Brontekst bekijken van jgz:V7 kwalificatie dossieroverdracht Scenario 1.2 XXX Caarls


__NUMBEREDHEADINGS__
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]

=Inleiding=
Dit dossier hoort bij scenario 1.2: Versturen uitgebreide DOB v03.

=Aandachtspunten voor inhoudelijke gegevens=
==Datum T==
T is de datum op het moment van het versturen van het bericht. Als ergens staat T – 100D betekent dit: 100 dagen eerder dan de huidige datum.
==DOB==
Met 'DOB' wordt in de kwalificatiedossiers 'Date Of Birth' bedoeld. 

=Overzicht van de dossiergegevens=

====R002 dossierinformatie XXX_Caarls====
<section begin=r002_dossierinformatie_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R002 dossierinformatie
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Dossiernummer
|style="background-color: white;"|54321 (in identificerend systeem: 2.16.528.1.1007.3.3.1111.999.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Dossier status
|style="background-color: white;"|Gesloten (code = 'completed' in codeSystem 'HL7 ActStatus')
|}<section end=r002_dossierinformatie_XXX_Caarls />
====R003 persoonsgegevens XXX_Caarls====
<section begin=r003_persoonsgegevens_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | R003 persoonsgegevens
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bsn
|style="background-color: white;"|999900183 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Voornaam
|style="background-color: white;"|Pepijn
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geslachtsnaam
|style="background-color: white;"|XXX_Caarls
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geslacht
|style="background-color: white;"|Mannelijk (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geboortedatum
|style="background-color: white;"|T - 13 jaar en 2 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g001 adres client
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort adres
|style="background-color: white;"|BRP/COA-adres (code = 'HP' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Adres is geheim
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Woonplaats
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Straatnaam
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Huisnummer
|style="background-color: white;"|1001
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Postcode
|style="background-color: white;"|9999 XX
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Land
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g002 telefoonnummer client
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|050-7656633
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort telefoonnummer
|style="background-color: white;"|Huisnummer (code = 'HP' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Email client
|style="background-color: white;"|xxx_caarls@test.nl
|}<section end=r003_persoonsgegevens_XXX_Caarls />
====R050 zorggegevens XXX_Caarls====
<section begin=r050_zorggegevens_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | R050 zorggegevens
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g093 status in zorg
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status in zorg
|style="background-color: white;"|Regulier (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.376')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum start zorg
|style="background-color: white;"|DOB + 3 jaar en 9 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g092 zorgbeeindiging
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Zorgbeeindiging
|style="background-color: white;"|Overdracht naar een andere JGZ-organisatie (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.82')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum zorgbeeindiging
|style="background-color: white;"|T
|}<section end=r050_zorggegevens_XXX_Caarls />
====R005 betrokken jgzorganisaties XXX_Caarls====
<section begin=r005_betrokken_jgzorganisaties_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | R005 betrokken jgzorganisaties
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g085 uitvoerende jgzorganisatie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende jgzorganisatie ura
|style="background-color: white;"|{$orgId} (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende jgzorganisatie naam
|style="background-color: white;"|GGD Groningen
|}<section end=r005_betrokken_jgzorganisaties_XXX_Caarls />
====R010 informatie over werkwijze jgz XXX_Caarls====
<section begin=r010_informatie_over_werkwijze_jgz_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | R010 informatie over werkwijze jgz
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g115 toestemming gegevensuitwisseling rvp
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Toestemmingswijze gegevensuitwisseling rvp
|style="background-color: white;"|Mondeling (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.423')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Naam bron toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Pepijn
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bron toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Cliënt/Jeugdige (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.435')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum toestemming gegevensuitwisseling rvp
|style="background-color: white;"|DOB + 13 jaar
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Naam jgzmedewerker toestemming gegevensuitwisseling rvp
|style="background-color: white;"|de Beer
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Jgzorganisatie ura toestemming gegevensuitwisseling rvp
|style="background-color: white;"|11113333 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Jgzorganisatie naam toestemming gegevensuitwisseling rvp
|style="background-color: white;"|GGD Groningen
|}<section end=r010_informatie_over_werkwijze_jgz_XXX_Caarls />
====R009 externe documenten XXX_Caarls====
<section begin=r009_externe_documenten_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | R009 externe documenten
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g072 toegevoegd bestand
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bestand
