Brontekst bekijken van gz:Vdraft AddendaKwalificatieKernsetGeboortezorg23 Dekkingsgraad


{{DISPLAYTITLE:Kernset Geboortezorg 2.3.6 - dekkingsgraad scenario's}}
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=Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3.6=
De volgende scenario's zijn meegenomen:
* 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling.(id: scenario1-23)
* 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling.(id: scenario2_1elijn-23)
* 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling.(id: scenario2_2elijn-23)
* 3. zorg volledig in 2e lijn, meerling, 1 kind overleden.(id: scenario3-23)
* 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden.(id: scenario4_1elijn-23)
* 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
* 5. zorg volledig 2e lijn, vrouw overleden.(id: scenario5-23)
* 6. 2de lijn met comorbiditeit. (id: scenario6-23)
* 7. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling, pijnstilling.(id: scenario7_1elijn-23)
* 7. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling, pijnstilling.(id: scenario7_2elijn-23)
Zie voor de inhoud van deze scenario's: [[Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23]]. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.
==Vrouw ==

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Burgerservicenummer
|style="background-color: white;"|<br/>999910413 (in identificerend systeem: BSN)<br/><br/>961921821 (in identificerend systeem: BSN)<br/><br/>895623146 (in identificerend systeem: BSN)<br/><br/>850810711 (in identificerend systeem: BSN)<br/><br/>912345676 (in identificerend systeem: BSN)<br/><br/>100202020 (in identificerend systeem: BSN)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Lokale persoonsidentificatie
|style="background-color: white;"|<br/>000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)<br/><br/>* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)<br/><br/>987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|style="background-color: white;"|<br/>T - 39 jaar<br/><br/>T - 41 jaar<br/><br/>T - 30 jaar<br/><br/>T - 28 jaar<br/><br/>T - 22 jaar<br/><br/>T - 31 jaar<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adres - postcode
|style="background-color: white;"|<br/>4563 AB<br/><br/>5689 CZ<br/><br/>5421 JG<br/><br/>4589 BA<br/><br/>9562 GF<br/><br/>1234 AB<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Etniciteit
|style="background-color: white;"|<br/>Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28')<br/><br/>Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')<br/><br/>Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')<br/><br/>Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Lengte gemeten
|style="background-color: white;"|<br/>170 cm<br/><br/>184 cm<br/><br/>167 cm<br/><br/>162 cm<br/><br/>186 cm<br/><br/>172 cm<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vrouwelijke genitale verminking?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Type vrouwelijke genitale verminking
|style="background-color: white;"|<br/>Type 2 (code = '130621000119105' in codeSystem 'SNOMED CT')<br/><br/>Type 1 (code = '130631000119108' in codeSystem 'SNOMED CT')<br/>
|}
=== Anamnese ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onder behandeling geweest?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Algemene anamnese
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="21"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Autoimmuun aandoening
|style="background-color: white;"|<br/>Reuma (code = '396332003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Cardiovasculaire aandoening
|style="background-color: white;"|<br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>Hartritmestoornis (code = '698247007' in codeSystem 'SNOMED CT')<br/><br/>Hypertensie (code = '38341003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Urogenitale aandoening
|style="background-color: white;"|<br/>Bacteriurie (code = '61373006' in codeSystem 'SNOMED CT')<br/><br/>Pyelonefritis (code = '45816000' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Oncologische aandoening
|style="background-color: white;"|<br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Schildklier aandoening
|style="background-color: white;"|<br/>Hyperthyreoidie (code = '34486009' in codeSystem 'SNOMED CT')<br/><br/>Hypothyreoidie (code = '40930008' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Diabetes mellitus?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Neurologische aandoening
|style="background-color: white;"|<br/>Epilepsie (code = '84757009' in codeSystem 'SNOMED CT')<br/><br/>Hernia nuclei pulposi (code = '84857004' in codeSystem 'SNOMED CT')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Overig, niet nader omschreven<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Infectieziekte
|style="background-color: white;"|<br/>Herpes (code = '23513009' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Mdl aandoening
|style="background-color: white;"|<br/>Chronische leveraandoeningen (code = '328383001' in codeSystem 'SNOMED CT')<br/><br/>M. Crohn (code = '34000006' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Anemie
|style="background-color: white;"|<br/>IJzergebrek (code = '87522002' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Longaandoening
|style="background-color: white;"|<br/>Astma (code = '195967001' in codeSystem 'SNOMED CT')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gynaecologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Orthopedische afwijking
|style="background-color: white;"|<br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>Trauma bekken (code = '282771003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bloedtransfusie?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Transfusiereactie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Type operatie
|style="background-color: white;"|<br/>Orthopedisch (code = '112697007' in codeSystem 'SNOMED CT')<br/><br/>Hart (code = '64915003' in codeSystem 'SNOMED CT')<br/><br/>Appendectomie (code = '80146002' in codeSystem 'SNOMED CT')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>Sectio (code = '11466000' in codeSystem 'SNOMED CT')<br/><br/>Rug (code = '129152004:260686004=129284003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Type stollingsprobleem
|style="background-color: white;"|<br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Psychiatrie?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Overige aandoening?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Overige aandoening
|style="background-color: white;"|
|}
=== Zorgverlening ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgverlening
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="7" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Datum start zorgverantwoordelijkheid
|style="background-color: white;"|<br/>T - 306 dagen<br/><br/>T - 332 dagen<br/><br/>T - 234 dagen<br/><br/>T - 297 dagen<br/><br/>T - 147 dagen<br/><br/>T - 388 dagen<br/><br/>T - 80 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Datum einde zorgverantwoordelijkheid
