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| Regel 1: |
Regel 1: |
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| {{DISPLAYTITLE:Sturen overdrachtsbericht volwassenen 4.0 - dekkingsgraad scenario's}}
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| __NUMBEREDHEADINGS__ | | __NUMBEREDHEADINGS__ |
| {{IssueBox|Deze pagina is nog in bewerking}} | | {{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens}} |
| [[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
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| =Dekkingsgraad scenario's voor Sturen overdrachtsbericht volwassenen 4.0= | | =Addenda voor inhoudelijke gegevens= |
| De volgende scenario's zijn meegenomen:
| | <section begin=eovd-saa-tst-1.1-alle_zibs /> |
| * Test Overdracht volwassene 1.1(id: eOvd-SOV-tst-1.1-alle_zibs)
| | ==Scenario Aanmeldbericht== |
| * Test Overdracht 1.10b(id: eOvd-SOV-tst-1.10b-AGBcodes)
| | |
| * Test Overdracht 1.11b(id: eOvd-SOV-tst-1.11b-URAzorgaanbieders)
| | === Administratieve gegevens=== |
| * Test Overdracht 1.1b(id: eOvd-SOV-tst-1.1b-alle_zibs)
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| * Test Overdracht 1.2b(id: eOvd-SOV-tst-1.2b-naam_adres_contact)
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| * Test Overdracht 1.3b(id: eOvd-SOV-tst-1.3b-betaler)
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| * Test Overdracht 1.4b(id: eOvd-SOV-tst-1.4b-woningtype_other)
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| * Test Overdracht 1.5(id: eOvd-SOV-tst-1.5-zwangerschap)
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| * Test Overdracht 1.6(id: eOvd-SOV-tst-1.6-interventie-ggz)
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| * Test Overdracht 1.7(id: eOvd-SOV-tst-1.7-interventie-wzd)
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| * Test Overdracht 1.8(id: eOvd-SOV-tst-1.8-uitscheiding)
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| * Test Overdracht 1.9b(id: eOvd-SOV-tst-1.9b-AGBcodes)
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| Zie voor de inhoud van deze scenario's: [[TODO]]. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.
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| === Administratieve gegevens === | |
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|
| {| class="wikitable" width="85%" | | {| class="wikitable" width="85%" |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Administratieve gegevens | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens |
| |-style="background-color: #1F497D;; color: white; text-align:left;" | | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |colspan="7" width="25%"| Gegevenselement | | |colspan="6" width="30%"| Gegevenselement |
| || Waarde | | || Waarde |
|
| |
|
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Datum overplaatsing | | |colspan="6"|Datum overplaatsing |
| |style="background-color: white;"|<br/>T + 1 dag<br/><br/>T + 10 dagen<br/><br/>T + 2 dagen<br/><br/>T + 5 dagen<br/> | | |style="background-color: white;"|T + 1 dag |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Persoonsgegevens | | |colspan="7"|Persoonsgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="113"| | | |rowspan="47"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Patient | | |colspan="6"|Patient |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="46"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Naamgegevens | | |colspan="5"|Naamgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="13"| | | |rowspan="6"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Voornamen | | |colspan="3"|Voornamen |
| |style="background-color: white;"|<br/>Erik<br/><br/>Claire<br/> | | |style="background-color: white;"|Erik |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Initialen | | |colspan="3"|Initialen |
| |style="background-color: white;"|<br/>E<br/><br/>M.<br/><br/>C<br/><br/>M<br/> | | |style="background-color: white;"|E |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|<br/>Françoise<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geslachtsnaam | | |colspan="4"|Geslachtsnaam |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels
| |
| |style="background-color: white;"|<br/>van<br/><br/>van de<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Achternaam | | |colspan="2"|Achternaam |
| |style="background-color: white;"|<br/>XXX_Altenborg<br/><br/>XXX_Hondius<br/><br/>Clinteren<br/><br/>XXX_Ven<br/><br/>XXX_Birkholz<br/><br/>XXX_Quigleys<br/><br/>XXX_Arcken<br/><br/>XXX_Schouten-Baak<br/><br/>XXX_Koutrik<br/> | | |style="background-color: white;"|XXX_Altenborg |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|<br/>van de<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Put<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="6"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="14"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Adresgegevens | | |colspan="5"|Adresgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="6"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Straat | | |colspan="3"|Straat |
| |style="background-color: white;"|<br/>Knolweg<br/><br/>Cremstraat<br/><br/>Magnolialaan<br/> | | |style="background-color: white;"|Knolweg |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Huisnummer | | |colspan="3"|Huisnummer |
| |style="background-color: white;"|<br/>1000<br/><br/>7<br/><br/>1<br/><br/>1002<br/><br/>1003<br/><br/>1001<br/> | | |style="background-color: white;"|1000 |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>G<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>I<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanduiding bij nummer
| |
| |style="background-color: white;"|<br/>Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Postcode | | |colspan="3"|Postcode |
| |style="background-color: white;"|<br/>9999XA<br/><br/>1240AB<br/><br/>4100AA<br/><br/>9999ZZ<br/><br/>9999ZA<br/><br/>9999XX<br/> | | |style="background-color: white;"|9999XA |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Woonplaats | | |colspan="3"|Woonplaats |
| |style="background-color: white;"|<br/>Stitswerd<br/><br/>Finsterwolderhamrink<br/><br/>Ruurlo<br/> | | |style="background-color: white;"|Stitswerd |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gemeente
| |
| |style="background-color: white;"|<br/>Finsterwolderhamrink<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Additionele informatie
| |
| |style="background-color: white;"|<br/>tijdelijk adres<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Adres soort | | |colspan="3"|Adres soort |
| |style="background-color: white;"|<br/>Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')<br/><br/>Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')<br/> | | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Telefoonnummer
| |
| |style="background-color: white;"|<br/>+31634567891<br/><br/>+31612121212<br/><br/>+31709131313<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |colspan="4"|Identificatienummer |
| | |style="background-color: white;"|999911612 (in identificerend systeem: BSN) |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="4"|Geboortedatum |
| |style="background-color: white;"|<br/>evertaltenborg@hotmail.com<br/><br/>claire@vanclinteren.nl<br/><br/>clinteren@planeet.nl<br/> | | |style="background-color: white;"|14 aug 1964 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Identificatienummer | | |colspan="4"|Geslacht |
| |style="background-color: white;"|<br/>999911612 (in identificerend systeem: BSN)<br/><br/>999900079 (in identificerend systeem: BSN)<br/><br/>999999072 (in identificerend systeem: BSN)<br/><br/>999900018 (in identificerend systeem: BSN)<br/><br/>999900031 (in identificerend systeem: BSN)<br/><br/>999900912 (in identificerend systeem: BSN)<br/><br/>999900043 (in identificerend systeem: BSN)<br/><br/>999900055 (in identificerend systeem: BSN)<br/><br/>999900067 (in identificerend systeem: BSN)<br/>
| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geboortedatum
| |
| |style="background-color: white;"|<br/>14 aug 1964<br/><br/>18 sep 1963<br/><br/>1 jul 1950<br/><br/>5 nov 1963<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geslacht
| |
| |style="background-color: white;"|<br/>Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')<br/><br/>Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Meerling indicator
| |
| |style="background-color: white;"|<br/>Nee<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Betaler
| | |colspan="6"|Betaler |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="19"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Betaler persoon | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Betaler naam
| |
| |style="background-color: white;"|<br/>J. Rijk<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Bankgegevens | | |colspan="5"|Verzekeraar |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="4"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Bank naam
| |
| |style="background-color: white;"|<br/>ING<br/><br/>Triodos<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Bankcode
| |
| |style="background-color: white;"|<br/>INGBNL2A<br/><br/>TRIONL2U<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Rekeningnummer
| |
| |style="background-color: white;"|<br/>NL98INGB0003856625<br/><br/>NL98TRIO0254712320<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Verzekeraar | | |colspan="4"|Verzekering |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="9"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verzekering
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|<br/>T + 25 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Eind datum tijd
| |
| |style="background-color: white;"|<br/>T + 1 jaar<br/><br/>T + 250 dagen<br/><br/>T + 390 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Verzekeringssoort | | |colspan="2"|Eind datum tijd |
| |style="background-color: white;"|<br/>Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')<br/><br/>Aanvullend verzekerd (code = 'A' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')<br/> | | |style="background-color: white;"|T + 1 jaar |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Identificatie nummer | | |colspan="2"|Verzekeringssoort |
| |style="background-color: white;"|<br/>9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)<br/> | | |style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie naam
| |
| |style="background-color: white;"|<br/>Trias<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verzekerde nummer
| |
| |style="background-color: white;"|<br/>12345678<br/><br/>22345678<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Contactpersoon | | |colspan="6"|Contactpersoon |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="44"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Naamgegevens | | |colspan="5"|Naamgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="13"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Voornamen | | |colspan="3"|Voornamen |
| |style="background-color: white;"|<br/>Johanna<br/><br/>Johannes<br/><br/>Hendrike<br/> | | |style="background-color: white;"|Johanna |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Initialen | | |colspan="3"|Initialen |
| |style="background-color: white;"|<br/>J<br/><br/>H<br/> | | |style="background-color: white;"|J |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Roepnaam | | |colspan="3"|Roepnaam |
| |style="background-color: white;"|<br/>Hanna<br/><br/>Hans<br/><br/>Riek<br/> | | |style="background-color: white;"|Hanna |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geslachtsnaam | | |colspan="4"|Geslachtsnaam |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels
| |
| |style="background-color: white;"|<br/>van<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Achternaam | | |colspan="2"|Achternaam |
| |style="background-color: white;"|<br/>Bakker<br/><br/>Dijk<br/><br/>Smit<br/> | | |style="background-color: white;"|Bakker |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Timmerman<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Contactgegevens | | |colspan="5"|Contactgegevens |
| Regel 262: |
Regel 123: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Telefoonnummer | | |colspan="2"|Telefoonnummer |
| |style="background-color: white;"|<br/>+31645678912<br/><br/>+31612121212<br/> | | |style="background-color: white;"|+31645678912 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Email adressen | | |colspan="4"|Email adressen |
| Regel 269: |
Regel 130: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="2"|Email adres |
| |style="background-color: white;"|<br/>jbakker@123net.nl<br/> | | |style="background-color: white;"|jbakker@123net.nl |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="14"| | | |colspan="4"|Relatie |
| | |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Adresgegevens | | |colspan="7"|Sturende organisatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="16"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|<br/>Vincent van Goghplantsoen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|<br/>1<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>C<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>II<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanduiding bij nummer
| |
| |style="background-color: white;"|<br/>Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|<br/>9999AA<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|<br/>Hoogmade<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gemeente
| |
| |style="background-color: white;"|<br/>Kaag en Braassem<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Additionele informatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|<br/>Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Rol
| |
| |style="background-color: white;"|<br/>Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')<br/><br/>Wettelijke vertegenwoordiger (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie
| |