|style="background-color: white;"|JVBERi0xLjMKJcTl8uXrp/Og0MTGCjMgMCBvYmoKPDwgL0ZpbHRlciAvRmxhdGVEZWNvZGUgL0xl bmd0aCAyMDMgPj4Kc3RyZWFtCngBVY4/D4IwFMT3foobYbC2hVK6alzYSJo4GCf+iAlgoHHx00vB lpgOvbvc+703ocQEJaBkRplWGVLJqQBPqGIi0ZgbXDHieLYclQVfn63WkUzTHAOkSKgganX95nZc /wfv0aF1MOFgDAtoAqNa5SrlegkYDrt1ZzkqqQacDLjYCssvwTnMgKMx7iLT4oaoaGI3LRC9vXh4 UW+CRCEJ5c/Ll0Yvfm1EnU9C++mTOibbMrsD5kAPhAC3NowG2BzjDlPgYkiJ8guxO1JqCmVuZHN0 cmVhbQplbmRvYmoKMSAwIG9iago8PCAvVHlwZSAvUGFnZSAvUGFyZW50IDIgMCBSIC9SZXNvdXJj ZXMgNCAwIFIgL0NvbnRlbnRzIDMgMCBSIC9NZWRpYUJveCBbMCAwIDU5NS4yIDg0MS44XQo+Pgpl bmRvYmoKNCAwIG9iago8PCAvUHJvY1NldCBbIC9QREYgL1RleHQgXSAvQ29sb3JTcGFjZSA8PCAv Q3MxIDUgMCBSIC9DczIgNiAwIFIgPj4gL0ZvbnQgPDwKL1RUMSA3IDAgUiA+PiA+PgplbmRvYmoK OCAwIG9iago8PCAvTiAzIC9BbHRlcm5hdGUgL0RldmljZVJHQiAvTGVuZ3RoIDI2MTIgL0ZpbHRl ciAvRmxhdGVEZWNvZGUgPj4Kc3RyZWFtCngBnZZ3VFPZFofPvTe90BIiICX0GnoJINI7SBUEUYlJ gFAChoQmdkQFRhQRKVZkVMABR4ciY0UUC4OCYtcJ8hBQxsFRREXl3YxrCe+tNfPemv3HWd/Z57fX 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MCBuIAowMDAwMDEyODA5IDAwMDAwIG4gCnRyYWlsZXIKPDwgL1NpemUgMTQgL1Jvb3QgMTAgMCBS IC9JbmZvIDEzIDAgUiAvSUQgWyA8ODMzYjg2ODkyMDg1MTFjMmMyZWY0ODFmODlhZTBkOGI+Cjw4 MzNiODY4OTIwODUxMWMyYzJlZjQ4MWY4OWFlMGQ4Yj4gXSA+PgpzdGFydHhyZWYKMTMwMTYKJSVF T0YK
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort toegevoegd bestand
|style="background-color: white;"|Integraal dossier JGZ (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.303')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bestandsnaam
|style="background-color: white;"|IntegraalDossier.pdf
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bestand mimetype
|style="background-color: white;"|application/pdf
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum bestand
|style="background-color: white;"|T
|}<section end=r009_externe_documenten_XXX_Caarls />
====R012 erfelijke belasting en ouderkenmerken XXX_Caarls====
<section begin=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R012-2" title="Intern ID = R012-2">R012 erfelijke belasting en ouderkenmerken</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Erfelijke belasting en ouderkenmerken nagevraagd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g019 erfelijke factoren in de familie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Erfelijk bepaalde ziekte in de familie
|style="background-color: white;"|Allergie (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.8')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Familielid
|style="background-color: white;"|Moeder (code = 'NMTH' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g019 erfelijke factoren in de familie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Erfelijk bepaalde ziekte in de familie
|style="background-color: white;"|Diabetes (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.8')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Familielid
|style="background-color: white;"|Moeder (code = 'NMTH' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g019 erfelijke factoren in de familie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Erfelijk bepaalde ziekte in de familie
|style="background-color: white;"|Astma/COPD (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.8')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Familielid
|style="background-color: white;"|Vader (code = 'NFTH' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g020 kenmerken ouderverzorger
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kenmerken ouderverzorger
|style="background-color: white;"|Langdurige werkloosheid/arbeidsongeschiktheid (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.40.5')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vadermoeder
|style="background-color: white;"|Vader (code = 'FTH' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g020 kenmerken ouderverzorger
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kenmerken ouderverzorger
|style="background-color: white;"|Spreekt geen of nauwelijks Nederlands (code = '10' in codeSystem '2.16.840.1.113883.2.4.4.40.5')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vadermoeder
|style="background-color: white;"|Moeder (code = 'MTH' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Lengte biologische moeder
|style="background-color: white;"|1680 mm
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Methode lengtemeting moeder
|style="background-color: white;"|Anamnestisch (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.29')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Lengte biologische vader
|style="background-color: white;"|1820 mm
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Methode lengtemeting vader
|style="background-color: white;"|Anamnestisch (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.29')
|}<section end=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Caarls />
====R012 erfelijke belasting en ouderkenmerken XXX_Caarls====
<section begin=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R012-3" title="Intern ID = R012-3">R012 erfelijke belasting en ouderkenmerken</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Erfelijke belasting en ouderkenmerken nagevraagd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g020 kenmerken ouderverzorger
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kenmerken ouderverzorger
|style="background-color: white;"|Chronisch ziek (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.40.5')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vadermoeder
|style="background-color: white;"|Vader (code = 'FTH' in codeSystem 'HL7 RoleCode')
|}<section end=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Caarls />
====R013 bedreigingen uit de directe omgeving XXX_Caarls====
<section begin=r013_bedreigingen_uit_de_directe_omgeving_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R013-2" title="Intern ID = R013-2">R013 bedreigingen uit de directe omgeving</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bedreiging sociaal milieu
|style="background-color: white;"|Geen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.81')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bedreiging fysiek milieu
|style="background-color: white;"|Veel verkeer in buurt (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.305')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bedreiging fysiek milieu
|style="background-color: white;"|Open water in buurt (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.305')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Er zijn blijvende zorgen dat de opvoed enof opgroeisituatie van de jeugdige een bedreiging voor de veiligheid van de jeugdige kunnen vormen
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 1 is er een vermoeden van dreiging van huiselijk geweld enof kindermishandeling?
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 2 is er sprake van acute onveiligheid enof structurele onveiligheid?
|style="background-color: white;"|Nee
