="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.212: | Regel 1.339: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.219: | Regel 1.346: | ||
|-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- 252 dagen | |style="background-color: white;"|T - 252 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.230: | Regel 1.357: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.246: | Regel 1.373: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 à 3 maal per dag, aanbrengen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Aanvullende instructie | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem ' | |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.258: | Regel 1.385: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.265: | Regel 1.392: | ||
|-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- 217 dagen | |style="background-color: white;"|T - 217 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 90 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|90 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.279: | Regel 1.411: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.288: | Regel 1.420: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1476866' in codeSystem ' | |style="background-color: white;"|(code = '1476866' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '115371' in codeSystem ' | |style="background-color: white;"|(code = '115371' 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 1.298: | Regel 1.430: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 90 dagen, per 2 dagen 1 | |style="background-color: white;"|gedurende 90 dagen, 1 maal per 2 dagen 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.307: | Regel 1.439: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.314: | Regel 1.446: | ||
|-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- 234 dagen | |style="background-color: white;"|T - 234 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 168 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|168 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.328: | Regel 1.465: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.341: | Regel 1.478: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 168 dagen, | |style="background-color: white;"|gedurende 168 dagen, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Herhaalperiode cyclisch schema | |colspan="3"|Herhaalperiode cyclisch schema | ||
| Regel 1.353: | Regel 1.490: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.360: | Regel 1.497: | ||
|-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- 234 dagen | |style="background-color: white;"|T - 234 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.371: | Regel 1.508: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.380: | Regel 1.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1037137' in codeSystem ' | |style="background-color: white;"|(code = '1037137' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '15865' in codeSystem ' | |style="background-color: white;"|(code = '15865' 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 1.390: | Regel 1.527: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 à 3 maal per week 1 à 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.399: | Regel 1.536: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.406: | Regel 1.543: | ||
|-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- 31 dagen | |style="background-color: white;"|T - 31 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 60 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.420: | Regel 1.562: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.429: | Regel 1.571: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '709085' in codeSystem ' | |style="background-color: white;"|(code = '709085' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '111325' in codeSystem ' | |style="background-color: white;"|(code = '111325' 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 1.439: | Regel 1.581: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 60 dagen, | |style="background-color: white;"|gedurende 60 dagen, elke dag om 08:00, 14:00 en 20:00 16 internat.eenh. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.448: | Regel 1.590: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.456: | Regel 1.598: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T om 15:48 uur, gedurende 5 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T om 15:48 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.469: | Regel 1.619: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.478: | Regel 1.628: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '888567' in codeSystem ' | |style="background-color: white;"|(code = '888567' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '38539' in codeSystem ' | |style="background-color: white;"|(code = '38539' 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 1.488: | Regel 1.638: | ||
|-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 | |style="background-color: white;"|Vanaf T om 15:48 uur, gedurende 5 dagen, 2 maal per dag 4 ml, Eerst oplossen in water, Mond spoelen, daarna uitspugen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Aanvullende instructie | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem ' | |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Aanvullende instructie | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"|Mond spoelen, daarna uitspugen (code = '69' in codeSystem ' | |style="background-color: white;"|Mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.503: | Regel 1.653: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.511: | Regel 1.661: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 27 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 27 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.524: | Regel 1.682: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.534: | Regel 1.692: | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T+ 27 dagen | |style="background-color: white;"|Vanaf T, tot en met T + 27 dagen, Eerst, gedurende 2 weken, 3 gram per dag; daarna, gedurende 3 weken, 2 gram per dag; daarna, gedurende 6 dagen, 1 gram per dag, dun aanbrengen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Eerst, gedurende 2 weken, 3 gram per dag; daarna, gedurende 3 weken, 2 gram per dag; daarna, gedurende 6 dagen, 1 gram per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Aanvullende instructie | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): dun aanbrengen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.546: | Regel 1.707: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.554: | Regel 1.715: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: white;"| | |style="background-color: #E3E3E3;;"|''gedurende 48 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|48 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.567: | Regel 1.733: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.580: | Regel 1.746: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 48 dagen, | |style="background-color: white;"|gedurende 48 dagen, 2 maal per dag 0.25 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 1.589: | Regel 1.755: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 1.597: | Regel 1.763: | ||