| |style="background-color: white;"|<br/>Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Sturende organisatie | | |colspan="6"|Zorgaanbieder |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="61"| | | |rowspan="14"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="31"| | | |colspan="4"|Zorgaanbieder identificatienummer |
| | |style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Zorgaanbieder identificatienummer | | |colspan="4"|Organisatie naam |
| |style="background-color: white;"|<br/>06590457 (in identificerend systeem: AGB-Z)<br/><br/>06121212 (in identificerend systeem: AGB-Z)<br/><br/>00123456 (in identificerend systeem: URA)<br/><br/>06343434 (in identificerend systeem: AGB-Z)<br/><br/>75616161 (in identificerend systeem: AGB-Z)<br/> | | |style="background-color: white;"|AB-zkh |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie naam | | |colspan="4"|Organisatie locatie |
| |style="background-color: white;"|<br/>AB-zkh<br/><br/>EF-zkh<br/><br/>GH-zkh<br/><br/>CD-zkh<br/><br/>HomeCare<br/> | | |style="background-color: white;"|Noord |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie locatie | | |colspan="4"|Afdeling specialisme |
| |style="background-color: white;"|<br/>Noord<br/><br/>Zuid<br/>
| | |style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afdeling specialisme
| |
| |style="background-color: white;"|<br/>Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, longziekten (code = '0322' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Contactgegevens | | |colspan="5"|Contactgegevens |
| Regel 351: |
Regel 164: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Telefoonnummer | | |colspan="2"|Telefoonnummer |
| |style="background-color: white;"|<br/>+31182435770<br/><br/>+311182435000<br/> | | |style="background-color: white;"|+31182435770 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Email adressen | | |colspan="4"|Email adressen |
| Regel 358: |
Regel 171: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="2"|Email adres |
| |style="background-color: white;"|<br/>neurologie@ABZ.nl<br/><br/>longziekten@cdz.nl<br/><br/>info@cdz.nl<br/> | | |style="background-color: white;"|neurologie@ABZ.nl |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="14"| | | |colspan="4"|Organisatie type |
| | |style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Adresgegevens | | |colspan="7"|Ontvangende organisatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|<br/>Knolweg<br/><br/>Raapweg<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|<br/>10<br/><br/>3<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>D<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>II<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanduiding bij nummer
| |
| |style="background-color: white;"|<br/>Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|<br/>9999PO<br/><br/>9999PQ<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|<br/>Stitswerd<br/><br/>Bolsward<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gemeente
| |
| |style="background-color: white;"|<br/>Súdwest-Fryslân<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Additionele informatie
| |
| |style="background-color: white;"|<br/>tijdelijk adres<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|<br/>Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie type
| |
| |style="background-color: white;"|<br/>Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|<br/>21616161616 (in identificerend systeem: 2.16.528.1.1007.5.1)<br/><br/>91343434 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|<br/>Charlotte Maria<br/><br/>Ronald<br/><br/>Amanda<br/><br/>Bart<br/><br/>Veerle<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|<br/>C. M.<br/><br/>C.M.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|<br/>Lotte<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geslachtsnaam | | |colspan="6"|Zorgaanbieder |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Voorvoegsels | | |colspan="4"|Afdeling specialisme |
| |style="background-color: white;"|<br/>van<br/> | | |style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Achternaam | | |colspan="4"|Organisatie type |
| |style="background-color: white;"|<br/>Bruinsma<br/><br/>Tuinman<br/><br/>Kwikzilver<br/><br/>Ieperen<br/><br/>Moorman<br/><br/>Henneman<br/> | | |style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060') |
| | |} |
| | === Algemene patienten context=== |
| | |
| | {| class="wikitable" width="85%" |
| | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Algemene patienten context |
| | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| | |colspan="4" width="30%"| Gegevenselement |
| | || Waarde |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geslachtsnaam partner | | |colspan="5"|Juridische situatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|<br/>de<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Smet<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Specialisme
| |
| |style="background-color: white;"|<br/>Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')<br/><br/>Gespecialiseerd verpleegkundige, transfer (code = '9108' in codeSystem 'Vektis AGB-medische specialismen')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Telefoonnummer
| |
| |style="background-color: white;"|<br/>+31687654321<br/><br/>+31182435770<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Email adres
| |
| |style="background-color: white;"|<br/>transfervpk@cdz.nl<br/><br/>info@cdz.nl<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Ontvangende organisatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="61"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="31"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|<br/>75131313 (in identificerend systeem: AGB-Z)<br/><br/>75616161 (in identificerend systeem: AGB-Z)<br/><br/>01234567 (in identificerend systeem: URA)<br/><br/>75131313 (in identificerend systeem: URA)<br/><br/>75565656 (in identificerend systeem: AGB-Z)<br/><br/>06121212 (in identificerend systeem: URA)<br/><br/>75727272 (in identificerend systeem: AGB-Z)<br/><br/>47707070 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie naam
| |
| |style="background-color: white;"|<br/>ThuiszorgOrg<br/><br/>HomeCare<br/><br/>WijkZorg<br/><br/>WijkverplegingOrg<br/><br/>AB-zkh<br/><br/>St. Geestelijk Welzijn<br/><br/>St. Zonnehof<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie locatie
| |
| |style="background-color: white;"|<br/>Noord<br/><br/>Zuid<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afdeling specialisme
| |
| |style="background-color: white;"|<br/>Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Telefoonnummer
| |
| |style="background-color: white;"|<br/>+31182435780<br/><br/>+31182435000<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Email adres
| |
| |style="background-color: white;"|<br/>info@thuiszorgorg.nl<br/><br/>intake@wijkverplegingorg.nl<br/><br/>info@wijkverplegingorg.nl<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="14"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|<br/>Hoofdstraat<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|<br/>50<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>D<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>III<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanduiding bij nummer
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|<br/>9999PT<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|<br/>Stitswerd<br/><br/>Drachten<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gemeente
| |
| |style="background-color: white;"|<br/>Smallingerland<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Additionele informatie
| |
| |style="background-color: white;"|<br/>tijdelijk adres<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|<br/>Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie type
| |
| |style="background-color: white;"|<br/>Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Geestelijke Gezondheidszorg (code = 'G5' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Verpleeghuis (code = 'R5' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Zorgverlener | | |colspan="4"|<span id="tst-1.1-juridischesituatie-01" title="Intern ID = tst-1.1-juridischesituatie-01">Juridische situatie tst-1.1-juridischesituatie-01</span> |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|<br/>21717171717 (in identificerend systeem: 2.16.528.1.1007.5.1)<br/><br/>91020202 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|<br/>Mark<br/><br/>Annemarie<br/><br/>Johan<br/><br/>Kevin<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|<br/>M.P.<br/><br/>H.J.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|<br/>Han<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-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;"|<br/>van<br/><br/>de<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|<br/>Laren<br/><br/>Spoel<br/><br/>Groot<br/><br/>Kuiper<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Voorvoegsels partner | | |colspan="2"|Vertegenwoordiging |
| |style="background-color: white;"|<br/>van<br/> | | |style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Donderen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Specialisme
| |
| |style="background-color: white;"|<br/>Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')<br/><br/>Gespecialiseerd verpleegkundige, transfer (code = '9108' in codeSystem 'Vektis AGB-medische specialismen')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |colspan="2"|Datum aanvang |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |style="background-color: white;"|T - 1 jaar |
| |colspan="3"|Telefoonnummer
| |
| |style="background-color: white;"|<br/>+31678787878<br/><br/>+31182435000<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Email adres
| |
| |style="background-color: white;"|<br/>han@wijkverplegingorg.nl<br/><br/>info@wijkverplegingorg.nl<br/>
| |
| |} | | |} |
| === Algemene patienten context === | | === Medische context=== |
|
| |
|
| {| class="wikitable" width="85%" | | {| class="wikitable" width="85%" |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="10" | Algemene patienten context | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medische context |
| |-style="background-color: #1F497D;; color: white; text-align:left;" | | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |colspan="9" width="25%"| Gegevenselement | | |colspan="4" width="30%"| Gegevenselement |
| || Waarde | | || Waarde |
|
| |
|
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Gezinssituatie | | |colspan="5"|Medische diagnose |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="17"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Gezinssituatie | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Burgerlijke staat
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="4"| | | |rowspan="4"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Burgerlijke staat rc
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |colspan="2"|Probleem naam |
| | |style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Burgerlijke staat | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>Gehuwd (code = 'M' in codeSystem '2.16.840.1.113883.5.2')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Gezinssamenstelling | | |colspan="2"|Toelichting |
| |style="background-color: white;"|<br/>Samenwonend met partner (code = '408821002' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|niet bekend met neurologische klachten |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Aantal kinderen
| |
| |style="background-color: white;"|<br/>3<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Aantal kinderen inwonend
| |
| |style="background-color: white;"|<br/>0<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgtaak
| |
| |style="background-color: white;"|<br/>zorgt voor zijn vrouw die slecht ter been is<br/><br/>zorgt voor de hond<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Kind | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Geboortedatum | | |colspan="2"|Probleem naam |
| |style="background-color: white;"|<br/>T - 30 jaar<br/><br/>T - 25 jaar<br/> | | |style="background-color: white;"|neoplasma van colon (code = '126838000') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Inwonend
| |
| |style="background-color: white;"|<br/>Nee<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Toelichting | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>kinderen wonen ver weg en kunnen niet helpen bij dagelijkse zorg aan echtgenote<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Juridische situatie | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Juridische situatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="5"| | | |colspan="2"|Probleem naam |
| | |style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Juridische status | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>Rechterlijke machtiging (code = 'RM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')<br/><br/>Besluit tot opname en verblijf (code = 'OPM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Vertegenwoordiging
| |
| |style="background-color: white;"|<br/>Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')<br/><br/>Mentorschap (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')<br/><br/>Zaakwaarneming (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Datum aanvang
| |
| |style="background-color: white;"|<br/>T - 1 jaar<br/><br/>T - 3 dagen<br/><br/>T - 6 maanden<br/><br/>T - 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Datum einde
| |
| |style="background-color: white;"|<br/>T + 3 maanden<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Woonomgeving | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Woonsituatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Toelichting | | |colspan="2"|Probleem naam |