|}<section end=r013_bedreigingen_uit_de_directe_omgeving_XXX_Caarls />
====R018 activiteit XXX_Caarls====
<section begin=r018_activiteit_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R018 activiteit
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Activiteit id
|style="background-color: white;"|1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort activiteit
|style="background-color: white;"|Neonatale gehoorscreening (code = '35' in codeSystem '2.16.840.1.113883.2.4.4.40.308')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vorm activiteit
|style="background-color: white;"|Huisbezoek (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.424')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum activiteit
|style="background-color: white;"|DOB + 2 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R040-1|R040 gehooronderzoek: R040-1]]
|}<section end=r018_activiteit_XXX_Caarls />
====R018 activiteit XXX_Caarls====
<section begin=r018_activiteit_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R018 activiteit
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Activiteit id
|style="background-color: white;"|2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort activiteit
|style="background-color: white;"|Contact week 2 t/m 6 maanden (code = '37' in codeSystem '2.16.840.1.113883.2.4.4.40.308')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vorm activiteit
|style="background-color: white;"|Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.424')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum activiteit
|style="background-color: white;"|DOB + 3 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Verzoeker activiteit
|style="background-color: white;"|Zorgstructuren (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.411')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Indicatie activiteit
|style="background-color: white;"|Vaccinaties (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.373')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R012-2|R012 erfelijke belasting en ouderkenmerken: R012-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R013-2|R013 bedreigingen uit de directe omgeving: R013-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R019-2|R019 terugkerende anamnese: R019-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R020-2|R020 algemene indruk: R020-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R022-2|R022 huidhaarnagels: R022-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R023-2|R023 hoofdhals: R023-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R024-2|R024 romp: R024-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R025-2|R025 bewegingsapparaat: R025-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R027-2|R027 groei: R027-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R031-2|R031 motorisch functioneren: R031-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R034-2|R034 inschatten verhouding draaglastdraagkracht: R034-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R039-2|R039 hartonderzoek: R039-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R041-2|R041 rijksvaccinatieprogramma en andere vaccinaties: R041-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R042-2|R042 van wiechen ontwikkelingsonderzoek: R042-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R047-2|R047 conclusies en vervolgstappen: R047-2]]
|}<section end=r018_activiteit_XXX_Caarls />
====R018 activiteit XXX_Caarls====
<section begin=r018_activiteit_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R018 activiteit
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Activiteit id
|style="background-color: white;"|3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort activiteit
|style="background-color: white;"|Contact 12 tot 18 jaar (code = '41' in codeSystem '2.16.840.1.113883.2.4.4.40.308')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vorm activiteit
|style="background-color: white;"|Face-to-face, anders dan huisbezoek of inloopspreekuur (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.424')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum activiteit
|style="background-color: white;"|DOB + 13 jaar
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R012-3|R012 erfelijke belasting en ouderkenmerken: R012-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R019-3|R019 terugkerende anamnese: R019-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R021-3|R021 functioneren: R021-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R025-3|R025 bewegingsapparaat: R025-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R026-3|R026 genitaliapuberteitsontwikkeling: R026-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R030-3|R030 psychosociaal en cognitief functioneren: R030-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R032-3|R032 spraak en taalontwikkeling: R032-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R038-3|R038 visus en oogonderzoek: R038-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R043-3|R043 bfmt: R043-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R054-3|R054 screening psychosociale problemen: R054-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R045-3|R045 sdq: R045-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R047-3|R047 conclusies en vervolgstappen: R047-3]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R049-3|R049 screening logopedie: R049-3]]
|}<section end=r018_activiteit_XXX_Caarls />
====R018 activiteit XXX_Caarls====
<section begin=r018_activiteit_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R018 activiteit
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Activiteit id
|style="background-color: white;"|4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort activiteit
|style="background-color: white;"|Contact 12 tot 18 jaar (code = '41' in codeSystem '2.16.840.1.113883.2.4.4.40.308')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vorm activiteit
|style="background-color: white;"|Beeldbellen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.424')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum activiteit
|style="background-color: white;"|T - 1 maand
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Niet gerealiseerd, geen interesse (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.434')
|}<section end=r018_activiteit_XXX_Caarls />
====R018 activiteit XXX_Caarls====
<section begin=r018_activiteit_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | R018 activiteit
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Activiteit id