|colspan="4"|Afspraakdatum | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 10 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|10 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.610: | Regel 1.781: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.620: | Regel 1.791: | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|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="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 10 dagen, DAGDOSIS: 3 stuks per dag | |style="background-color: white;"|gedurende 10 dagen, DAGDOSIS: 3 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|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 | ||
| Regel 1.641: | Regel 1.815: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 566 dagen | |style="background-color: white;"|T - 566 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.652: | Regel 1.826: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.677: | Regel 1.851: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 613 dagen | |style="background-color: white;"|T - 613 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.688: | Regel 1.862: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.700: | Regel 1.874: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1110837' in codeSystem ' | |style="background-color: white;"|(code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '103039' in codeSystem ' | |style="background-color: white;"|(code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.719: | Regel 1.893: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 252 dagen | |style="background-color: white;"|T - 252 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.730: | Regel 1.904: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.758: | Regel 1.932: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 217 dagen | |style="background-color: white;"|T - 217 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.769: | Regel 1.943: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.781: | Regel 1.955: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1476866' in codeSystem ' | |style="background-color: white;"|(code = '1476866' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '115371' in codeSystem ' | |style="background-color: white;"|(code = '115371' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.800: | Regel 1.974: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 234 dagen | |style="background-color: white;"|T - 234 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.811: | Regel 1.985: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.839: | Regel 2.013: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 234 dagen | |style="background-color: white;"|T - 234 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.850: | Regel 2.024: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.862: | Regel 2.036: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1037137' in codeSystem ' | |style="background-color: white;"|(code = '1037137' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '15865' in codeSystem ' | |style="background-color: white;"|(code = '15865' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verbruiksduur | |colspan="4"|Verbruiksduur | ||
| Regel 1.884: | Regel 2.058: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 31 dagen | |style="background-color: white;"|T - 31 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.895: | Regel 2.069: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.907: | Regel 2.081: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '709085' in codeSystem ' | |style="background-color: white;"|(code = '709085' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '111325' in codeSystem ' | |style="background-color: white;"|(code = '111325' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.926: | Regel 2.100: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 31 dagen | |style="background-color: white;"|T - 31 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.937: | Regel 2.111: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 1.949: | Regel 2.123: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '888567' in codeSystem ' | |style="background-color: white;"|(code = '888567' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '38539' in codeSystem ' | |style="background-color: white;"|(code = '38539' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 1.979: | Regel 2.153: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.018: | Regel 2.192: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.054: | Regel 2.228: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.071: | Regel 2.245: | ||
<section begin=XXX_Bekker /> | <section begin=XXX_Bekker /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Hanneke | |style="background-color: white;"|Hanneke | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Identificatienummer | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|XXX_Bekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999911715 [BSN] | |style="background-color: white;"|999911715 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|2 aug 1964 | |style="background-color: white;"|2 aug 1964 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'AdministrativeGender') | ||
|}<section end=XXX_Bekker /> | |}<section end=XXX_Bekker /> | ||
| Regel 2.092: | Regel 2.280: | ||
<section begin=TA_XXX_Bekker /> | <section begin=TA_XXX_Bekker /> | ||
{| class="wikitable" width="85%" | {| 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; 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 2.099: | Regel 2.287: | ||
|-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- 100 dagen | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.110: | Regel 2.298: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.123: | Regel 2.311: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig bij pijn , maximaal 6 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 2.132: | Regel 2.320: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 2.139: | Regel 2.327: | ||
|-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- 107 dagen | |style="background-color: white;"|T - 107 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''gedurende 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.153: | Regel 2.346: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.166: | Regel 2.359: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende | |style="background-color: white;"|gedurende 7 dagen, 1 maal per 4 uur 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 2.175: | Regel 2.368: | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 2.193: | Regel 2.386: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.206: | Regel 2.399: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua<br/>Regel: Ureum 10 gr <br/><br/>Regel: Eucerine met water creme FNA ad 100g. | ||
Regel: Ureum 10 gr | |||
Regel: Eucerine met water creme FNA ad 100g. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ingredient | |colspan="4"|Ingredient | ||
| Regel 2.236: | Regel 2.426: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|zo nodig | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 2.244: | Regel 2.434: | ||
|style="background-color: white;"|a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |style="background-color: white;"|a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|}<section end=TA_XXX_Bekker /> | |}<section end=TA_XXX_Bekker /> | ||
===Verstrekkingen XXX_Bekker === | ===Verstrekkingen XXX_Bekker === | ||