|style="background-color: white;"|<br/>T - 50 dagen<br/><br/>T - 240 dagen<br/><br/>T - 84 dagen<br/><br/>T - 59 dagen<br/><br/>T - 108 dagen<br/><br/>T - 148 dagen<br/><br/>T - 150 dagen<br/><br/>T - 78 dagen<br/><br/>T - 80 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Eindverantwoordelijk in welke perinatale periode?
|style="background-color: white;"|<br/>start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/><br/>follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Conclusie risicostatus na intake
|style="background-color: white;"|<br/>1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26')<br/><br/>2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')<br/><br/>3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="8"|Verwijsdetails
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="104"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Datum verwijzing
|style="background-color: white;"|<br/>T - 240 dagen<br/><br/>T - 148 dagen<br/><br/>T - 80 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Verwijzing van
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Zorginstelling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|<br/>1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
|style="background-color: white;"|<br/>verloskundige (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.15.1')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Verwijzing naar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Zorginstelling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|<br/>0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
|style="background-color: white;"|<br/>gynaecoloog 2e lijn (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.15.1')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type verwijzing
|style="background-color: white;"|<br/>Consult (code = '11429006' in codeSystem 'SNOMED CT')<br/><br/>Overname (code = '308292007' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Redenen van verwijzing
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="87"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Van 1e naar 2e lijn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="82"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Algemene anamnese
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Autoimmuun aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Cardiovasculaire aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Urogenitale aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Oncologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schildklier aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Diabetes mellitus?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Neurologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Infectieziekte
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Mdl aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Anemie
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Longaandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gynaecologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Orthopedische afwijking
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bloedtransfusie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Transfusiereactie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Type operatie
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Type stollingsprobleem
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Psychiatrie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Overige aandoening?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Obstetrische anamnese
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gynaecologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bloedverlies?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Partiele mola?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Cervixinsufficientie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Infectie
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hyperemesis gravidarum?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hypertensieve aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zwangerschapscholestase?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Diabetes gravidarum met insuline?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afwijkende groei foetus
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus immaturus?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus prematurus?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Abruptio placentae?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Fluxus postpartum?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Zwangerschap
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="22"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gynaecologische aandoening
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bloedverlies?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Partiele mola?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Cervixinsufficientie?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Infectie
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hyperemesis gravidarum?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hypertensieve aandoening
|style="background-color: white;"|<br/>Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')<br/><br/>Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zwangerschapscholestase?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Diabetes gravidarum met insuline?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afwijkende groei foetus
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus immaturus?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus prematurus?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Abruptio placentae?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Navelstrengprolaps?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Liggingsafwijking
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Meerlingzwangerschap?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Serotiniteit?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Intrauteriene vruchtdood
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Surmenage?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einde zwangerschap
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Bevalling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pprom?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Prom?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Koorts?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Niet vorderende ontsluiting?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Niet vorderende uitdrijving?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verdenking foetale nood?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Meconiumhoudend vruchtwater?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Intrauteriene vruchtdood
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Vastzittende placenta?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Conditie perineum postpartum
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Fluxus postpartum?