|style="background-color: white;"|5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort activiteit
|style="background-color: white;"|Contact 12 tot 18 jaar (code = '41' in codeSystem '2.16.840.1.113883.2.4.4.40.308')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vorm activiteit
|style="background-color: white;"|Huisbezoek (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.424')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum activiteit
|style="background-color: white;"|T - 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Niet gerealiseerd in overleg (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.434')
|}<section end=r018_activiteit_XXX_Caarls />
====R019 terugkerende anamnese XXX_Caarls====
<section begin=r019_terugkerende_anamnese_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R019-2" title="Intern ID = R019-2">R019 terugkerende anamnese</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Anamnese
|style="background-color: white;"|verkouden geweest
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Ervaren gezondheid
|style="background-color: white;"|Gaat wel (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.99')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden voedingeetgedrag
|style="background-color: white;"|begint aan bijvoeding
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Melkvoeding op dit moment
|style="background-color: white;"|Kunstvoeding (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.307')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vitamine k
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vitamine d
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden slapenwaken
|style="background-color: white;"|slaapt nog niet door, overdag hazenslaapjes
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden mondgedrag
|style="background-color: white;"|Duim- en vingerzuigen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.315')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Poetsen gebit
|style="background-color: white;"|N.v.t. (code = 'NA' in codeSystem 'HL7 NullFlavor')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Passief roken in huis
|style="background-color: white;"|Ja (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.97')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kinderziekten
|style="background-color: white;"|bronchitis
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Operaties
|style="background-color: white;"|buisjes in de oren geplaatst
|}<section end=r019_terugkerende_anamnese_XXX_Caarls />
====R019 terugkerende anamnese XXX_Caarls====
<section begin=r019_terugkerende_anamnese_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R019-3" title="Intern ID = R019-3">R019 terugkerende anamnese</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Anamnese
|style="background-color: white;"|heeft moeite met plannen van schooltaken
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Ervaren gezondheid
|style="background-color: white;"|Goed (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.99')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden slapenwaken
|style="background-color: white;"|gaat erg laat naar bed
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Poetsen gebit
|style="background-color: white;"|2x per dag of vaker (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.15')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Tandartsbezoek
|style="background-color: white;"|2x per jaar of vaker (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.16')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Passief roken in huis
|style="background-color: white;"|Nee, er wordt nooit gerookt (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.97')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden vrijetijdsbesteding
|style="background-color: white;"|gaat vaak naar zwembad
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Zwemdiploma
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g087 opname ziekenhuis
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Reden opname ziekenhuis
|style="background-color: white;"|nierbekkenontsteking
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum opname ziekenhuis
|style="background-color: white;"|DOB + 10 jaar
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Duur opname ziekenhuis
|style="background-color: white;"|4 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Ingrijpende gebeurtenissen
|style="background-color: white;"|kat overleden
|}<section end=r019_terugkerende_anamnese_XXX_Caarls />
====R020 algemene indruk XXX_Caarls====
<section begin=r020_algemene_indruk_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R020-2" title="Intern ID = R020-2">R020 algemene indruk</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Algemene indruk verkregen
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Interactie kindjgzprofessional
|style="background-color: white;"|is geïnteresseerd
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Gedrag
|style="background-color: white;"|alert
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Stemming
|style="background-color: white;"|vrolijk
|}<section end=r020_algemene_indruk_XXX_Caarls />
====R021 functioneren XXX_Caarls====
<section begin=r021_functioneren_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R021-3" title="Intern ID = R021-3">R021 functioneren</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Lichamelijk functioneren nagevraagd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Adaptatiepersoonlijkheidsociaal gedrag nagevraagd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Functioneren op school nagevraagd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Schoolverzuim
|style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432')
|}<section end=r021_functioneren_XXX_Caarls />
====R022 huidhaarnagels XXX_Caarls====
<section begin=r022_huidhaarnagels_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R022-2" title="Intern ID = R022-2">R022 huidhaarnagels</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Huidhaarnagels onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden huidhaarnagels
|style="background-color: white;"|Luieruitslag (code = '11' in codeSystem '2.16.840.1.113883.2.4.4.40.263')
|}<section end=r022_huidhaarnagels_XXX_Caarls />
====R023 hoofdhals XXX_Caarls====
<section begin=r023_hoofdhals_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R023-2" title="Intern ID = R023-2">R023 hoofdhals</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Hoofdhals onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden trommelvlies rechts