<section begin=MVE_XXX_Bekker /> | <section begin=MVE_XXX_Bekker /> | ||
| Regel 2.258: | Regel 2.447: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 100 dagen | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.269: | Regel 2.458: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.294: | Regel 2.483: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 107 dagen | |style="background-color: white;"|T - 107 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.305: | Regel 2.494: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.341: | Regel 2.530: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.357: | Regel 2.546: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua<br/>Regel: Ureum 10 gr <br/><br/>Regel: Eucerine met water creme FNA ad 100g. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ingredient | |colspan="4"|Ingredient | ||
| Regel 2.385: | Regel 2.571: | ||
|style="background-color: white;"|a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |style="background-color: white;"|a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|}<section end=MVE_XXX_Bekker /> | |}<section end=MVE_XXX_Bekker /> | ||
==Patiënt | ==Patiënt Peter P. Veenoord== | ||
<section begin= | <section begin=Veenoord /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-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=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|P. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Geslacht | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|}<section end= | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
===Toedieningsafspraken | |colspan="4"|Geslachtsnaam | ||
<section begin= | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Veenoord | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|555555021 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|20 jan 1950 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'AdministrativeGender') | |||
|}<section end=Veenoord /> | |||
===Toedieningsafspraken Veenoord === | |||
<section begin=TA_Veenoord /> | |||
{| class="wikitable" width="85%" | {| 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; 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 2.416: | Regel 2.619: | ||
|-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- | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen tot en met T + 9 dagen'' | |||
|-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"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 9 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.430: | Regel 2.644: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.436: | Regel 2.650: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Ibuprofen PCH tablet 600mg (code = '13550055' in codeSystem 'G-Standaard Artikel') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.446: | Regel 2.657: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen tot en met T + 9 dagen, 1 maal per dag 2 stuks | ||
|-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"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|9b084780-9401-11e9-b475-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="4" width="25%"| Gegevenselement | |colspan="4" width="25%"| Gegevenselement | ||
| Regel 2.463: | Regel 2.672: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T - 100 dagen | |||
|style="background-color: white;"|T- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, gedurende 29 dagen tot en met T - 72 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|29 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 72 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"| | |rowspan="5"| | ||
| Regel 2.478: | Regel 2.698: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |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="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XPRAEP SIROOP 2MG/ML (code = '12159220' in codeSystem 'G-Standaard Artikel') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = ' | |style="background-color: white;"|(code = '101079' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|(code = '10960' 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="3"| | ||
|-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 - 100 dagen, gedurende 29 dagen tot en met T - 72 dagen, 1 maal per dag 10 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|f77406a0-ef17-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| 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; 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 2.529: | Regel 2.733: | ||
|-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- | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 40 dagen tot en met T - 11 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 50 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|40 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 11 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.543: | Regel 2.758: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.549: | Regel 2.764: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|NUTRIDRINK AARDBEI (code = ' | |style="background-color: white;"|NUTRIDRINK AARDBEI NR16642 (code = '13659847' in codeSystem 'G-Standaard Artikel') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '710695' in codeSystem ' | |style="background-color: white;"|(code = '710695' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.559: | Regel 2.774: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende | |style="background-color: white;"|Vanaf T - 50 dagen, gedurende 40 dagen tot en met T - 11 dagen, 2 maal per dag 50 ml | ||
|-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;"|2 maal per dag 50 ml | ||
|-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;"|fc93abe0-ef17-11e4-b80c-0800200ic9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| 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; 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 2.575: | Regel 2.790: | ||
|-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- | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, gedurende 30 dagen tot en met T + 19 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 10 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.589: | Regel 2.815: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 2.595: | Regel 2.821: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE TABLET 100MG (code = '13849247' in codeSystem 'G-Standaard Artikel') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = ' | |style="background-color: white;"|(code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|(code = '12548' 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 2.605: | Regel 2.834: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|gedurende 30 dagen, | |style="background-color: white;"|Vanaf T - 10 dagen, gedurende 30 dagen tot en met T + 19 dagen, zo nodig 1 maal per 2 dagen 3 stuks | ||
|-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;"|zo nodig 1 maal per 2 dagen 3 stuks | ||
|-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;"|0443e710-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="4" width="25%"| Gegevenselement | |colspan="4" width="25%"| Gegevenselement | ||