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Behoefte aan pijnbestrijding?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Postnatale fase
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pathologie vrouw
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overig
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Van 2e naar 3e lijn
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Van 2e naar 1e lijn
|style="background-color: white;"|<br/>Zwangerschap/baring/kraamperiode/kind ongestoord, fysiologie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.10.3')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Van 3e naar 2e lijn
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Perinatale periode
|style="background-color: white;"|<br/>voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')<br/><br/>2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')<br/><br/>tijdens uitdrijving (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')<br/>
|}
=== Zorgverlenerzorginstelling ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Zorginstelling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorginstelling agbid
|style="background-color: white;"|<br/>12345678 (in identificerend systeem: AGB-Z)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorginstelling lvrid
|style="background-color: white;"|<br/>1808 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/>
|}
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="7" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Wijze einde zwangerschap
|style="background-color: white;"|<br/>Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')<br/><br/>Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Definitieve a terme datum
|style="background-color: white;"|<br/>T - 1127 dagen<br/><br/>T - 575 dagen<br/><br/>T - 940 dagen<br/><br/>T - 1064 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="8"|Diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gynaecologische aandoening
|style="background-color: white;"|<br/>Uterus anomalie (code = '37849005' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Bloedverlies?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Cervixinsufficientie?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Infectie
|style="background-color: white;"|<br/>Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')<br/><br/>Intra-uterien (code = '301775005' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Hyperemesis gravidarum?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Hypertensieve aandoening
|style="background-color: white;"|<br/>Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Zwangerschapscholestase?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Diabetes gravidarum met insuline?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afwijkende groei foetus
|style="background-color: white;"|<br/>Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')<br/><br/>Macrosomie (code = '199616008' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Dreigende partus immaturus?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Dreigende partus prematurus?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Abruptio placentae?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Irregulaire antistoffen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="8"|Eerdere bevalling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Placenta
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geboorte placenta
|style="background-color: white;"|<br/>Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')<br/><br/>Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Hoeveelheid bloedverlies
|style="background-color: white;"|<br/>550 ml<br/><br/>895 ml<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Vorige uitkomst per kind
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Vorige baring
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|<br/>T - 1120 dagen<br/><br/>T - 936 dagen<br/><br/>T - 1112 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Type partus
|style="background-color: white;"|<br/>Spontaan (code = '177184002' in codeSystem 'SNOMED CT')<br/><br/>Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')<br/><br/>Secundair (code = '274130007' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Percentiel van het geboortegewicht
|style="background-color: white;"|<br/>p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50')<br/><br/>p10 tot p50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50')<br/><br/>p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgarscore na 5 min
|style="background-color: white;"|<br/>8<br/><br/>10<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Congenitale afwijkingen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Congenitale afwijkingen groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Chromosomale afwijkingen?