|style="background-color: white;"|Beluchtingbuisjes (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.10')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden trommelvlies links
|style="background-color: white;"|Roodheid (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.10')
|}<section end=r023_hoofdhals_XXX_Caarls />
====R024 romp XXX_Caarls====
<section begin=r024_romp_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R024-2" title="Intern ID = R024-2">R024 romp</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Romp onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden longen
|style="background-color: white;"|Inspiratoir piepen (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.19')
|}<section end=r024_romp_XXX_Caarls />
====R025 bewegingsapparaat XXX_Caarls====
<section begin=r025_bewegingsapparaat_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R025-2" title="Intern ID = R025-2">R025 bewegingsapparaat</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bewegingsapparaat onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g026 heupen
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden heupen
|style="background-color: white;"|Bilplooiverschil (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.22')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Lichaamskant bijzonderheden heupen
|style="background-color: white;"|Rechts (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.13')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Toelichting bijzonderheden heupen
|style="background-color: white;"|verschil is minimaal
|}<section end=r025_bewegingsapparaat_XXX_Caarls />
====R025 bewegingsapparaat XXX_Caarls====
<section begin=r025_bewegingsapparaat_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R025-3" title="Intern ID = R025-3">R025 bewegingsapparaat</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bewegingsapparaat onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g028 onderste extremiteiten
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden onderste extremiteiten
|style="background-color: white;"|O-benen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.23')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden voet rechts
|style="background-color: white;"|Platvoet corrigeerbaar (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.321')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden voet links
|style="background-color: white;"|Platvoet niet corrigeerbaar (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.321')
|}<section end=r025_bewegingsapparaat_XXX_Caarls />
====R026 genitaliapuberteitsontwikkeling XXX_Caarls====
<section begin=r026_genitaliapuberteitsontwikkeling_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R026-3" title="Intern ID = R026-3">R026 genitaliapuberteitsontwikkeling</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Genitaliapuberteitsontwikkeling onderzocht
|style="background-color: white;"|Nee
|}<section end=r026_genitaliapuberteitsontwikkeling_XXX_Caarls />
====R027 groei XXX_Caarls====
<section begin=r027_groei_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R027-2" title="Intern ID = R027-2">R027 groei</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Lengte
|style="background-color: white;"|620 mm
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Methode lengtemeting
|style="background-color: white;"|Liggend gemeten (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.28')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Gewicht
|style="background-color: white;"|7280 g
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Methode gewichtsmeting
|style="background-color: white;"|Gewogen zonder kleren (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.30')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Hoofdomtrek
|style="background-color: white;"|430 mm
|}<section end=r027_groei_XXX_Caarls />
====R030 psychosociaal en cognitief functioneren XXX_Caarls====
<section begin=r030_psychosociaal_en_cognitief_functioneren_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R030-3" title="Intern ID = R030-3">R030 psychosociaal en cognitief functioneren</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Psychosociaal en cognitief functioneren onderzocht
|style="background-color: white;"|Ja
|}<section end=r030_psychosociaal_en_cognitief_functioneren_XXX_Caarls />
====R031 motorisch functioneren XXX_Caarls====
<section begin=r031_motorisch_functioneren_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R031-2" title="Intern ID = R031-2">R031 motorisch functioneren</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Motorische ontwikkeling onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden tonus
|style="background-color: white;"|Verhoogd (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.35')
|}<section end=r031_motorisch_functioneren_XXX_Caarls />
====R032 spraak en taalontwikkeling XXX_Caarls====
<section begin=r032_spraak_en_taalontwikkeling_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R032-3" title="Intern ID = R032-3">R032 spraak en taalontwikkeling</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Spraak en taalontwikkeling onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Meertaligheid
|style="background-color: white;"|Successieve twee/meertaligheid (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.40')
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g036 taal
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Taal
|style="background-color: white;"|Nederlands (code = 'nld' in codeSystem '1.0.639.2')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Dialect
|style="background-color: white;"|Brabants
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Eerstetweede taal
|style="background-color: white;"|Eerste taal (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.323')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Taalomgeving stimulerend
|style="background-color: white;"|Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.324')
|}<section end=r032_spraak_en_taalontwikkeling_XXX_Caarls />
====R034 inschatten verhouding draaglastdraagkracht XXX_Caarls====
<section begin=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R034-2" title="Intern ID = R034-2">R034 inschatten verhouding draaglastdraagkracht</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Verhouding draaglastdraagkracht onderzocht
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Balans