| Regel 2.622: | Regel 2.849: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 7 dagen tot en met T - 44 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 50 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|7 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T- | |style="background-color: white;"|T - 44 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.637: | Regel 2.875: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |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="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL CF TABLET 1MG (code = '13918419' in codeSystem 'G-Standaard Artikel') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = ' | |style="background-color: white;"|(code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|(code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 7 dagen tot en met T - 44 dagen, Gebruik bekend | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Gebruik bekend | |||
|-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;"|08c37bc0-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="4" width="25%"| Gegevenselement | |colspan="4" width="25%"| Gegevenselement | ||
| Regel 2.664: | Regel 2.909: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Afspraakdatum | ||
|style="background-color: white;"|T - 5 dagen | |||
|style="background-color: white;"|T- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 7 dagen tot en met T + 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + 1 dag | |||
| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.093: | Regel 2.935: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.102: | Regel 2.944: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1148753' in codeSystem ' | |style="background-color: white;"|(code = '1148753' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1023' in codeSystem ' | |style="background-color: white;"|(code = '1023' 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 3.112: | Regel 2.954: | ||
|-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- 5 dagen, gedurende 7 dagen tot en met T+ 1 dag | |style="background-color: white;"|Vanaf T - 5 dagen, gedurende 7 dagen tot en met T + 1 dag, 2 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 3.133: | Regel 2.975: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 20 dagen | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.144: | Regel 2.986: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.169: | Regel 3.011: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 100 dagen | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.180: | Regel 3.022: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.192: | Regel 3.034: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '101079' in codeSystem ' | |style="background-color: white;"|(code = '101079' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '10960' in codeSystem ' | |style="background-color: white;"|(code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 3.211: | Regel 3.053: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 50 dagen | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.222: | Regel 3.064: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.234: | Regel 3.076: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '710695' in codeSystem ' | |style="background-color: white;"|(code = '710695' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 3.250: | Regel 3.092: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 10 dagen | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.261: | Regel 3.103: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.273: | Regel 3.115: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '202681' in codeSystem ' | |style="background-color: white;"|(code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '12548' in codeSystem ' | |style="background-color: white;"|(code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 3.292: | Regel 3.134: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 50 dagen | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.303: | Regel 3.145: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.315: | Regel 3.157: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '856126' in codeSystem ' | |style="background-color: white;"|(code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '20303' in codeSystem ' | |style="background-color: white;"|(code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
| Regel 3.334: | Regel 3.176: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanschrijfdatum | |colspan="4"|Aanschrijfdatum | ||
|style="background-color: white;"|T- 5 dagen | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.345: | Regel 3.187: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder identificatie nummer | |colspan="2"|Zorgaanbieder identificatie nummer | ||
|style="background-color: white;"|01234567 (in identificerend systeem: | |style="background-color: white;"|01234567 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
| Regel 3.357: | Regel 3.199: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1148753' in codeSystem ' | |style="background-color: white;"|(code = '1148753' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|(code = '1023' in codeSystem ' | |style="background-color: white;"|(code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
Versie van 28 mei 2021 12:06
__NUMBEREDHEADINGS__

Addenda voor inhoudelijke gegevens
Patiënt Richard R. van Henegouwen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Voornamen | Richard | |||
| Initialen | R. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Voorvoegsels | van | |||
| Achternaam | Henegouwen | |||
| Identificatienummer | 555555112 [BSN] | |||
| Geboortedatum | 20 feb 1950 | |||
| Geslacht | Man (code = 'M' in codeSystem 'AdministrativeGender') | |||
Toedieningsafspraken Henegouwen
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | MEBENDAZOL SAN TABLET 100MG (code = '14234785' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1046764' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '9954' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Gebruik bekend | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Gebruik bekend | |||
| MBH identificatie | 38129f10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Verstrekkingen Henegouwen
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 38129f10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 2 stuks | |||
| Geneesmiddel - primaire code | MEBENDAZOL SAN TABLET 100MG (code = '14234785' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1046764' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '9954' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 38129f10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Patiënt Carel C. Creiens
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Voornamen | Carel | |||
| Initialen | C. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | Creiens | |||
| Identificatienummer | 999999060 [BSN] | |||
| Geboortedatum | 1 jun 1950 | |||
| Geslacht | Man (code = 'M' in codeSystem 'AdministrativeGender') | |||
Toedieningsafspraken Creiens
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 500 dagen | |||
| Gebruiksperiode | gedurende 7 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | VERAPAMIL HCL CF TABLET 40MG (code = '14303841' in codeSystem 'G-Standaard Artikel') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 7 dagen, 4 maal per dag 1 stuk | |||
| Doseerinstructie | 4 maal per dag 1 stuk | |||