|style="background-color: white;"|<br/>Nee<br/>
|}
=== Zwangerschap ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschap
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="4" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Dossiernummer
|style="background-color: white;"|<br/>0cbda760-1fdd-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>5460cff0-2089-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>c2204d20-209a-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>ad9c3280-209d-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>05e54070-209f-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>e1691540-209f-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>68a34ee0-20a0-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/><br/>0af1e5b1-bf99-40a2-ade9-728186c32f31 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
|style="background-color: white;"|<br/>2<br/><br/>1<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Pariteit voor deze zwangerschap
|style="background-color: white;"|<br/>1<br/><br/>0<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Definitieve a terme datum
|style="background-color: white;"|<br/>T - 84 dagen<br/><br/>T - 115 dagen<br/><br/>T - 101 dagen<br/><br/>T - 136 dagen<br/><br/>T - 163 dagen<br/><br/>T - 91 dagen<br/><br/>T - 78 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Voornemens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie
|style="background-color: white;"|<br/>Thuis (code = '169813005' in codeSystem 'SNOMED CT')<br/><br/>Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')<br/><br/>Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')<br/><br/>Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')<br/><br/>Geen voorkeur (code = '00' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Naar welk ziekenhuis wil de vrouw worden verwezen?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorginstelling agbid
|style="background-color: white;"|<br/>00000010 (in identificerend systeem: AGB-Z)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorginstelling lvrid
|style="background-color: white;"|<br/>1999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naam zorginstelling
|style="background-color: white;"|<br/>UMC Papendorp<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Prenatale controle
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum controle
|style="background-color: white;"|<br/>T - 305 dagen<br/><br/>T - 240 dagen<br/><br/>T - 234 dagen<br/><br/>T - 225 dagen<br/><br/>T - 147 dagen<br/><br/>T - 239 dagen<br/><br/>T - 357 dagen<br/><br/>T - 306 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zwangerschapsduur
|style="background-color: white;"|<br/>59 dagen<br/><br/>155 dagen<br/><br/>161 dagen<br/><br/>156 dagen<br/><br/>269 dagen<br/><br/>177 dagen<br/><br/>86 dagen<br/><br/>65 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Leven voelen
|style="background-color: white;"|<br/>goed (code = '289431008' in codeSystem 'SNOMED CT')<br/><br/>weinig (code = '276372004' in codeSystem 'SNOMED CT')<br/><br/>verminderd (code = '276369006' in codeSystem 'SNOMED CT')<br/><br/>geen (code = '289432001' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rookgedrag
|style="background-color: white;"|<br/>niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')<br/><br/>gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')<br/><br/>gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Alcoholgebruik
|style="background-color: white;"|<br/>geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')<br/><br/>geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')<br/><br/>onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Drugsgebruik?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht gemeten
|style="background-color: white;"|<br/>70 kg<br/><br/>85 kg<br/><br/>67 kg<br/><br/>82 kg<br/><br/>89 kg<br/><br/>68 kg<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="22"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum
|style="background-color: white;"|<br/>T - 305 dagen<br/><br/>T - 240 dagen<br/><br/>T - 234 dagen<br/><br/>T - 225 dagen<br/><br/>T - 239 dagen<br/><br/>T - 357 dagen<br/><br/>T - 306 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zwangerschapsduur
|style="background-color: white;"|<br/>59 dagen<br/><br/>155 dagen<br/><br/>161 dagen<br/><br/>156 dagen<br/><br/>177 dagen<br/><br/>86 dagen<br/><br/>65 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gynaecologische aandoening
|style="background-color: white;"|<br/>Uterus anomalie (code = '37849005' in codeSystem 'SNOMED CT')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Overig, niet nader gespecificeerd<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bloedverlies?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Partiele mola?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Cervixinsufficientie?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Infectie
|style="background-color: white;"|<br/>Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hyperemesis gravidarum?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Hypertensieve aandoening
|style="background-color: white;"|<br/>Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')<br/><br/>Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zwangerschapscholestase?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Diabetes gravidarum met insuline?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afwijkende groei foetus
|style="background-color: white;"|<br/>Dysmaturiteit (code = '267258002' in codeSystem 'SNOMED CT')<br/><br/>Macrosomie (code = '199616008' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus immaturus?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Dreigende partus prematurus?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Abruptio placentae?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Navelstrengprolaps?
|style="background-color: white;"|<br/>NullFlavor: NI<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Liggingsafwijking
|style="background-color: white;"|<br/>onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Intrauteriene vruchtdood
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden iuvd op basis van
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Intrauteriene behandeling
|style="background-color: white;"|<br/>Selectieve foeticide (code = '265633004' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Maternale sterfte?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Wijze einde zwangerschap
|style="background-color: white;"|<br/>Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')<br/>
|}
=== Bevalling ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="4" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Partusnummer
|style="background-color: white;"|<br/>000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.7)<br/><br/>4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.7)<br/><br/>21123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.7)<br/><br/>21234 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.7)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Diagnose bevalling
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pprom?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Prom?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Koorts?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Niet vorderende ontsluiting?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Niet vorderende uitdrijving?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verdenking foetale nood?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Intrauteriene vruchtdood
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden intrauteriene vruchtdood?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vermoeden iuvd op basis van
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Vastzittende placenta?