| |style="background-color: white;"|<br/>woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig<br/><br/>woont tijdelijk in hotel<br/> | | |style="background-color: white;"|inverse psoriasis (code = '238600001') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Woning type | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>Appartement of flatwoning (code = 'FLATW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): hotel<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Levensovertuiging | | |colspan="5"|Voorgeschiedenis |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Levensovertuiging rc
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Levensovertuiging
| |
| |style="background-color: white;"|<br/>Geen geloof (code = 'GeenGeloof' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wilsverklaring
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Wilsverklaring type
| |
| |style="background-color: white;"|<br/>Verklaring donorschap (code = 'DO' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Wilsverklaring datum
| |
| |style="background-color: white;"|<br/>T - 4 jaar<br/><br/>T - 1 jaar<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Vertegenwoordiger
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactpersoon
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Wilsverklaring document
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>wilsverklaring bevindt zich in de portemonnee.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Sociale omgeving
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="73"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Participatie in maatschappij
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="5"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Sociaal netwerk
| |
| |style="background-color: white;"|<br/>heeft veel contact met collega's en buren<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Vrijetijdsbesteding
| |
| |style="background-color: white;"|<br/>gitaar spelen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Arbeidssituatie
| |
| |style="background-color: white;"|<br/>werkt als administratief medewerker bij gemeente<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>heeft tijdelijk contract<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Hulp van anderen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="65"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Hulpverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="59"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="23"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Voornamen
| |
| |style="background-color: white;"|<br/>Therese<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Initialen
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Roepnaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Naamgebruik
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voorvoegsels
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Achternaam
| |
| |style="background-color: white;"|<br/>Roep<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Geslachtsnaam partner | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Voorvoegsels partner | | |colspan="2"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|diabetes mellitus (code = '73211009') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Achternaam partner | | |colspan="2"|Probleem status |
| |style="background-color: white;"| | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Contactgegevens | | |colspan="5"|Let op |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Telefoonnummers | | |colspan="4"|Alert |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Telefoonnummer | | |colspan="2"|Alert naam |
| |style="background-color: white;"| | | |style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Email adressen | | |colspan="4"|Alert |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Email adres | | |colspan="2"|Alert naam |
| |style="background-color: white;"|<br/>thereseroep@zzp.nl<br/> | | |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Mantelzorger | | |colspan="5"|Vrijheidsbeperking |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="27"| | | |rowspan="9"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactpersoon
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|<br/>Marriet<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|<br/>M.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-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;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|<br/>Blauw<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Contactgegevens | | |colspan="4"|Vrijheidsbeperkende interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Telefoonnummer
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Email adres
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Rol
| |
| |style="background-color: white;"|<br/>Buur (code = '19' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Zorgaanbieder identificatienummer | | |colspan="2"|Wilsbekwaam |
| |style="background-color: white;"| | | |style="background-color: white;"|Ja |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie naam | | |colspan="2"|Juridische situatie |
| |style="background-color: white;"|<br/>WijZorgen<br/> | | |style="background-color: white;"|Zie [[#tst-1.1-juridischesituatie-01|Juridische situatie: tst-1.1-juridischesituatie-01]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie locatie | | |colspan="2"|Soort interventie |
| |style="background-color: white;"|<br/>Stitswerd<br/> | | |style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie type | | |colspan="2"|Reden van toepassen |
| |style="background-color: white;"|<br/>Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/> | | |style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Aard | | |colspan="2"|Instemming |
| |style="background-color: white;"|<br/>helpt met ondersteuning echtgenote als meneer er niet is<br/><br/>ondersteuning bij wassen<br/> | | |style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Frequentie | | |colspan="2"|Begin |
| |style="background-color: white;"|<br/>zo vaak als nodig<br/><br/>dagelijks<br/>
| | |style="background-color: white;"|T - 50 dagen |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Soort hulp
| |
| |style="background-color: white;"|<br/>Mantelzorg (code = '386229000' in codeSystem 'SNOMED CT')<br/><br/>Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>niet in het weekend<br/><br/>alleen in het weekend<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Communicatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Taalvaardigheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Communicatie taal
| |
| |style="background-color: white;"|<br/>Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')<br/><br/>Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Taalvaardigheid begrijpen
| |
| |style="background-color: white;"|<br/>Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')<br/><br/>Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Taalvaardigheid spreken
| |
| |style="background-color: white;"|<br/>Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')<br/><br/>Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Taalvaardigheid lezen
| |
| |style="background-color: white;"|<br/>Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie<br/><br/>opgegroeid in Zuid-Limburg<br/> | |
| |} | | |} |
| === Medische context === | | === Verpleegkundige context zorgplan=== |
|
| |
|
| {| class="wikitable" width="85%" | | {| class="wikitable" width="85%" |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="9" | Medische context | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Verpleegkundige context zorgplan |
| |-style="background-color: #1F497D;; color: white; text-align:left;" | | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |colspan="8" width="25%"| Gegevenselement | | |colspan="6" width="30%"| Gegevenselement |
| || Waarde | | || Waarde |
|
| |
|
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Behandelaar | | |colspan="7"|Actuele patientproblemen |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="55"| | | |rowspan="64"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Zorgverlener | | |colspan="6"|Patientprobleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="53"| | | |rowspan="15"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|<br/>03898989 (in identificerend systeem: AGB-Z)<br/><br/>03454545 (in identificerend systeem: AGB-Z)<br/><br/>04232323 (in identificerend systeem: AGB-Z)<br/><br/>03171717 (in identificerend systeem: AGB-Z)<br/><br/>01171717 (in identificerend systeem: AGB-Z)<br/><br/>03848484 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Naamgegevens | | |colspan="5"|<span id="tst-1.1-patientprobleem-01" title="Intern ID = tst-1.1-patientprobleem-01">Probleem tst-1.1-patientprobleem-01</span> |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="13"| | | |rowspan="4"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Voornamen | | |colspan="3"|Probleem naam |
| |style="background-color: white;"|<br/>Joshua<br/><br/>G.<br/><br/>Elizabeth<br/> | | |style="background-color: white;"|probleem met zichzelf wassen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Initialen | | |colspan="3"|Probleem status |
| |style="background-color: white;"|<br/>J. P.<br/><br/>K.<br/><br/>M.<br/><br/>P.<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Roepnaam | | |colspan="3"|Toelichting |
| |style="background-color: white;"|<br/>Beth<br/>
| | |style="background-color: white;"|meneer kan niet buigen |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgebruik | |
| |style="background-color: white;"|<br/>Geslachtsnaam partner (code = 'NL2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Geslachtsnaam | | |colspan="5"|Verpleegkundige interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="8"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Voorvoegsels | | |colspan="3"|Interventie |
| |style="background-color: white;"|<br/>van<br/> | | |style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Achternaam
| |
| |style="background-color: white;"|<br/>Helmond<br/><br/>Spijkerman<br/><br/>Bronsgeest<br/><br/>Dooremaal<br/><br/>Oosterhout<br/><br/>Eindhoven<br/><br/>Boomsma<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Geslachtsnaam partner | | |colspan="4"|Indicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Voorvoegsels partner | | |colspan="2"|Probleem |
| |style="background-color: white;"|<br/>ter<br/> | | |style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-01|Probleem: tst-1.1-patientprobleem-01]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Balkt<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Specialisme
| |
| |style="background-color: white;"|<br/>Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Fysiotherapeuten, fysiotherapie (code = '0401' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Contactgegevens | | |colspan="4"|Uitvoerder |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Telefoonnummer | | |colspan="2"|Zorgverlener |
| |style="background-color: white;"|<br/>+31665656565<br/><br/>+31201212121<br/> | | |style="background-color: white;"|Ja |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Email adressen | | |colspan="6"|Patientprobleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="11"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Email adres
| |
| |style="background-color: white;"|<br/>beth@fysio.nl<br/><br/>info@fysio.nl<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Zorgaanbieder | | |colspan="5"|<span id="tst-1.1-patientprobleem-02" title="Intern ID = tst-1.1-patientprobleem-02">Probleem tst-1.1-patientprobleem-02</span> |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="27"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Zorgaanbieder identificatienummer | | |colspan="3"|Probleem naam |
| |style="background-color: white;"|<br/>06590457 (in identificerend systeem: AGB-Z)<br/><br/>04121212 (in identificerend systeem: AGB-Z)<br/> | | |style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Organisatie naam | | |colspan="3"|Probleem status |
| |style="background-color: white;"|<br/>AB-zkh<br/><br/>FysioOrg<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie locatie
| |
| |style="background-color: white;"|<br/>Noord<br/><br/>West<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afdeling specialisme
| |
| |style="background-color: white;"|<br/>Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Fysiotherapeuten, fysiotherapie (code = '0401' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Contactgegevens | | |colspan="5"|Verpleegkundige interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"|
| | |colspan="3"|Interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms') |
| |colspan="3"|Telefoonnummer | |
| |style="background-color: white;"|<br/>+31182435770<br/><br/>+31795232323<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Email adressen | | |colspan="4"|Indicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Email adres | | |colspan="2"|Probleem |
| |style="background-color: white;"|<br/>neurologie@ABZ.nl<br/><br/>maagleverdarm@ABZ.nl<br/><br/>info@fysio.nl<br/> | | |style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-02|Probleem: tst-1.1-patientprobleem-02]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Adresgegevens | | |colspan="6"|Patientprobleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="22"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Straat
| |
| |style="background-color: white;"|<br/>Knolweg<br/><br/>Kastanjelaan<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Huisnummer
| |
| |style="background-color: white;"|<br/>10<br/><br/>13<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>D<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>IV<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanduiding bij nummer
| |
| |style="background-color: white;"|<br/>Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Postcode
| |
| |style="background-color: white;"|<br/>9999PO<br/><br/>3434CV<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Woonplaats
| |