| MBH identificatie | 1f5eebe0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 635 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | ORS POEDER SACHET 5,4G SAN (code = '14565277' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1417762' in codeSystem 'G-Standaard HPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 3 maal per dag 1 stuk | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| MBH identificatie | 47f39010-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 310 dagen | |||
| Gebruiksperiode | gedurende 1826 dagen | |||
| Gebruiksduur | 1826 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | PROLIA 60 INJVLST 60MG/ML WWSP 1ML (code = '15654486' in codeSystem 'G-Standaard Artikel') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 1826 dagen, 2 maal per jaar 1 stuk | |||
| Doseerinstructie | 2 maal per jaar 1 stuk | |||
| MBH identificatie | 4d5128b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 175 dagen | |||
| Gebruiksperiode | gedurende 60 dagen | |||
| Gebruiksduur | 60 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 200MG CLICKER (code = '14765233' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '719374' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '50997' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 60 dagen, 1 maal per dag 0.25 stuk | |||
| Doseerinstructie | 1 maal per dag 0.25 stuk | |||
| MBH identificatie | 52c41e10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 144 dagen | |||
| Gebruiksperiode | gedurende 21 dagen | |||
| Gebruiksduur | 21 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | KENACORT A 40 INJECTIESUSPENSIE 40MG/ML FLACON 5ML (code = '12128198' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '219584' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '120219' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 21 dagen, 1 maal per week 15 ml | |||
| Doseerinstructie | 1 maal per week 15 ml | |||
| MBH identificatie | 59df4530-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 652 dagen | |||
| Gebruiksperiode | Vanaf T - 650 dagen, gedurende 7 dagen | |||
| Ingangsdatum | T - 650 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | TRUSOPT OOGDRUPPELS 20MG/ML FLACON 5ML (code = '13906550' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '850144' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '95575' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 650 dagen, gedurende 7 dagen, 2 maal per dag 1 druppel | |||
| Doseerinstructie | 2 maal per dag 1 druppel | |||
| MBH identificatie | 5ed2f870-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 287 dagen | |||
| Gebruiksperiode | Vanaf T - 287 dagen | |||
| Ingangsdatum | T - 287 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | RESONIUM A POEDER (code = '13650203' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '15261' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '121363' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 287 dagen, 2 maal per dag 5 gram | |||
| Doseerinstructie | 2 maal per dag 5 gram | |||
| MBH identificatie | 63c23ee0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 71 dagen | |||
| Gebruiksperiode | Vanaf T - 71 dagen, tot en met T + 149 dagen | |||
| Ingangsdatum | T - 71 dagen | |||
| Einddatum | T + 149 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | SEREVENT DISKUS INHPDR 50MCG 60DO (code = '14039303' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1029746' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '87424' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 71 dagen, tot en met T + 149 dagen, 2 maal per dag 2 doses | |||
| Doseerinstructie | 2 maal per dag 2 doses | |||
| MBH identificatie | 6898f440-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 10 dagen | |||
| Gebruiksperiode | gedurende 18 dagen | |||
| Gebruiksduur | 18 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | DUROGESIC 100 MATRIXPLEISTER 16,8MG (code = '13878956' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '836982' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '122033' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 18 dagen, 1 maal per 3 dagen 2 stuks | |||
| Doseerinstructie | 1 maal per 3 dagen 2 stuks | |||
| MBH identificatie | 6da7a990-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | gedurende 30 dagen | |||
| Gebruiksduur | 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Carvedilol CF tablet 6,25mg (code = '14933349' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | CARVEDILOL TABLET 6,25MG (code = '101451' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 30 dagen, gebruik volgens afspraak | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): gebruik volgens afspraak | |||
| MBH identificatie | 721def70-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | Vanaf T, tot en met T + 42 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 42 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Diazepam PCH tablet 5mg (code = '13908790' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | Diazepam tablet 5mg (code = '20664' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 42 dagen, eerst 1 week 6 stuks per dag; vanaf T + 1wk, gedurende 1 week 5 stuks per dag; vanaf T + 2 weken, gedurende 1 week 4 stuks per dag; vanaf T + 3 weken, gedurende 1 week 3 stuks per dag; vanaf T + 4 weken, gedurende 1 week 2 stuks per dag; vanaf T + 5 weken, gedurende 1 week 1 stuks per dag | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): eerst 1 week 6 stuks per dag; vanaf T + 1wk, gedurende 1 week 5 stuks per dag; vanaf T + 2 weken, gedurende 1 week 4 stuks per dag; vanaf T + 3 weken, gedurende 1 week 3 stuks per dag; vanaf T + 4 weken, gedurende 1 week 2 stuks per dag; vanaf T + 5 weken, gedurende 1 week 1 stuks per dag | |||
| MBH identificatie | 78074d50-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Verstrekkingen Creiens
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 1f5eebe0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 500 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | VERAPAMIL HCL CF TABLET 40MG (code = '14303841' in codeSystem 'G-Standaard Artikel') | |||
| MBH identificatie | 1f5eebe0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 47f39010-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 635 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | ORS POEDER SACHET 5,4G SAN (code = '14565277' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1417762' in codeSystem 'G-Standaard HPK') | |||
| Verbruiksduur | 10 dagen | |||
| MBH identificatie | 47f39010-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 4d5128b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 310 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 10 stuks | |||
| Geneesmiddel - primaire code | PROLIA 60 INJVLST 60MG/ML WWSP 1ML (code = '15654486' in codeSystem 'G-Standaard Artikel') | |||
| Verbruiksduur | 5 jaar | |||
| MBH identificatie | 4d5128b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 52c41e10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 175 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 6 stuks | |||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 200MG CLICKER (code = '14765233' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '719374' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '50997' in codeSystem 'G-Standaard GPK') | |||
| Verbruiksduur | 24 dagen | |||
| MBH identificatie | 52c41e10-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 59df4530-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 144 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 10 stuks | |||