|style="background-color: white;"|<br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Fluxus postpartum?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal geboren kinderen
|style="background-color: white;"|<br/>1<br/><br/>2<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Risicostatus voor baring
|style="background-color: white;"|<br/>1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')<br/><br/>2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Interventies begin baring
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie begin baring
|style="background-color: white;"|<br/>Strippen (code = '236960006' in codeSystem 'SNOMED CT')<br/><br/>Primaire sectio caesarea (code = '80771000146107' in codeSystem 'SNOMED CT')<br/><br/>Primaire sectio caesarea (code = '80771000146107' in codeSystem 'SNOMED CT')<br/><br/>Primen prostaglandine (code = '236966000' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Indicatie interventie begin baring
|style="background-color: white;"|<br/>wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')<br/><br/>conditie moeder - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')<br/><br/>conditie moeder - niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Wijze waarop de baring begon
|style="background-color: white;"|<br/>Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')<br/><br/>Spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')<br/><br/>Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Tijdstip begin actieve ontsluiting
|style="background-color: white;"|<br/>T - 86 dagen om 14:30 uur<br/><br/>T - 124 dagen om 14:09 uur<br/><br/>T - 127 dagen om 22:09 uur<br/><br/>T - 151 dagen om 21:09 uur<br/><br/>T - 78 dagen om 03:45 uur<br/><br/>T - 81 dagen om 22 uur<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Medicatie nageboortetijdperk groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Medicatie nageboortetijdperk?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Soort medicatie nageboortetijdperk
|style="background-color: white;"|<br/>Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73')<br/><br/>Prostaglandine (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')<br/><br/>Pabal (code = 'H01BB03' in codeSystem 'ATC-NL')<br/><br/>Prostaglandine (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Placenta
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geboorte placenta
|style="background-color: white;"|<br/>Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')<br/><br/>Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')<br/><br/>Controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Hoeveelheid bloedverlies
|style="background-color: white;"|<br/>615 ml<br/><br/>980 ml<br/><br/>1740 ml<br/><br/>1120 ml<br/><br/>1500 ml<br/><br/>1050 ml<br/><br/>850 ml<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Conditie perineum postpartum
|style="background-color: white;"|<br/>1e graads perineumruptuur (code = '199916005' in codeSystem 'SNOMED CT')<br/><br/>Gaaf (code = '289854007' in codeSystem 'SNOMED CT')<br/><br/>Episiotomiewond (code = '609344008' in codeSystem 'SNOMED CT')<br/><br/>3e graads ruptuur (code = '199930000' in codeSystem 'SNOMED CT')<br/><br/>2e graads perineumruptuur (code = '199925004' in codeSystem 'SNOMED CT')<br/>
|}
=== Uitkomst per kind ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="7" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="8"|Baring
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="79"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Werkelijke plaats baring type locatie
|style="background-color: white;"|<br/>Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')<br/><br/>Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Ziekenhuis baring
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Ziekenhuisnummer lvrid
|style="background-color: white;"|<br/>0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0110<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Demografische gegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Identificaties kind
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bsn kind
|style="background-color: white;"|<br/>999910383 (in identificerend systeem: BSN)<br/><br/>951847624 (in identificerend systeem: BSN)<br/><br/>847035116 (in identificerend systeem: BSN)<br/><br/>847035128 (in identificerend systeem: BSN)<br/><br/>840736526 (in identificerend systeem: BSN)<br/><br/>528741913 (in identificerend systeem: BSN)<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geslacht medische observatie
|style="background-color: white;"|<br/>vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')<br/><br/>mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')<br/><br/>niet conclusief (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geboortedatum
|style="background-color: white;"|<br/>T - 85 dagen<br/><br/>T - 122 dagen om 02:34 uur<br/><br/>T - 126 dagen om 06:30 uur<br/><br/>T - 126 dagen om 07:02 uur<br/><br/>T - 150 dagen om 23:35 uur<br/><br/>T - 161 dagen om 02:30 uur<br/><br/>T - 78 dagen<br/><br/>T - 80 dagen om 14:50 uur<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Rangnummer kind
|style="background-color: white;"|<br/>1<br/><br/>2<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Perinatale sterfte groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Perinatale sterfte?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Fase perinatale sterfte
|style="background-color: white;"|<br/>Postpartum (code = '276506001' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datumtijd vaststelling perinatale sterfte
|style="background-color: white;"|<br/>T - 126 dagen om 08:10 uur<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Kindspecifieke maternale gegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="21"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Bijstimulatie toegediend?