| |style="background-color: white;"|<br/>Stitswerd<br/><br/>Monnickendam<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gemeente
| |
| |style="background-color: white;"|<br/>Waterland<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Additionele informatie
| |
| |style="background-color: white;"|<br/>gaat binnenkort verhuizen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Adres soort
| |
| |style="background-color: white;"|<br/>Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Organisatie type
| |
| |style="background-color: white;"|<br/>Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Zelfstandig behandelcentrum (code = 'Z4' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Medische diagnose | | |colspan="5"|<span id="tst-1.1-patientprobleem-03" title="Intern ID = tst-1.1-patientprobleem-03">Probleem tst-1.1-patientprobleem-03</span> |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Probleem
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Probleem anatomische locatie | | |colspan="3"|Probleem naam |
| |style="background-color: white;"|<br/>oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')<br/> | | |style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Probleem lateraliteit | | |colspan="3"|Probleem status |
| |style="background-color: white;"|<br/>Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')<br/>
| | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem type
| |
| |style="background-color: white;"|<br/>Diagnose (code = '282291009' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem naam
| |
| |style="background-color: white;"|<br/>ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')<br/><br/>neoplasma van colon (code = '126838000')<br/><br/>inverse psoriasis (code = '238600001')<br/><br/>ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT')<br/><br/>zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')<br/><br/>niet-organische psychose (code = '191525009' in codeSystem 'SNOMED CT')<br/><br/>delier (code = '2776000' in codeSystem 'SNOMED CT')<br/><br/>fistel tussen blaas en sigmoïd (code = '197861003')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem begin datum
| |
| |style="background-color: white;"|<br/>T - 100 dagen<br/><br/>T - 150 dagen<br/><br/>T - 10 jaar<br/><br/>T - 30 dagen<br/><br/>T - 10 dagen<br/><br/>T - 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem eind datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem status
| |
| |style="background-color: white;"|<br/>Actueel (code = '55561003' in codeSystem 'SNOMED CT')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verificatie status
| |
| |style="background-color: white;"|<br/>Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>niet bekend met neurologische klachten<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Voorgeschiedenis | | |colspan="5"|Verpleegkundige interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="12"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Probleem
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="10"|
| | |colspan="3"|Interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms') |
| |colspan="6"|Probleem anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem type | |
| |style="background-color: white;"|<br/>Diagnose (code = '282291009' in codeSystem 'SNOMED CT')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem naam
| |
| |style="background-color: white;"|<br/>diabetes mellitus (code = '73211009')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem begin datum
| |
| |style="background-color: white;"|<br/>T - 12 jaar<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem eind datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem status
| |
| |style="background-color: white;"|<br/>Actueel (code = '55561003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verificatie status
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Allergie | | |colspan="4"|Indicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="18"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Allergie intolerantie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="16"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Veroorzakende stof | | |colspan="2"|Probleem |
| |style="background-color: white;"|<br/>nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')<br/><br/>pollen (code = '256259004')<br/> | | |style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Allergie categorie
| |
| |style="background-color: white;"|<br/>Stof of product (code = '419199007' in codeSystem 'SNOMED CT')<br/><br/>Omgeving (code = '426232007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Allergie status
| |
| |style="background-color: white;"|<br/>Actief (code = 'active' in codeSystem 'HL7 ActStatus')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Begin datum tijd
| |
| |style="background-color: white;"|<br/>T - 10 jaar<br/><br/>T - 500 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Mate van kritiek zijn
| |
| |style="background-color: white;"|<br/>Matig (code = '6736007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Laatste reactie datum tijd
| |
| |style="background-color: white;"|<br/>T - 99 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>opgemerkt bij het dragen van nikkel bevattende sieraden.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Reactie | | |colspan="5"|Verpleegkundige interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="10"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Symptoom
| |
| |style="background-color: white;"|<br/>Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')<br/><br/>Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')<br/><br/>Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')<br/><br/>Koorts (code = '386661006' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Specifieke stof
| |
| |style="background-color: white;"|<br/>graspollen (code = '256277009')<br/><br/>pollen van paprikaplant (code = '110181000146104')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reactie beschrijving
| |
| |style="background-color: white;"|<br/>last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.<br/><br/>veelvuldig niezen<br/><br/>ernstige benauwdheid en koorts<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ernst
| |
| |style="background-color: white;"|<br/>Matig (code = '6736007' in codeSystem 'SNOMED CT')<br/><br/>Ernstig (code = '24484000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Wijze van blootstelling
| |
| |style="background-color: white;"|<br/>intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Reactie tijdstip | | |colspan="3"|Interventie |
| |style="background-color: white;"|<br/>T - 99 dagen<br/><br/>T - 200 dagen<br/> | | |style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Let op | | |colspan="4"|Indicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="6"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Alert
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="4"| | | |colspan="2"|Probleem |
| | |style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-03|Probleem: tst-1.1-patientprobleem-03]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Alert naam | | |colspan="3"|Actie start datum tijd |
| |style="background-color: white;"|<br/>Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie<br/> | | |style="background-color: white;"|T - 10 dagen |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Begin datum tijd | | |colspan="3"|Actie eind datum tijd |
| |style="background-color: white;"|<br/>T - 20 dagen<br/><br/>T - 10 jaar<br/> | | |style="background-color: white;"|T - 1 dag |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Alert type
| |
| |style="background-color: white;"|<br/>waarschuwing (code = '74018-3' in codeSystem 'LOINC')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Vrijheidsbeperking | | |colspan="4"|Uitvoerder |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="11"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Vrijheidsbeperkende interventie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Wilsbekwaam
| |
| |style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Wilsbekwaam toelichting
| |
| |style="background-color: white;"|<br/>wegens psychose<br/><br/>Kan eigen situatie niet beoordelen<br/><br/>Kan zich niet orienteren<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Juridische situatie
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Soort interventie
| |
| |style="background-color: white;"|<br/>geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')<br/><br/>geslotendeurprocedure (code = '225210009' in codeSystem 'SNOMED CT')<br/><br/>separeren in extra beveiligde kamer (code = '124041000146108' in codeSystem 'SNOMED CT')<br/><br/>constante supervisie met camera (code = '121411000146104' in codeSystem 'SNOMED CT')<br/><br/>constante supervisie met elektronisch traceringsmiddel (code = '121451000146100' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Reden van toepassen
| |
| |style="background-color: white;"|<br/>bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')<br/><br/>afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')<br/><br/>afwenden van crisissituatie (code = '121491000146107' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Instemming
| |
| |style="background-color: white;"|<br/>Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')<br/><br/>Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')<br/><br/>Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Begin
| |
| |style="background-color: white;"|<br/>T - 50 dagen<br/><br/>T + 1 dag<br/><br/>T - 4 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Einde
| |
| |style="background-color: white;"|<br/>T + 3 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Meetwaarden
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="64"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Bloeddruk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Meetmethode
| |
| |style="background-color: white;"|<br/>Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Manchet type
| |
| |style="background-color: white;"|<br/>Standaard (code = 'STD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.15.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Meet locatie
| |
| |style="background-color: white;"|<br/>Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Diastolisch eindpunt
| |
| |style="background-color: white;"|<br/>Fase V (code = '255272007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Systolische bloeddruk
| |
| |style="background-color: white;"|<br/>170 mmhg<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Diastolische bloeddruk
| |
| |style="background-color: white;"|<br/>90 mmhg<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gemiddelde bloeddruk
| |
| |style="background-color: white;"|<br/>110 mmhg<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Bloeddruk datum tijd
| |
| |style="background-color: white;"|<br/>T - 20 dagen om 14:45 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>meneer gebruikt medicatie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Houding
| |
| |style="background-color: white;"|<br/>Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Polsfrequentie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Polsfrequentie waarde
| |
| |style="background-color: white;"|<br/>90<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Polsfrequentie datum tijd
| |
| |style="background-color: white;"|<br/>T - 5 dagen om 14:45 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>is altijd sportief geweest<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Pols regelmatigheid
| |
| |style="background-color: white;"|<br/>Polsslag regelmatig (code = '271636001' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Lichaamstemperatuur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Temperatuur waarde
| |
| |style="background-color: white;"|<br/>36.8 ºc<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Temperatuur datum tijd
| |
| |style="background-color: white;"|<br/>T - 4 dagen om 07 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>voeten voelen heel koud aan<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Temperatuur type
| |
| |style="background-color: white;"|<br/>Tympanische temperatuur (code = '415974002' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Ademhaling
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="26"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Ademfrequentie
| |
| |style="background-color: white;"|<br/>18 /min<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Ademhaling datum tijd
| |
| |style="background-color: white;"|<br/>T - 3 dagen om 14:45 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Ritme
| |
| |style="background-color: white;"|<br/>Abnormaal ademhalingsritme (code = '85617008' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Diepte
| |
| |style="background-color: white;"|<br/>Normale ademhalingsdiepte (code = '301284009' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Afwijkend ademhalingspatroon
| |
| |style="background-color: white;"|<br/>Apneu (code = '1023001' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Extra zuurstof toediening
| |
| |style="background-color: white;"|<br/>Ja<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Toelichting | | |colspan="2"|Zorgverlener |
| |style="background-color: white;"|<br/>meneer lijkt angstig<br/> | | |style="background-color: white;"|Ja |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Toegediende zuurstof
| | |colspan="6"|Patientprobleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="17"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Flow rate
| |
| |style="background-color: white;"|<br/>2 l/min<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Fi o2
| |