|style="background-color: white;"|Bevorderend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.60')
|}<section end=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Caarls />
====R038 visus en oogonderzoek XXX_Caarls====
<section begin=r038_visus_en_oogonderzoek_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R038-3" title="Intern ID = R038-3">R038 visus en oogonderzoek</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Oogonderzoek uitgevoerd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g117 visus
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort visuskaart
|style="background-color: white;"|LEA 4 meter (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.427')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag visus rechts
|style="background-color: white;"|0,1 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.428')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag visus links
|style="background-color: white;"|0,1 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.428')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Landoltckaart uitslag rechts
|style="background-color: white;"|1,0 (code = '11' in codeSystem '2.16.840.1.113883.2.4.4.40.332')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Landoltckaart uitslag links
|style="background-color: white;"|1,0 (code = '11' in codeSystem '2.16.840.1.113883.2.4.4.40.332')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Conclusie visusbepaling
|style="background-color: white;"|Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.333')
|}<section end=r038_visus_en_oogonderzoek_XXX_Caarls />
====R039 hartonderzoek XXX_Caarls====
<section begin=r039_hartonderzoek_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R039-2" title="Intern ID = R039-2">R039 hartonderzoek</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Hartonderzoek uitgevoerd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g044 geruis intensiteit
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Geruis intensiteit
|style="background-color: white;"|Graad 1/6 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.335')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Methode meting
|style="background-color: white;"|Liggend (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.395')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Geruis timing
|style="background-color: white;"|Continu geruis (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.336')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Lokalisatie
|style="background-color: white;"|2e ICL
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Voortgeleiding
|style="background-color: white;"|nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden hartritme
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Lever
|style="background-color: white;"|Vergroot (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.337')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Milt
|style="background-color: white;"|Niet vergroot (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.337')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|A femoralis rechts
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|A femoralis links
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|}<section end=r039_hartonderzoek_XXX_Caarls />
====R040 gehooronderzoek XXX_Caarls====
<section begin=r040_gehooronderzoek_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R040-1" title="Intern ID = R040-1">R040 gehooronderzoek</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Gehooronderzoek uitgevoerd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden gehooronderzoek
|style="background-color: white;"|kind is alert
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Screeningsinstrument ngs
|style="background-color: white;"|OAE (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.386')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 1e ngs rechts
|style="background-color: white;"|Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 1e ngs links
|style="background-color: white;"|Onvoldoende (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 2e ngs rechts
|style="background-color: white;"|Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 2e ngs links
|style="background-color: white;"|Onvoldoende (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 3e ngs rechts
|style="background-color: white;"|Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitslag 3e ngs links
|style="background-color: white;"|Onvoldoende (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.325')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Diagnose audiologisch centrum gehoor rechts
|style="background-color: white;"|Normaal gehoor (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.413')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Diagnose audiologisch centrum gehoor links
|style="background-color: white;"|Gemengd gehoorverlies (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.413')
|}<section end=r040_gehooronderzoek_XXX_Caarls />
====R041 rijksvaccinatieprogramma en andere vaccinaties XXX_Caarls====
<section begin=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R041-2" title="Intern ID = R041-2">R041 rijksvaccinatieprogramma en andere vaccinaties</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="3" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g076 vaccinatie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort vaccinatie
|style="background-color: white;"|DKTP-Hib-Hepatitis B (code = '11' in codeSystem 'RIVM Soort Vaccinatie')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum vaccinatie
|style="background-color: white;"|DOB + 3 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Type oproepkaart
|style="background-color: white;"|Normale oproep (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.399')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Reden van enting
|style="background-color: white;"|Rijksvaccinatieprogramma (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.258')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Partijnummer
|style="background-color: white;"|A21CA391C
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Vaccinatie door rivm afgekeurd
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende instantie vaccinatie
|style="background-color: white;"|GGD Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Naam uitvoerende persoon
|style="background-color: white;"|de Leeuw
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Locatie uitvoerende organisatie