| Geneesmiddel - primaire code | KENACORT A 40 INJECTIESUSPENSIE 40MG/ML FLACON 5ML (code = '12128198' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '219584' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '120219' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 59df4530-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 5ed2f870-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 652 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | TRUSOPT OOGDRUPPELS 20MG/ML FLACON 5ML (code = '13906550' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '850144' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '95575' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 5ed2f870-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 63c23ee0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 287 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 10 gram | |||
| Geneesmiddel - primaire code | RESONIUM A POEDER (code = '13650203' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '15261' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '121363' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 63c23ee0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 6898f440-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 71 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 10 stuks | |||
| Geneesmiddel - primaire code | SEREVENT DISKUS INHPDR 50MCG 60DO (code = '14039303' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1029746' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '87424' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 6898f440-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 6da7a990-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 12 stuks | |||
| Geneesmiddel - primaire code | DUROGESIC 100 MATRIXPLEISTER 16,8MG (code = '13878956' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '836982' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '122033' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 6da7a990-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 721def70-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | Carvedilol CF tablet 6,25mg (code = '14933349' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | CARVEDILOL TABLET 6,25MG (code = '101451' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 721def70-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 78074d50-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 180 stuks | |||
| Geneesmiddel - primaire code | Diazepam PCH tablet 5mg (code = '13908790' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | Diazepam tablet 5mg (code = '20664' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 78074d50-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Patiënt Aygül A. Direnç
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Voornamen | Aygül | |||
| Initialen | A. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | Direnç | |||
| Identificatienummer | 555555914 [BSN] | |||
| Geboortedatum | 20 mei 1950 | |||
| Geslacht | Man (code = 'M' in codeSystem 'AdministrativeGender') | |||
Toedieningsafspraken Direnç
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 566 dagen | |||
| Gebruiksperiode | gedurende 50 dagen | |||
| Gebruiksduur | 50 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | NOVORAPID PENFILL INJVLST 100E/ML PATROON 3ML (code = '14305054' in codeSystem 'G-Standaard Artikelnummer') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 50 dagen, 3 maal per dag 8 à 10 eenheid | |||
| Doseerinstructie | 3 maal per dag 8 à 10 eenheid | |||
| MBH identificatie | d4d03380-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 613 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '14165635' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 à 2 maal per dag 1 stuk | |||
| Doseerinstructie | 1 à 2 maal per dag 1 stuk | |||
| MBH identificatie | 9b4c3b90-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 252 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Cetomacrogolcreme met 10% vaseline fagron (code = '14344491' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 à 3 maal per dag, aanbrengen | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | |||
| Doseerinstructie | 1 à 3 maal per dag | |||
| MBH identificatie | a378f9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 217 dagen | |||
| Gebruiksperiode | gedurende 90 dagen | |||
| Gebruiksduur | 90 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18 MCG (code = '14750406' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1476866' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '115371' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 90 dagen, 1 maal per 2 dagen 1 dosis | |||
| Doseerinstructie | 1 maal per 2 dagen 1 dosis | |||
| MBH identificatie | a7e331b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 234 dagen | |||
| Gebruiksperiode | gedurende 168 dagen | |||
| Gebruiksduur | 168 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Marvelon tablet (code = '12323047' in codeSystem 'G-Standaard Artikel') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 168 dagen, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Herhaalperiode cyclisch schema | 28 dagen | |||
| MBH identificatie | ac8c4760-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 234 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | METFORMINE HCL CF TABLET 850MG (code = '15061078' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1037137' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '15865' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 à 3 maal per week 1 à 2 stuks | |||
| Doseerinstructie | 1 à 3 maal per week 1 à 2 stuks | |||
| MBH identificatie | b1730250-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 31 dagen | |||
| Gebruiksperiode | gedurende 60 dagen | |||
| Gebruiksduur | 60 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | INSULATARD PENFILL INJ 100IE/ML PATR 3ML (code = '14815982' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '709085' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '111325' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 60 dagen, elke dag om 08:00, 14:00 en 20:00 16 internat.eenh. | |||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 16 internat.eenh. | |||
| MBH identificatie | b6d9e9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | Vanaf T om 15:48 uur, gedurende 5 dagen | |||
| Ingangsdatum | T om 15:48 uur | |||
| Gebruiksduur | 5 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | FLUIMUCIL INHVLST 100MG/ML AMPUL 4ML (code = '13966383' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '888567' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '38539' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T om 15:48 uur, gedurende 5 dagen, 2 maal per dag 4 ml, Eerst oplossen in water, Mond spoelen, daarna uitspugen | |||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | |||
| Aanvullende instructie | Mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG Tabel 25 B Codes (numeriek)') | |||
| Doseerinstructie | 2 maal per dag 4 ml | |||