| |style="background-color: white;"|<br/>0.29 l<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toediening hulpmiddel | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="11"| | | |rowspan="11"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Product | | |colspan="5"|<span id="tst-1.1-patientprobleem-04" title="Intern ID = tst-1.1-patientprobleem-04">Probleem tst-1.1-patientprobleem-04</span> |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Product id | | |colspan="3"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Product type | | |colspan="3"|Probleem status |
| |style="background-color: white;"|<br/>Neusbril (code = '336623009' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Product omschrijving
| |
| |style="background-color: white;"|<br/>neusbril<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Lichaamsgewicht | | |colspan="5"|Verpleegkundige interventie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="5"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Gewicht waarde | | |colspan="3"|Interventie |
| |style="background-color: white;"|<br/>74 kg<br/> | | |style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>meneer volgt afvaldieet<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gewicht datum tijd
| |
| |style="background-color: white;"|<br/>T - 5 dagen om 14:30 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Kleding
| |
| |style="background-color: white;"|<br/>Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Lichaamslengte | | |colspan="4"|Indicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="5"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lengte waarde
| |
| |style="background-color: white;"|<br/>170 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lengte datum tijd
| |
| |style="background-color: white;"|<br/>T - 5 dagen om 14:30 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>zonder schoenen aan<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Positie
| |
| |style="background-color: white;"|<br/>Staande positie (code = '10904000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Pijnscore
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Pijn score
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Pijnscore waarde
| |
| |style="background-color: white;"|<br/>2<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Pijnscore datum tijd
| |
| |style="background-color: white;"|<br/>T - 5 dagen om 14:45 uur<br/><br/>T - 1 dag om 12:30 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Pijn meetmethode | | |colspan="2"|Probleem |
| |style="background-color: white;"|<br/>NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')<br/><br/>VAS10 (code = 'VAS10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')<br/> | | |style="background-color: white;"|Zie [[#tst-1.1-patientprobleem-04|Probleem: tst-1.1-patientprobleem-04]] |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')<br/><br/>structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|<br/>Af en toe pijn, maar niet belemmerend bij het lopen<br/>
| |
| |} | | |} |
| === Verpleegkundige context zorgplan === | | === Verpleegkundige context specificatie gezondheidstoestand=== |
|
| |
|
| {| class="wikitable" width="85%" | | {| class="wikitable" width="85%" |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="11" | Verpleegkundige context zorgplan | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Verpleegkundige context specificatie gezondheidstoestand |
| |-style="background-color: #1F497D;; color: white; text-align:left;" | | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |colspan="10" width="25%"| Gegevenselement | | |colspan="7" width="30%"| Gegevenselement |
| || Waarde | | || Waarde |
|
| |
|
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Verpleegkundig zorgplan ongestructureerd
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Actuele patientproblemen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="69"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Patientprobleem | | |colspan="8"|Voedingvocht |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="67"| | | |rowspan="32"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Probleem | | |colspan="7"|Sonde systeem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="9"| | | |rowspan="9"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem anatomische locatie
| |
| |style="background-color: white;"|<br/>hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')<br/><br/>structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem type
| |
| |style="background-color: white;"|<br/>Diagnose (code = '282291009' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem naam
| |
| |style="background-color: white;"|<br/>probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>fysieke agressie (code = '248004009' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/><br/>incontinentie voor feces (code = '72042002' in codeSystem 'Referentieset Nationale kernset patientproblemen')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem begin datum
| |
| |style="background-color: white;"|<br/>T - 100 dagen<br/><br/>T - 90 dagen<br/><br/>T - 5 dagen<br/><br/>T - 10 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem eind datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem status
| |
| |style="background-color: white;"|<br/>Actueel (code = '55561003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>meneer kan niet buigen<br/><br/>vastgesteld met DOS score<br/><br/>bij lopen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Verpleegkundige interventie | | |colspan="6"|Sonde |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="55"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Interventie
| |
| |style="background-color: white;"|<br/>ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')<br/><br/>ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')<br/><br/>aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')<br/><br/>wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')<br/><br/>bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')<br/><br/>afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')<br/><br/>rustige en geruststellende houding aannemen (code = '225980008' in codeSystem 'SNOMED Clinical Terms')<br/><br/>omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')<br/><br/>zorg bij fecale incontinentie (code = '386223004' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Indicatie | | |colspan="5"|Medisch hulpmiddel |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Probleem
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Behandeldoel | | |colspan="4"|Product |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Gewenst zorgresultaat | | |colspan="2"|Product type |
| |style="background-color: white;"|<br/>wassen onafhankelijk<br/><br/>kleden onafhankelijk<br/><br/>wondlengte < 1cm, wondbreedte < 1 cm<br/><br/>vochtinname > 1,5 liter/dag<br/><br/>Veilige omgeving is gerealiseerd voor patient/ naasten; duur VBI beperken<br/><br/>DOSS < 3<br/> | | |style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Actie start datum tijd | | |colspan="3"|Product omschrijving |
| |style="background-color: white;"|<br/>T - 90 dagen<br/><br/>T - 10 dagen<br/>
| | |style="background-color: white;"|PEJ sonde |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Actie eind datum tijd
| |
| |style="background-color: white;"|<br/>T - 1 dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Frequentie
| |
| |style="background-color: white;"|<br/>1 /dag<br/><br/>3 /dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Interval
| |
| |style="background-color: white;"|<br/>4 uur<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Medisch hulpmiddel | | |colspan="7"|Infuus |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="8"| | | |rowspan="10"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Product
| | |colspan="6"|Infuuskatheter |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product type
| |
| |style="background-color: white;"|<br/>schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')<br/><br/>huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product omschrijving
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Instructie
| |
| |style="background-color: white;"|<br/>let op: valrisico<br/><br/>Graag er op toezien dat meneer > 1,5 liter per dag drinkt<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Uitvoerder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="31"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener | |
| |style="background-color: white;"|<br/>Ja<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Verzorger
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactpersoon
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|
| |
| |-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;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Telefoonnummers | | |colspan="5"|Medisch hulpmiddel |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Telefoonnummer
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Email adressen | | |colspan="4"|Product |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="2"|Product type |
| |style="background-color: white;"| | | |style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Rol | | |colspan="3"|Product omschrijving |
| |style="background-color: white;"| | | |style="background-color: white;"|centraal veneuze katheter |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Relatie | | |colspan="5"|Toelichting |
| |style="background-color: white;"|<br/>Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')<br/> | | |style="background-color: white;"|voor voeding |
| | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| | |colspan="7"|Infuus |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Patient | | |rowspan="9"| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Zorgresultaat | | |colspan="6"|Infuuskatheter |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="7"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Uitkomst van zorg | | |colspan="5"|Medisch hulpmiddel |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="5"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Zorgresultaat
| |
| |style="background-color: white;"|<br/>doel deels behaald: kan nog niet rug wassen<br/><br/>doel deels behaald, kan nog niet zelf veters strikken<br/><br/>zie pijnscore<br/><br/>doel is behaald<br/><br/>DOSS = 2<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Interventie | | |colspan="4"|Product |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Verpleegkundige interventie | | |colspan="2"|Product type |
| |style="background-color: white;"|referentie, zie bouwstenen | | |style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Afspraken patient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="69"| | | |colspan="3"|Product omschrijving |
| | |style="background-color: white;"|voor medicatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Contact | | |colspan="8"|Uitscheiding |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="67"| | | |rowspan="8"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Contact type
| |
| |style="background-color: white;"|<br/>Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): telefonisch<br/><br/>Thuis (code = 'HH' in codeSystem 'HL7 ActCode')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Contact met
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|<br/>03686868 (in identificerend systeem: AGB-Z)<br/><br/>03676767 (in identificerend systeem: AGB-Z)<br/><br/>88131313 (in identificerend systeem: AGB-Z)<br/><br/>67676767 (in identificerend systeem: AGB-Z)<br/><br/>01454545 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Naamgegevens | | |colspan="7"|Stoma |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Voornamen
| |
| |style="background-color: white;"|<br/>Joshua<br/><br/>Nicolaas<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Initialen
| |
| |style="background-color: white;"|<br/>J.P.<br/><br/>F.<br/><br/>J.<br/><br/>W.<br/><br/>N.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Roepnaam
| |
| |style="background-color: white;"|<br/>Klaas<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgebruik
| |
| |style="background-color: white;"|<br/>Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Voorvoegsels | | |colspan="5"|Stoma type |
| |style="background-color: white;"|<br/>van<br/> | | |style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Achternaam | | |colspan="5"|Toelichting |
| |style="background-color: white;"|<br/>Helmond<br/><br/>Snijder<br/><br/>Drooglever<br/><br/>Bloem<br/><br/>Pinxteren<br/> | | |style="background-color: white;"|na subtotale darmresectie |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Voorvoegsels partner
| |
| |style="background-color: white;"|<br/>de<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Achternaam partner
| |
| |style="background-color: white;"|<br/>Mol<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Specialisme
| |
| |style="background-color: white;"|<br/>Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Ergotherapeut (code = '90.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')<br/><br/>Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Telefoonnummers | | |colspan="7"|Stoma |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Telefoonnummer | | |colspan="5"|Stoma type |
| |style="background-color: white;"|<br/>+31616161616<br/><br/>+31612121212<br/><br/>+31689898989<br/><br/>+31203232323<br/>
| | |style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |}<section end=eovd-saa-tst-1.1-alle_zibs /> |
| |colspan="6"|Email adressen
| | <section begin=eovd-saa-tst-1.1b-alle_zibs /> |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | ==Scenario Aanmeldbericht - overlap BgZ== |
| |rowspan="2"|
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | === Administratieve gegevens=== |
| |colspan="4"|Email adres
| |
| |style="background-color: white;"|<br/>bloem@ergotherapie.nl<br/><br/>snijder@poli.nl<br/><br/>klaas@huisartspraktijk.nl<br/><br/>info@huisartspraktijk.nl<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Locatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="29"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|<br/>06590457 (in identificerend systeem: AGB-Z)<br/><br/>01565656 (in identificerend systeem: AGB-Z)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Organisatie naam