|style="background-color: white;"|<br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Tijdstip breken vliezen
|style="background-color: white;"|<br/>T - 85 dagen om 09:15 uur<br/><br/>T - 124 dagen om 23:04 uur<br/><br/>T - 127 dagen om 22:09 uur<br/><br/>T - 127 dagen om 23:13 uur<br/><br/>T - 151 dagen om 07:04 uur<br/><br/>T - 78 dagen om 04:30 uur<br/><br/>T - 80 dagen om 12:34 uur<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kleur en consistentie vruchtwater
|style="background-color: white;"|<br/>Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')<br/><br/>geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')<br/><br/>Bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18')<br/><br/>Meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Tijdstip actief meepersen
|style="background-color: white;"|<br/>T - 85 dagen om 12:13 uur<br/><br/>T - 127 dagen om 23:49 uur<br/><br/>T - 126 dagen om 06:45 uur<br/><br/>T - 150 dagen om 22:15 uur<br/><br/>T - 78 dagen om 05 uur<br/><br/>T - 80 dagen om 14:30 uur<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Episiotomie?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Indicatie episiotomie
|style="background-color: white;"|<br/>overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Locatie episiotomie
|style="background-color: white;"|<br/>mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Ruggenprik gewenst niet gekregen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Pijnbestrijding?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Pijnbestrijding
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Methode
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Methode
|style="background-color: white;"|<br/>Epidurale analgesie (code = '18946005' in codeSystem 'SNOMED CT')<br/><br/>Overig middel (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>Algehele anesthesie (code = '50697003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Overig middel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Middel
|style="background-color: white;"|<br/>Morfinometica (code = '52685006:363701004=404642006' in codeSystem 'SNOMED CT')<br/><br/>Entonox (code = '426060003' in codeSystem 'SNOMED CT')<br/><br/>TENS (code = '229559001' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toediening
|style="background-color: white;"|<br/>Intraveneus (code = '431215000' in codeSystem 'SNOMED CT')<br/><br/>Inhalatie (code = '241717009' in codeSystem 'SNOMED CT')<br/><br/>Elektroden (code = '78746004' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Periode
|style="background-color: white;"|<br/>tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60')<br/><br/>tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60')<br/><br/>tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')<br/><br/>tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Sedatie?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="7"|Kindspecifieke uitkomstgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="38"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
|style="background-color: white;"|<br/>Spontaan (code = '177184002' in codeSystem 'SNOMED CT')<br/><br/>Secundair (code = '274130007' in codeSystem 'SNOMED CT')<br/><br/>Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Ligging bij geboorte
|style="background-color: white;"|<br/>Achterhoofd-achter (code = '37235006' in codeSystem 'SNOMED CT')<br/><br/>Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')<br/><br/>Aangezicht (code = '21882006' in codeSystem 'SNOMED CT')<br/><br/>Volkomen stuit (code = '49168004' in codeSystem 'SNOMED CT')<br/><br/>Kruin (code = '249079005' in codeSystem 'SNOMED CT')<br/><br/>Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')<br/><br/>Achterhoofd-voor (code = '70028003' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Aanpakker kind - rol aanpakker kind
|style="background-color: white;"|<br/>1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/><br/>gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/><br/>arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/><br/>co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/><br/>gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')<br/><br/>klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Supervisor - rol supervisor
|style="background-color: white;"|<br/>1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/><br/>gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')<br/><br/>gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Vaginale kunstverlossing groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Vaginale kunstverlossing
|style="background-color: white;"|<br/>Forceps (code = '302383004' in codeSystem 'SNOMED CT')<br/><br/>Stuitextractie (code = '416055001' in codeSystem 'SNOMED CT')<br/><br/>Vacuüm (code = '61586001' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Succes vaginale kunstverlossing?