|style="background-color: white;"|Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Vaccinatieschema dktp
|style="background-color: white;"|DKTP: 3-5-11 maanden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.426')
|}<section end=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Caarls />
====R042 van wiechen ontwikkelingsonderzoek XXX_Caarls====
<section begin=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R042-2" title="Intern ID = R042-2">R042 van wiechen ontwikkelingsonderzoek</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Gedragstoestand van wiechen
|style="background-color: white;"|Kind is wakker en alert (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.341')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 1 ogen fixeren
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 2 volgt met ogen en hoofd 30030 rechts
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 2 volgt met ogen en hoofd 30030 links
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 3 handen af en toe open rechts
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 3 handen af en toe open links
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 4 kijkt naar eigen handen
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 29 reageert op toespreken
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 30 lacht terug
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 31 maakt geluiden terug
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 52 beweegt armen goed r
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 52 beweegt armen goed l
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 53 beweegt benen goed r
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 53 beweegt benen goed l
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 54 blijft hangen bij optillen onder de oksels
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 55 reacties bij optrekken tot zit
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 56 heft kin even van onderlaag
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 57 heft in buikligging hoofd tot 45
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kolom van wiechen onderzoek
|style="background-color: white;"|13 wkn-3 mnd (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.422')
|}<section end=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Caarls />
====R043 bfmt XXX_Caarls====
<section begin=r043_bfmt_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R043-3" title="Intern ID = R043-3">R043 bfmt</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Gebruikt hand
|style="background-color: white;"|Rechts (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.13')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Is er sprake van fysieke belemmeringen
|style="background-color: white;"|Nee
|}<section end=r043_bfmt_XXX_Caarls />
====R054 screening psychosociale problemen XXX_Caarls====
<section begin=r054_screening_psychosociale_problemen_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R054-3" title="Intern ID = R054-3">R054 screening psychosociale problemen</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Screeningsinstrument psychosociale problematiek
|style="background-color: white;"|SDQ 13/14 jaar (code = '10' in codeSystem '2.16.840.1.113883.2.4.4.40.387')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum afname spp
|style="background-color: white;"|DOB + 13 jaar
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Spp ingevuld door
|style="background-color: white;"|Ouder (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.388')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Plaats van afname spp
|style="background-color: white;"|Thuis (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.372')
|}<section end=r054_screening_psychosociale_problemen_XXX_Caarls />
====R045 sdq XXX_Caarls====
<section begin=r045_sdq_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R045-3" title="Intern ID = R045-3">R045 sdq</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 1 houdt rekening met gevoelens van anderen
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 2 is rusteloos
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 3 klaagt vaak over hoofdpijn
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 4 deelt makkelijk met andere jeugdigen
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 5 heeft vaak driftbuien of woedeuitbarstingen
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 6 is nogal op zichzelf
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 7 is doorgaans gehoorzaam
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 8 heeft veel zorgen
|style="background-color: white;"|Niet waar (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 9 is behulpzaam als iemand zich heeft bezeerd
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 10 is constant aan het wiebelen of wriemelen
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 11 heeft minstens een goede vriend of vriendin
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 12 vecht vaak met andere jeugdigen of pest ze
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 13 is vaak ongelukkig
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 14 wordt over het algemeen aardig gevonden door andere jeugdigen
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 15 is gemakkelijk afgeleid
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 16 is zenuwachtig of zich vastklampend in nieuwe situaties
|style="background-color: white;"|Een beetje waar (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 17 is aardig tegen jongere kinderen
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 18 liegt of bedriegt vaak
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 19 wordt getreiterd of gepest door andere jeugdigen
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 20 biedt vaak vrijwillig hulp aan anderen
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 21 denkt na voor iets te doen
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 22 pikt dingen thuis
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 23 kan beter opschieten met volwassenen dan met andere jeugdigen
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 24 is voor heel veel bang
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 25 maakt opdrachten af
|style="background-color: white;"|Zeker waar (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.368')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Heeft u opmerkingen?