| |
| |style="background-color: white;"|<br/>AB-zkh<br/><br/>Huisartspraktijk de Huisarts<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Organisatie locatie
| |
| |style="background-color: white;"|<br/>Noord<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Afdeling specialisme
| |
| |style="background-color: white;"|<br/>Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/><br/>Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| |colspan="7"|Contactgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Telefoonnummers
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Telefoonnummer
| |
| |style="background-color: white;"|<br/>+31182435770<br/><br/>+31203232323<br/><br/>+31203232000<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Email adressen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Email adres
| |
| |style="background-color: white;"|<br/>neurologie@ABZ.nl<br/><br/>info@huisartspraktijk.nl<br/><br/>assistente@huisartspraktijk.nl<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Straat
| |
| |style="background-color: white;"|<br/>Knolweg<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Huisnummer
| |
| |style="background-color: white;"|<br/>10<br/><br/>100<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Huisnummerletter
| |
| |style="background-color: white;"|<br/>a<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Huisnummertoevoeging
| |
| |style="background-color: white;"|<br/>III<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aanduiding bij nummer
| |
| |style="background-color: white;"|<br/>Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Postcode
| |
| |style="background-color: white;"|<br/>9999PO<br/><br/>4000KK<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Woonplaats
| |
| |style="background-color: white;"|<br/>Stitswerd<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gemeente
| |
| |style="background-color: white;"|<br/>Het Hogeland<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Land
| |
| |style="background-color: white;"|<br/>Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Additionele informatie
| |
| |style="background-color: white;"|<br/>bedrijfsgebouw "De Stits"<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adres soort
| |
| |style="background-color: white;"|<br/>Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Organisatie type
| |
| |style="background-color: white;"|<br/>Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/><br/>Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '2.16.840.1.113883.2.4.15.1060')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Begin datum tijd
| |
| |style="background-color: white;"|<br/>T + 5 dagen om 10 uur<br/><br/>T + 20 dagen om 15:15 uur<br/><br/>T + 12 dagen om 15:15 uur<br/><br/>T + 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Eind datum tijd
| |
| |style="background-color: white;"|<br/>T + 5 dagen om 10:30 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Reden contact
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Reden contact tekst
| |
| |style="background-color: white;"|<br/>Controle voortgang revalidatie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Probleem
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Afwijkende uitslag
| |
| |style="background-color: white;"|<br/>hoge PSA waarde<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Wensen en behoeften patient enof naasten
| |
| |style="background-color: white;"|<br/>meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen<br/>
| |
| |}
| |
| === Verpleegkundige context specificatie gezondheidstoestand === | |
|
| |
|
| {| class="wikitable" width="85%" | | {| class="wikitable" width="85%" |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="12" | Verpleegkundige context specificatie gezondheidstoestand | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens |
| |-style="background-color: #1F497D;; color: white; text-align:left;" | | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |colspan="11" width="25%"| Gegevenselement | | |colspan="6" width="30%"| Gegevenselement |
| || Waarde | | || Waarde |
|
| |
|
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Zelfzorg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="156"| | | |colspan="6"|Datum overplaatsing |
| | |style="background-color: white;"|T + 1 dag |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot drinken | | |colspan="7"|Persoonsgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="47"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Drinken
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '16681000146102' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/><br/>Onafhankelijk (code = '19841000146104' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Drink beperkingen
| |
| |style="background-color: white;"|<br/>Bereiden (openen/uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')<br/><br/>Vastpakken (code = '307071002' in codeSystem 'SNOMED CT')<br/><br/>Naar mond brengen (code = '288876009' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot eten | | |colspan="6"|Patient |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Eten
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '129033007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')<br/><br/>Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Eet beperkingen
| |
| |style="background-color: white;"|<br/>Snijden/openen (code = '289078003' in codeSystem 'SNOMED CT')<br/><br/>Eetgerei hanteren (code = '289046006' in codeSystem 'SNOMED CT')<br/><br/>Naar de mond brengen (code = '289010002' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot mondverzorging | | |colspan="5"|Naamgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="16"| | | |rowspan="6"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Verzorgen tanden | | |colspan="3"|Voornamen |
| |style="background-color: white;"|<br/>Hulp nodig (code = '16671000146104' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|Erik |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Prothese
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="13"| | | |colspan="3"|Initialen |
| | |style="background-color: white;"|E |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Medisch hulpmiddel | | |colspan="4"|Geslachtsnaam |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="11"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"|
| | |colspan="2"|Achternaam |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |style="background-color: white;"|XXX_Altenborg |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>Gebitsprothese bovenkaak<br/><br/>Gebitsprothese onderkaak<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener | |
| |style="background-color: white;"|referentie, zie bouwstenen | |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot zich wassen | | |colspan="5"|Adresgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="6"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Zich wassen | | |colspan="3"|Straat |
| |style="background-color: white;"|<br/>Hulp nodig (code = '16621000146103' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/><br/>Onafhankelijk (code = '19831000146107' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/> | | |style="background-color: white;"|Knolweg |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Te wassen lichaamsdeel | | |colspan="3"|Huisnummer |
| |style="background-color: white;"|<br/>Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')<br/><br/>Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')<br/><br/>Gezicht (code = '302549007' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|1000 |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Vermogen tot zich kleden
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |colspan="3"|Postcode |
| | |style="background-color: white;"|9999XA |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Zich kleden | | |colspan="3"|Woonplaats |
| |style="background-color: white;"|<br/>Hulp nodig (code = '129039006' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/><br/>Onafhankelijk (code = '129035000' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/> | | |style="background-color: white;"|Stitswerd |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Te kleden lichaamsdeel | | |colspan="3"|Adres soort |
| |style="background-color: white;"|<br/>Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Vermogen tot uiterlijke verzorging
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Uiterlijke verzorging
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '27941000146109' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Vermogen tot toiletgang
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |colspan="4"|Identificatienummer |
| | |style="background-color: white;"|999911612 (in identificerend systeem: BSN) |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Toiletgebruik | | |colspan="4"|Geboortedatum |
| |style="background-color: white;"|<br/>Onafhankelijk (code = '129062008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')<br/> | | |style="background-color: white;"|14 aug 1964 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Zorg bij menstruatie | | |colspan="4"|Geslacht |
| |style="background-color: white;"| | | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot zelfstandig medicatiegebruik | | |colspan="6"|Betaler |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="56"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Zelfstandig medicatiegebruik
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '27921000146103' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Hulp bij toediening | | |colspan="5"|Verzekeraar |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="53"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Verpleegkundige interventie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="51"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Interventie
| |
| |style="background-color: white;"|<br/>bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Behandeldoel | | |colspan="4"|Verzekering |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gewenst zorgresultaat
| |
| |style="background-color: white;"|<br/>therapietrouw<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Actie start datum tijd
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Actie eind datum tijd
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Frequentie
| |
| |style="background-color: white;"|<br/>2 /d<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Interval
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Product id | | |colspan="2"|Eind datum tijd |
| |style="background-color: white;"| | | |style="background-color: white;"|T + 1 jaar |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product type
| |
| |style="background-color: white;"|<br/>medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product omschrijving
| |
| |style="background-color: white;"|<br/>baxterrol<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Instructie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Uitvoerder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="30"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Zorgverlener | | |colspan="2"|Verzekeringssoort |
| |style="background-color: white;"| | | |style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Verzorger
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Contactpersoon | | |colspan="6"|Contactpersoon |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="25"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Naamgegevens | | |colspan="5"|Naamgegevens |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="13"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Voornamen | | |colspan="3"|Voornamen |
| |style="background-color: white;"| | | |style="background-color: white;"|Johanna |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Initialen | | |colspan="3"|Initialen |
| |style="background-color: white;"| | | |style="background-color: white;"|J |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Roepnaam | | |colspan="3"|Roepnaam |
| |style="background-color: white;"| | | |style="background-color: white;"|Hanna |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geslachtsnaam | | |colspan="4"|Geslachtsnaam |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Achternaam | | |colspan="2"|Achternaam |
| |style="background-color: white;"| | | |style="background-color: white;"|Bakker |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Contactgegevens | | |colspan="5"|Contactgegevens |
| Regel 2.093: |
Regel 711: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Telefoonnummer | | |colspan="2"|Telefoonnummer |
| |style="background-color: white;"| | | |style="background-color: white;"|+31645678912 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Email adressen | | |colspan="4"|Email adressen |
| Regel 2.100: |
Regel 718: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="2"|Email adres |
| |style="background-color: white;"| | | |style="background-color: white;"|jbakker@123net.nl |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Rol
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Relatie | | |colspan="4"|Relatie |
| |style="background-color: white;"| | | |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Vermogen tot verpleegtechnische handelingen | | |colspan="7"|Sturende organisatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="56"| | | |rowspan="16"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Verpleegkundige interventie | | |colspan="6"|Zorgaanbieder |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="53"| | | |rowspan="14"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Verpleegkundige interventie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="51"| | | |colspan="4"|Zorgaanbieder identificatienummer |