|style="background-color: white;"|<br/>Ja<br/><br/>Nee<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Sectio caesarea group
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Beslismoment sectio caesarea
|style="background-color: white;"|<br/>Tijdens ontsluiting besloten (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')<br/><br/>Tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Indicatie primaire sectio
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Indicatie secundaire sectio
|style="background-color: white;"|<br/>verdenking foetale nood (code = '444433005:246090004=130955003' in codeSystem 'SNOMED CT')<br/><br/>maternale conditie (code = '418138009' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overige interventies
|style="background-color: white;"|<br/>Opheffen schouderdystocie (code = '237008007' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Lichamelijk onderzoek kind
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Apgarscore na 5 min
|style="background-color: white;"|<br/>9<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortegewicht
|style="background-color: white;"|<br/>3450 gram<br/><br/>3620 gram<br/><br/>2040 gram<br/><br/>1580 gram<br/><br/>4205 gram<br/><br/>3750 gram<br/><br/>3550 gram<br/><br/>3720 gram<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Congenitale afwijkingen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Congenitale afwijkingen groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Specificatie congenitale afwijking groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specificatie congenitale afwijking
|style="background-color: white;"|<br/>spina bifida occulta (code = '76916001' in codeSystem 'SNOMED CT')<br/><br/>gecompliceerd vitium (code = '94702005' in codeSystem 'SNOMED CT')<br/><br/>overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Chromosomale afwijkingen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Specificatie chromosomale afwijking groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specificatie chromosomale afwijking
|style="background-color: white;"|<br/>trisomie 21 (code = '41040004' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Problematiek kind?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Problematiek kind
|style="background-color: white;"|<br/>Geboortetrauma (code = '56110009' in codeSystem 'SNOMED CT')<br/><br/>Subdurale bloeding (code = '126941005' in codeSystem 'SNOMED CT')<br/><br/>Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>Gehoor (code = '95827002' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kinderarts betrokken?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="6"|Betrokkenheid kinderarts
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datum betrokkenheid
|style="background-color: white;"|<br/>T - 122 dagen<br/><br/>T - 126 dagen<br/><br/>T - 150 dagen<br/><br/>T - 78 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Reden betrokkenheid
|style="background-color: white;"|<br/>overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')<br/><br/>kunstverlossing (code = '8571000146103' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Type betrokkenheid
|style="background-color: white;"|<br/>Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')<br/><br/>Overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorginstelling lvrid
|style="background-color: white;"|<br/>0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0001 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/><br/>0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)<br/>
|}
=== Medisch onderzoek ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Irregulaire antistoffen?
|style="background-color: white;"|<br/>Nee<br/><br/>Ja<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
|style="background-color: white;"|<br/>Rhesus D (code = '112162009' in codeSystem 'SNOMED CT')<br/><br/>Kell (code = '405844003' in codeSystem 'SNOMED CT')<br/>
|}
=== Postnatale fase ===

{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
|-style="background-color: #1F497D;; color: white; text-align:left;" 
|colspan="4" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Diagnoseinterventie postnataal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum
|style="background-color: white;"|<br/>T - 120 dagen<br/><br/>T - 146 dagen<br/><br/>T - 161 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pathologie vrouw
|style="background-color: white;"|<br/>Urineweginfectie (code = '68566005' in codeSystem 'SNOMED CT')<br/><br/>Embolie (code = '414086009' in codeSystem 'SNOMED CT')<br/><br/>Mastitis (code = '266579006' in codeSystem 'SNOMED CT')<br/><br/>Trombose diep veneuze postpartum (code = '56272000' in codeSystem 'SNOMED CT')<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Kindspecifieke gegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rangnummer kind
|style="background-color: white;"|<br/>1<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Voeding kind groep
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voeding kind datum
|style="background-color: white;"|<br/>T - 81 dagen<br/><br/>T - 86 dagen<br/><br/>T - 120 dagen<br/><br/>T - 108 dagen<br/><br/>T - 161 dagen<br/><br/>T - 78 dagen<br/><br/>T - 79 dagen<br/>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Substantie voeding kind
|style="background-color: white;"|<br/>borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')<br/><br/>kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')<br/>
|}          
[[Categorie:Kwalificatie]]