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Denkt u over het geheel genomen dat uw kind moeilijkheden heeft op een of meer van de volgende gebieden emoties concentratie gedrag of vermogen om met andere mensen op te schieten?
|style="background-color: white;"|Ja, ernstige moeilijkheden (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.369')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Hoe lang bestaan deze moeilijkheden?
|style="background-color: white;"|Meer dan een jaar (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.370')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Maken de moeilijkheden uw kind overstuur of van slag?
|style="background-color: white;"|Helemaal niet (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Belemmering thuis
|style="background-color: white;"|Helemaal niet (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Belemmering vriendschappen
|style="background-color: white;"|Een beetje maar (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Belemmering leren in de klas
|style="background-color: white;"|Een beetje maar (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Belemmering activiteiten in de vrije tijd
|style="background-color: white;"|Tamelijk (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Belasten de moeilijkheden u of het gezin als geheel?
|style="background-color: white;"|Heel erg (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.371')
|}<section end=r045_sdq_XXX_Caarls />
====R047 conclusies en vervolgstappen XXX_Caarls====
<section begin=r047_conclusies_en_vervolgstappen_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R047-2" title="Intern ID = R047-2">R047 conclusies en vervolgstappen</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Conclusie
|style="background-color: white;"|gaat goed
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Extra zorginterventie
|style="background-color: white;"|NullFlavor: UNK
|}<section end=r047_conclusies_en_vervolgstappen_XXX_Caarls />
====R047 conclusies en vervolgstappen XXX_Caarls====
<section begin=r047_conclusies_en_vervolgstappen_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R047-3" title="Intern ID = R047-3">R047 conclusies en vervolgstappen</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Conclusie
|style="background-color: white;"|ontwikkelt zich goed
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Extra zorginterventie
|style="background-color: white;"|NullFlavor: UNK
|}<section end=r047_conclusies_en_vervolgstappen_XXX_Caarls />
====R049 screening logopedie XXX_Caarls====
<section begin=r049_screening_logopedie_XXX_Caarls />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R049-3" title="Intern ID = R049-3">R049 screening logopedie</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="2" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 0 stoornis
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 2 stemstoornis
|style="background-color: white;"|Foutieve spreekademhaling (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.379')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"| 9 overig
|style="background-color: white;"|Aandachts- en concentratiestoornis (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.385')
|}<section end=r049_screening_logopedie_XXX_Caarls />

=Documenthistorie=
{| class="wikitable"
|-style="background-color: #1F497D;; color: white; text-align:left;" 
| Datum||Versie||Omschrijving
|-
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|04-01-2023
|style="background-color: white;"|Versie 1.2
|style="background-color: white;"|
*Toevoeging activiteit 4 en 5 i.v.m. toetsing 'Status Activiteit' (element 1605)
*Van Wiechen Ontwikkelingsonderzoek: Interactie van wiechen verwijderd; nr. 29, 30 en 56 toegevoegd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|01-12-2022
|style="background-color: white;"|Versie 1.1
|style="background-color: white;"|Wijzigingen:
*OID van het dossiernummer aangepast van '2.16.840.1.113883.2.4.3.11.999.100.2.1' naar '2.16.528.1.1007.3.3.1111.999.2'
*Postcodes omgezet van format "XXXXAA" naar "XXXX AA".
*Waarde voor 'extra_zorginterventie' (R047) naar nullFlavor 'UNK' want deze zit niet in set afgesproken elementen voor deze kwalificatie. Een nullFlavor moet wel aanwezig zijn omdat het een verplicht element is in het DOB scenario.
*Codesystemen van soort activiteit vervangen van BDS codesysteem naar HL7 codesysteem.
*Codesysteem van kolom van Wiechen aangepast van BDS codesysteem naar HL7 codesysteem.
*Alle data van datum zorg beëindiging zijn aangepast naar 'T'. De zorg kan pas beëindigd zijn op het moment van versturen.
*Soort adres vervangen voor 'hp' (BRP adres).
*PDF toegevoegd in het dossier.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|07-10-2022
|style="background-color: white;"|Versie 1.0
|style="background-color: white;"|Eerste versie
|-style="vertical-align:top; background-color: #E3E3E3;;"