| MBH identificatie | bb7ee0c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | Vanaf T, tot en met T + 27 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 27 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | AFFUSINE CREME 20MG/G (code = '15838234' in codeSystem 'G-Standaard Artikel') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 27 dagen, Eerst, gedurende 2 weken, 3 gram per dag; daarna, gedurende 3 weken, 2 gram per dag; daarna, gedurende 6 dagen, 1 gram per dag, dun aanbrengen | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Eerst, gedurende 2 weken, 3 gram per dag; daarna, gedurende 3 weken, 2 gram per dag; daarna, gedurende 6 dagen, 1 gram per dag | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): dun aanbrengen | |||
| MBH identificatie | c635f350-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | gedurende 48 dagen | |||
| Gebruiksduur | 48 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Ibuprofen PCH tablet 600mg (code = '13550055' in codeSystem 'G-Standaard HPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 48 dagen, 2 maal per dag 0.25 stuk | |||
| Doseerinstructie | 2 maal per dag 0.25 stuk | |||
| MBH identificatie | cbb37000-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Gebruiksperiode | gedurende 10 dagen | |||
| Gebruiksduur | 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ TABLET MSR 50MG (code = '14279762' in codeSystem 'G-Standaard HPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 10 dagen, DAGDOSIS: 3 stuks per dag | |||
| Aanvullende instructie | ||||
| MBH identificatie | fbaecc50-4bec-11e5-b970-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Verstrekkingen Direnç
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | d4d03380-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 566 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 5 stuks | |||
| Geneesmiddel - primaire code | NOVORAPID PENFILL INJVLST 100E/ML PATROON 3ML (code = '14305054' in codeSystem 'G-Standaard Artikelnummer') | |||
| MBH identificatie | d4d03380-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 9b4c3b90-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 613 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 120 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '14165635' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 9b4c3b90-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | a378f9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 252 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 60 gram | |||
| Geneesmiddel - primaire code | Cetomacrogolcreme met 10% vaseline fagron (code = '14344491' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | a378f9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | a7e331b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 217 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | SPIRIVA INHALPDR 18 MCG (code = '14750406' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1476866' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '115371' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | a7e331b0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | ac8c4760-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 234 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 126 stuks | |||
| Geneesmiddel - primaire code | Marvelon tablet (code = '12323047' in codeSystem 'G-Standaard Artikel') | |||
| Verbruiksduur | 24 weken | |||
| MBH identificatie | ac8c4760-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | b1730250-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 234 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | METFORMINE HCL CF TABLET 850MG (code = '15061078' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1037137' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '15865' in codeSystem 'G-Standaard GPK') | |||
| Verbruiksduur | 21 weken | |||
| MBH identificatie | b1730250-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | b6d9e9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 31 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | INSULATARD PENFILL INJ 100IE/ML PATR 3ML (code = '14815982' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '709085' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '111325' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | b6d9e9c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | bb7ee0c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 31 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 10 stuks | |||
| Geneesmiddel - primaire code | FLUIMUCIL INHVLST 100MG/ML AMPUL 4ML (code = '13966383' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '888567' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '38539' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | bb7ee0c0-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | c635f350-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 90 gram | |||
| Geneesmiddel - primaire code | AFFUSINE CREME 20MG/G (code = '15838234' in codeSystem 'G-Standaard Artikel') | |||
| Verbruiksduur | 41 dagen | |||
| MBH identificatie | c635f350-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | cbb37000-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 24 stuks | |||
| Geneesmiddel - primaire code | Ibuprofen PCH tablet 600mg (code = '13550055' in codeSystem 'G-Standaard HPK') | |||
| MBH identificatie | cbb37000-100a-11e5-b939-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | fbaecc50-4bec-11e5-b970-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ TABLET MSR 50MG (code = '14279762' in codeSystem 'G-Standaard HPK') | |||
| MBH identificatie | fbaecc50-4bec-11e5-b970-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Patiënt Hanneke XXX_Bekker
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Roepnaam | Hanneke | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Bekker | |||
| Identificatienummer | 999911715 [BSN] | |||
| Geboortedatum | 2 aug 1964 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'AdministrativeGender') | |||
Toedieningsafspraken XXX_Bekker
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 100 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '15401367' in codeSystem 'G-Standaard Artikelnummer') | |||
| Gebruiksinstructie | ||||
| Omschrijving | zo nodig bij pijn , maximaal 6 stuks per dag | |||
| Doseerinstructie | zo nodig bij pijn , maximaal 6 stuks per dag | |||
| MBH identificatie | 14606290-2dbd-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 107 dagen | |||
| Gebruiksperiode | gedurende 7 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '15401367' in codeSystem 'G-Standaard Artikelnummer') | |||
| Gebruiksinstructie | ||||
| Omschrijving | gedurende 7 dagen, 1 maal per 4 uur 1 stuk | |||
| Doseerinstructie | 1 maal per 4 uur 1 stuk | |||
| MBH identificatie | 13438b70-2dbe-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua Regel: Ureum 10 gr Regel: Eucerine met water creme FNA ad 100g. | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem '2.16.840.1.113883.2.4.4.8') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem '2.16.840.1.113883.2.4.4.8') | |||
| Sterkte | voldoende hoeveelheid per 100 gram | |||
| Gebruiksinstructie | ||||
| Omschrijving | zo nodig | |||
| Doseerinstructie | zo nodig | |||
| MBH identificatie | a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Verstrekkingen XXX_Bekker
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 14606290-2dbd-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 100 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '15401367' in codeSystem 'G-Standaard Artikelnummer') | |||