| | |style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Interventie | | |colspan="4"|Organisatie naam |
| |style="background-color: white;"|<br/>Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')<br/><br/>vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')<br/> | | |style="background-color: white;"|AB-zkh |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Behandeldoel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gewenst zorgresultaat
| |
| |style="background-color: white;"|<br/>goede hygiene met betrekking tot stoma<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Actie start datum tijd
| |
| |style="background-color: white;"|<br/>T - 6 dagen<br/><br/>T - 1 dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Actie eind datum tijd
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Frequentie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Interval
| |
| |style="background-color: white;"|<br/>2 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product type
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product omschrijving
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Instructie | | |colspan="4"|Organisatie locatie |
| |style="background-color: white;"| | | |style="background-color: white;"|Noord |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Uitvoerder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="30"|
| | |colspan="4"|Afdeling specialisme |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') |
| |colspan="7"|Verzorger
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Contactpersoon
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|
| |
| |-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;"| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Voorvoegsels partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Contactgegevens | | |colspan="5"|Contactgegevens |
| Regel 2.228: |
Regel 752: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Telefoonnummer | | |colspan="2"|Telefoonnummer |
| |style="background-color: white;"| | | |style="background-color: white;"|+31182435770 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Email adressen | | |colspan="4"|Email adressen |
| Regel 2.235: |
Regel 759: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="2"|Email adres | | |colspan="2"|Email adres |
| |style="background-color: white;"| | | |style="background-color: white;"|neurologie@ABZ.nl |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Rol
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Patient
| |
| |style="background-color: white;"|<br/>Ja<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Toelichting | | |colspan="4"|Organisatie type |
| |style="background-color: white;"|<br/>toezicht bij uitvoer, en instructie hygiënisch werken<br/> | | |style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Verrichten vpkhandeling
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '27931000146101' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Toelichting zelfzorg
| |
| |style="background-color: white;"|<br/>kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="12"|Mobiliteit | | |colspan="7"|Ontvangende organisatie |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="23"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Mobiliteit | | |colspan="6"|Zorgaanbieder |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="21"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lopen
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '16581000146103' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Traplopen
| |
| |style="background-color: white;"|<br/>Volledig afhankelijk (code = '301589003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Houding veranderen
| |
| |style="background-color: white;"|<br/>Onafhankelijk (code = '19821000146105' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Houding handhaven
| |
| |style="background-color: white;"|<br/>Onafhankelijk (code = '19811000146100' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Uitvoeren transfer
| |
| |style="background-color: white;"|<br/>Hulp nodig (code = '714917003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product id | | |colspan="4"|Afdeling specialisme |
| |style="background-color: white;"| | | |style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product type | | |colspan="4"|Organisatie type |
| |style="background-color: white;"|<br/>rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')<br/><br/>rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')<br/> | | |style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |} |
| |colspan="7"|Product omschrijving
| | === Medische context=== |
| |style="background-color: white;"|<br/>rollator<br/><br/>rolstoel<br/>
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | {| class="wikitable" width="85%" |
| |colspan="7"|Begin datum | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medische context |
| |style="background-color: white;"|<br/>T - 1 jaar<br/><br/>T - 1 maand<br/>
| | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |colspan="4" width="30%"| Gegevenselement |
| |colspan="7"|Toelichting
| | || Waarde |
| |style="background-color: white;"|<br/>voor langere afstanden<br/>
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener | |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting | |
| |style="background-color: white;"|<br/>lopen is stuk verbeterd, rechter been minder krachtig<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="12"|Voedingvocht | | |colspan="5"|Medische diagnose |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="111"| | | |rowspan="18"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Voedingsadvies | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="4"| | | |rowspan="4"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Dieet type | | |colspan="2"|Probleem naam |
| |style="background-color: white;"|<br/>suikervrij, diabetes dieet<br/> | | |style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Consistentie | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>dik vloeibaar<br/><br/>solide<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="9"|Toelichting | | |colspan="2"|Toelichting |
| |style="background-color: white;"|<br/>eet naar eigen keuze minder vlees<br/> | | |style="background-color: white;"|niet bekend met neurologische klachten |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Snaqscore | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Gewichtsverlies score
| |
| |style="background-color: white;"|<br/>LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Eetlust score
| |
| |style="background-color: white;"|<br/>Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Voedings score
| |
| |style="background-color: white;"|<br/>GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Totaal score
| |
| |style="background-color: white;"|<br/>2<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Snaqscore datum tijd
| |
| |style="background-color: white;"|<br/>T - 6 dagen om 17 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>geen verminderde eetlust ondanks chemotherapie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Snaqrc score
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Gewichtsverlies score
| |
| |style="background-color: white;"|<br/>LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Eetlust score
| |
| |style="background-color: white;"|<br/>Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Bmiscore
| |
| |style="background-color: white;"|<br/>Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Hulp bij eten
| |
| |style="background-color: white;"|<br/>Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Totaal score
| |
| |style="background-color: white;"|<br/>2<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Snaqrc score datum tijd
| |
| |style="background-color: white;"|<br/>T - 6 dagen om 17 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>geen verminderde eetlust ondanks chemotherapie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Snaq65score
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Gewichtsverlies score
| |
| |style="background-color: white;"|<br/>LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Bovenarm omtrek score
| |
| |style="background-color: white;"|<br/>Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Eetlust score
| |
| |style="background-color: white;"|<br/>Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Inspannings score
| |
| |style="background-color: white;"|<br/>Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Totaal score
| |
| |style="background-color: white;"|<br/>0<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Snaq65score datum tijd
| |
| |style="background-color: white;"|<br/>T - 6 dagen om 17 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>geen verminderde eetlust ondanks chemotherapie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Mustscore
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Bmiscore
| |
| |style="background-color: white;"|<br/>BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Gewichtsverlies score
| |
| |style="background-color: white;"|<br/>LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Ziekte score
| |
| |style="background-color: white;"|<br/>Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Totaal score
| |
| |style="background-color: white;"|<br/>2<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Mustscore datum tijd
| |
| |style="background-color: white;"|<br/>T - 12 dagen om 17 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Vochtbalans
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Vocht totaal in
| |
| |style="background-color: white;"|<br/>1400 ml<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Vocht totaal uit
| |
| |style="background-color: white;"|<br/>1000 ml<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Vochtbalans starttijd
| |
| |style="background-color: white;"|<br/>T - 6 dagen om 07 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Vochtbalans stoptijd
| |
| |style="background-color: white;"|<br/>T - 5 dagen om 07 uur<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Sonde systeem
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Sonde
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product id | | |colspan="2"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|neoplasma van colon (code = '126838000') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product type | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')<br/><br/>PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>neus- maagsonde<br/><br/>PEJ sonde<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Sonde lengte
| |
| |style="background-color: white;"|<br/>575 mm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Medisch hulpmiddel | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="7"|Product id | | |colspan="2"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|oksel (code = '238600001' in codeSystem 'SNOMED Clinical Terms') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product type
| |
| |style="background-color: white;"|<br/>enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product omschrijving
| |
| |style="background-color: white;"|<br/>enterale voedingspomp<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>wegens misselijkheid door chemotherapie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Infuus
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="35"| | | |colspan="2"|Probleem status |
| | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Infuuskatheter | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product id | | |colspan="2"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|inverse psoriasis (code = '238600001') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Product type | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')<br/><br/>Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>centraal veneuze katheter<br/><br/>Perifeer intraveneus infuus<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 20 dagen<br/><br/>T - 15 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|<br/>onder sleutelbeen links<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')<br/><br/>onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>voor voeding<br/><br/>voor medicatie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="10"|Lumen of lijn | | |colspan="5"|Voorgeschiedenis |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="18"| | | |rowspan="5"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Lijn status
| |
| |style="background-color: white;"|<br/>Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')<br/><br/>Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Lumen locatie
| |
| |style="background-color: white;"|<br/>Distaal (code = '46053002' in codeSystem 'SNOMED CT')<br/><br/>Mediaal (code = '255561001' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toedienings systeem
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="14"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Randapparaat | | |colspan="4"|Probleem |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="3"| | | |rowspan="3"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Product id | | |colspan="2"|Probleem naam |
| |style="background-color: white;"| | | |style="background-color: white;"|diabetes mellitus (code = '73211009') |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Product type | | |colspan="2"|Probleem status |
| |style="background-color: white;"|<br/>infuuspomp voor algemene doeleinden (code = '470575008' in codeSystem 'SNOMED Clinical Terms')<br/><br/>spuitpomp (code = '418657004' in codeSystem 'SNOMED Clinical Terms')<br/><br/>infuuspomp (code = '430033006' in codeSystem 'SNOMED Clinical Terms')<br/> | | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Product omschrijving
| |
| |style="background-color: white;"|<br/>infuuspomp<br/><br/>spuitpomp (infusor)<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 20 dagen<br/><br/>T - 14 dagen<br/><br/>T - 13 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Toelichting