| MBH identificatie | 14606290-2dbd-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 13438b70-2dbe-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 107 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 40 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '15401367' in codeSystem 'G-Standaard Artikelnummer') | |||
| MBH identificatie | 13438b70-2dbe-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 100 gram | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Ureum 10% in eucerine cum aqua | |||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua Regel: Ureum 10 gr Regel: Eucerine met water creme FNA ad 100g. | |||
| Ingredient | ||||
| Ingredient code | UREUM (code = '15219127' in codeSystem '2.16.840.1.113883.2.4.4.8') | |||
| Sterkte | 10 gram per 100 gram | |||
| Ingredient | ||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem '2.16.840.1.113883.2.4.4.8') | |||
| Sterkte | voldoende hoeveelheid per 100 gram | |||
| MBH identificatie | a083ca80-5772-11e8-b566-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Patiënt Peter P. Veenoord
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Voornamen | Peter | |||
| Initialen | P. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | Veenoord | |||
| Identificatienummer | 555555021 [BSN] | |||
| Geboortedatum | 20 jan 1950 | |||
| Geslacht | Man (code = 'M' in codeSystem 'AdministrativeGender') | |||
Toedieningsafspraken Veenoord
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 20 dagen | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 30 dagen tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 30 dagen | |||
| Einddatum | T + 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | Ibuprofen PCH tablet 600mg (code = '13550055' in codeSystem 'G-Standaard Artikel') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 30 dagen tot en met T + 9 dagen, 1 maal per dag 2 stuks | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | 9b084780-9401-11e9-b475-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 100 dagen | |||
| Gebruiksperiode | Vanaf T - 100 dagen, gedurende 29 dagen tot en met T - 72 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Gebruiksduur | 29 dagen | |||
| Einddatum | T - 72 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | XPRAEP SIROOP 2MG/ML (code = '12159220' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '101079' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, gedurende 29 dagen tot en met T - 72 dagen, 1 maal per dag 10 ml | |||
| Doseerinstructie | 1 maal per dag 10 ml | |||
| MBH identificatie | f77406a0-ef17-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 50 dagen | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 40 dagen tot en met T - 11 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 40 dagen | |||
| Einddatum | T - 11 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | NUTRIDRINK AARDBEI NR16642 (code = '13659847' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '710695' in codeSystem 'G-Standaard HPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 40 dagen tot en met T - 11 dagen, 2 maal per dag 50 ml | |||
| Doseerinstructie | 2 maal per dag 50 ml | |||
| MBH identificatie | fc93abe0-ef17-11e4-b80c-0800200ic9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 10 dagen | |||
| Gebruiksperiode | Vanaf T - 10 dagen, gedurende 30 dagen tot en met T + 19 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Gebruiksduur | 30 dagen | |||
| Einddatum | T + 19 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '13849247' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, gedurende 30 dagen tot en met T + 19 dagen, zo nodig 1 maal per 2 dagen 3 stuks | |||
| Doseerinstructie | zo nodig 1 maal per 2 dagen 3 stuks | |||
| MBH identificatie | 0443e710-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 50 dagen | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 7 dagen tot en met T - 44 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Einddatum | T - 44 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '13918419' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 7 dagen tot en met T - 44 dagen, Gebruik bekend | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Gebruik bekend | |||
| MBH identificatie | 08c37bc0-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Toedieningsafspraak | ||||
| Gegevenselement | Waarde | |||
| Afspraakdatum | T - 5 dagen | |||
| Gebruiksperiode | Vanaf T - 5 dagen, gedurende 7 dagen tot en met T + 1 dag | |||
| Ingangsdatum | T - 5 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Einddatum | T + 1 dag | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Geneesmiddel - primaire code | OXAZEPAM GF TABLET 10MG (code = '14243091' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1148753' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, gedurende 7 dagen tot en met T + 1 dag, 2 maal per dag 2 stuks | |||
| Doseerinstructie | 2 maal per dag 2 stuks | |||
| MBH identificatie | 0caac810-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
Verstrekkingen Veenoord
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 9b084780-9401-11e9-b475-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 20 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | Ibuprofen PCH tablet 600mg (code = '13550055' in codeSystem 'G-Standaard Artikel') | |||
| MBH identificatie | 9b084780-9401-11e9-b475-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | f77406a0-ef17-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 100 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 290 ml | |||
| Geneesmiddel - primaire code | XPRAEP SIROOP 2MG/ML (code = '12159220' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '101079' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | f77406a0-ef17-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | fc93abe0-ef17-11e4-b80c-0800200ic9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 50 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 4000 ml | |||
| Geneesmiddel - primaire code | NUTRIDRINK AARDBEI NR16642 (code = '13659847' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '710695' in codeSystem 'G-Standaard HPK') | |||
| MBH identificatie | fc93abe0-ef17-11e4-b80c-0800200ic9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 0443e710-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '13849247' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 0443e710-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 08c37bc0-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 50 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 14 stuks | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '13918419' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 08c37bc0-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Verstrekking | ||||
| Gegevenselement | Waarde | |||
| Identificatie | 0caac810-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Aanschrijfdatum | T - 5 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatie nummer | 01234567 (in identificerend systeem: URA) | |||
| Organisatie naam | ||||
| Verstrekte hoeveelheid | 35 stuks | |||
| Geneesmiddel - primaire code | OXAZEPAM GF TABLET 10MG (code = '14243091' in codeSystem 'G-Standaard Artikel') | |||
| Geneesmiddel - generiekere code | (code = '1148753' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | 0caac810-ef18-11e4-b80c-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||