| |
| |style="background-color: white;"|<br/>voor heparine<br/><br/>voor NaCL/gluc<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toedienings systeem toelichting
| |
| |style="background-color: white;"|<br/>voor TPV<br/><br/>voor NaCL 0.9%<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="12"|Uitscheiding | | |colspan="5"|Let op |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="79"| | | |rowspan="7"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="11"|Blaasfunctie | | |colspan="4"|Alert |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="34"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Urine continentie
| |
| |style="background-color: white;"|<br/>Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Urostoma
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Stoma | | |colspan="2"|Alert naam |
| |style="background-color: white;"|referentie, zie bouwstenen | | |style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT') |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Urine katheter
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>Verblijfskatheter (code = '23973005' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>Verblijfskatheter<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 5 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Incontinentiemateriaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Product | | |colspan="4"|Alert |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>inlegger<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Darmfunctie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="21"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Feces continentie
| |
| |style="background-color: white;"|<br/>Incontinent (code = '72042002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Stoma
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Frequentie
| |
| |style="background-color: white;"|<br/>2 per dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Defecatie consistentie
| |
| |style="background-color: white;"|<br/>Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')<br/><br/>Zachte stukjes met gehavende randen (code = 'Type 6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Defecatie kleur
| |
| |style="background-color: white;"|<br/>Grijswit (code = '267056008' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Incontinentiemateriaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>opvangzak voor fecesincontinentie (code = '469627000' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>opvangzak voor fecesincontinentie<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>stoma na subtotale darmresectie wegens coloncarcinoom<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Stoma
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="20"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Stoma type
| |
| |style="background-color: white;"|<br/>eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')<br/><br/>urostoma (code = '281601009' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Stoma materiaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>stomazak voor ileostoma<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')<br/><br/>buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Rechts (code = '24028007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Aanleg datum
| |
| |style="background-color: white;"|<br/>T - 12 dagen<br/><br/>T - 4 jaar<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>na subtotale darmresectie wegens coloncarcinoom<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Huid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="63"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Brandwond
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Ontstaans datum
| |
| |style="background-color: white;"|<br/>T - 2 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Uitgebreidheid
| |
| |style="background-color: white;"|<br/>1 %<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Brandwond soort
| |
| |style="background-color: white;"|<br/>Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')<br/><br/>handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Rechts (code = '24028007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Dieptegraad
| |
| |style="background-color: white;"|<br/>1e graad (code = '77140003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/><br/>2e graad, oppervlakkig (code = '262587005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Datum laatste verbandwissel
| |
| |style="background-color: white;"|<br/>T - 1 dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Decubitus wond
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Decubitus categorie
| |
| |style="background-color: white;"|<br/>Decubitus categorie 2 (code = '420324007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '2')<br/><br/>Decubitus categorie 1 (code = '421076008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Ontstaans datum
| |
| |style="background-color: white;"|<br/>T - 2 dagen<br/><br/>T - 20 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')<br/><br/>stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Datum laatste verbandwissel
| |
| |style="background-color: white;"|<br/>T - 1 dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wondlengte
| |
| |style="background-color: white;"|<br/>2 cm<br/><br/>3 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wondbreedte
| |
| |style="background-color: white;"|<br/>2 cm<br/><br/>1 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wonddiepte
| |
| |style="background-color: white;"|<br/>0.5 cm<br/><br/>0.2 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond foto
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>Wond is niet geïnfecteerd.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Huidaandoening
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Soort aandoening
| |
| |style="background-color: white;"|<br/>Intertrigo/smetten (code = '58759008' in codeSystem 'SNOMED CT')<br/><br/>Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Inverse psoriasis<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Ontstaans datum
| |
| |style="background-color: white;"|<br/>T - 6 dagen<br/><br/>T - 10 jaar<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Oorzaak
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |rowspan="2"| | | |rowspan="2"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="8"|Probleem | | |colspan="2"|Alert naam |
| |style="background-color: white;"|referentie, zie bouwstenen
| | |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| | |}<section end=eovd-saa-tst-1.1b-alle_zibs /> |
| |colspan="9"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')<br/><br/>oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Rechts (code = '24028007' in codeSystem 'SNOMED CT')<br/><br/>Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>Smetten zonder natten of infectie, inmiddels genezen.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Wond
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="29"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond soort
| |
| |style="background-color: white;"|<br/>Traumatische wond (code = '416462003' in codeSystem 'SNOMED CT')<br/><br/>Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')<br/><br/>Oncologische ulcer (code = '94579000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond weefsel
| |
| |style="background-color: white;"|<br/>Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')<br/><br/>Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond infectie | |
| |style="background-color: white;"|<br/>Nee<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond vochtigheid
| |
| |style="background-color: white;"|<br/>Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')<br/><br/>Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')<br/> | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond rand | |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wondlengte
| |
| |style="background-color: white;"|<br/>2 cm<br/><br/>5 cm<br/><br/>1 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wondbreedte
| |
| |style="background-color: white;"|<br/>4 cm<br/><br/>1 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wonddiepte
| |
| |style="background-color: white;"|<br/>0.1 cm<br/><br/>4 cm<br/><br/>2 cm<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')<br/><br/>onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')<br/><br/>buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Lateraliteit
| |
| |style="background-color: white;"|<br/>Links (code = '7771000' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond ontstaansdatum
| |
| |style="background-color: white;"|<br/>T - 12 dagen<br/><br/>T - 1 maand<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Datum laatste verbandwissel
| |
| |style="background-color: white;"|<br/>T - 1 dag<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Drain
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>wonddrain (code = '27033000' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>wonddrain<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|<br/>T - 12 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Wond foto
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>oppervlakkige schaafwond na CVA, geen verband nodig<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Zintuigen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="36"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Functie horen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="16"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Hoor functie
| |
| |style="background-color: white;"|<br/>Verminderde gehoorfunctie (code = '15188001' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Horen hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|<br/>012345678905 (code = '012345678905Global Trade Item Number (GTIN)')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>Gehoorapparaat (code = '6012004' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>Gehoorapparaat<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|<br/>Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')<br/><br/>Rechteroor (code = '25577004' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Functie zien
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="17"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Visuele functie
| |
| |style="background-color: white;"|<br/>Verminderd gezichtsvermogen (code = '397540003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="10"|Zien hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Medisch hulpmiddel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="8"|Product
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product id
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Product type
| |
| |style="background-color: white;"|<br/>bril (code = '50121007' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Product omschrijving
| |
| |style="background-color: white;"|<br/>bril<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Begin datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Toelichting
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Anatomische locatie
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lateraliteit
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Zorgverlener
| |
| |style="background-color: white;"|referentie, zie bouwstenen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>zonder bril bestaat verhoogd valrisico<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Ziektebeleving
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Ziektebeleving
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Ziekte inzicht van patient
| |
| |style="background-color: white;"|<br/>meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Omgaan met ziekteproces door patient
| |
| |style="background-color: white;"|<br/>meneer wil niet praten over de toekomst.<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Omgaan met ziekteproces door naasten
| |
| |style="background-color: white;"|<br/>echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Mentale status
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Probleem
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Probleem type
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Probleem naam
| |
| |style="background-color: white;"|<br/>gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Probleem begin datum
| |
| |style="background-color: white;"|<br/>T - 22 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Probleem eind datum
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Probleem status
| |
| |style="background-color: white;"|<br/>Actueel (code = '55561003' in codeSystem 'SNOMED CT')<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>sinds cva, verminderde alertheid<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="12"|Voortplanting
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="11"|Zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Zwanger
| |
| |style="background-color: white;"|<br/>Ja<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Aterme datum
| |
| |style="background-color: white;"|<br/>T + 120 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Datum laatste menstruatie
| |
| |style="background-color: white;"|<br/>T - 170 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Zwangerschapsduur
| |
| |style="background-color: white;"|<br/>160 dagen<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Graviditeit
| |
| |style="background-color: white;"|<br/>1<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Pariteit
| |
| |style="background-color: white;"|<br/>0<br/>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="9"|Toelichting
| |
| |style="background-color: white;"|<br/>Mevrouw is vaak misselijk in de ochtend.<br/>
| |
| |}
| |
| [[Categorie:Kwalificatie]]
| |