Brontekst bekijken van jgz:V7 kwalificatie dossieroverdracht Scenario 2.1 XXX Musumeci

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

=Inleiding=
Dit dossier hoort bij scenario 2.1: Ontvangen compacte 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_Musumeci====
<section begin=r002_dossierinformatie_XXX_Musumeci />
{| 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;"|12345678 (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_Musumeci />
====R003 persoonsgegevens XXX_Musumeci====
<section begin=r003_persoonsgegevens_XXX_Musumeci />
{| 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;"|999900195 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Voornaam
|style="background-color: white;"|Petra
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geslachtsnaam
|style="background-color: white;"|XXX_Musumeci
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Roepnaam
|style="background-color: white;"|Petra
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geslacht
|style="background-color: white;"|Vrouwelijk (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Geboortedatum
|style="background-color: white;"|T - 14 jaar
|-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;"|1002
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Postcode
|style="background-color: white;"|9999 ZZ
|-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;"|0311234567
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort telefoonnummer
|style="background-color: white;"|Huisnummer (code = 'HP' in codeSystem 'HL7 AddressUse')
|}<section end=r003_persoonsgegevens_XXX_Musumeci />
====R050 zorggegevens XXX_Musumeci====
<section begin=r050_zorggegevens_XXX_Musumeci />
{| 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 + 2 dagen
|-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_Musumeci />
====R005 betrokken jgzorganisaties XXX_Musumeci====
<section begin=r005_betrokken_jgzorganisaties_XXX_Musumeci />
{| 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_Musumeci />
====R010 informatie over werkwijze jgz XXX_Musumeci====
<section begin=r010_informatie_over_werkwijze_jgz_XXX_Musumeci />
{| 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;"|Petra
|-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 + 12 jaar
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Naam jgzmedewerker toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Phil
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Jgzorganisatie agb toestemming gegevensuitwisseling rvp
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Jgzorganisatie naam toestemming gegevensuitwisseling rvp
|style="background-color: white;"|GGD Groningen
|-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;"|Nee
|-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;"|Moeder
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bron toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Gezaghebbende (Geen toestemming van andere gezaghebbende vereist) (code = '03' 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 + 3 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Naam jgzmedewerker toestemming gegevensuitwisseling rvp
|style="background-color: white;"|Bernard
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Jgzorganisatie agb toestemming gegevensuitwisseling rvp
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
|-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_Musumeci />
====R009 externe documenten XXX_Musumeci====
<section begin=r009_externe_documenten_XXX_Musumeci />
{| 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_Musumeci />
====R013 bedreigingen uit de directe omgeving XXX_Musumeci====
<section begin=r013_bedreigingen_uit_de_directe_omgeving_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R013-1" title="Intern ID = R013-1">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"|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"|Risicoinventarisatie vgv
|style="background-color: white;"|Gezin gaat regelmatig op (familie)bezoek in het buitenland (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.408')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Risicoinschatting vgv op dit moment
|style="background-color: white;"|Twijfelachtig risico (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.405')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Verklaring tegen vgv meegegeven
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden vgv
|style="background-color: white;"|Geen
|}<section end=r013_bedreigingen_uit_de_directe_omgeving_XXX_Musumeci />
====R013 bedreigingen uit de directe omgeving XXX_Musumeci====
<section begin=r013_bedreigingen_uit_de_directe_omgeving_XXX_Musumeci />
{| 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;"|Vermoeden fysieke mishandeling (code = '04' 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;"|Onveilige buurt (criminaliteit, drugsoverlast) (code = '04' 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;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|De blijvende zorgen zijn gedeeld met de jeugdigeoudersverzorgers
|style="background-color: white;"|Ja
|-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;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 2 is er sprake van acute onveiligheid enof structurele onveiligheid?
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 3 ben ik als jgzprofessional in staat effectieve hulp te bieden of te organiseren?
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 4 aanvaarden de betrokkenen de hulpq ben ik in staat de hulp te bieden of te organiseren?
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Afwegingsvraag 5 leidt de hulp binnen de gewenste termijn tot duurzame veiligheid enof het welzijn van alle betrokkenen?
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Contact ivm meldcode met functie
|style="background-color: white;"|Collega (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.425')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Contact ivm meldcode met naam
|style="background-color: white;"|de Bruijn
|}<section end=r013_bedreigingen_uit_de_directe_omgeving_XXX_Musumeci />
====R018 activiteit XXX_Musumeci====
<section begin=r018_activiteit_XXX_Musumeci />
{| 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;"|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 + 5 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"|Uitvoerende activiteit agb
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende activiteit discipline
|style="background-color: white;"|Jeugdverpleegkundige (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.431')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende activiteit naam
|style="background-color: white;"|de Wit
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Begeleider
|style="background-color: white;"|Pleegvader (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.421')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R013-1|R013 bedreigingen uit de directe omgeving: R013-1]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R019-1|R019 terugkerende anamnese: R019-1]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R021-1|R021 functioneren: R021-1]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R038-1|R038 visus en oogonderzoek: R038-1]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R041-1|R041 rijksvaccinatieprogramma en andere vaccinaties: R041-1]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R047-1|R047 conclusies en vervolgstappen: R047-1]]
|}<section end=r018_activiteit_XXX_Musumeci />
====R018 activiteit XXX_Musumeci====
<section begin=r018_activiteit_XXX_Musumeci />
{| 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 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;"|T - 1 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"|Verzoeker activiteit
|style="background-color: white;"|Huisarts/specialist (code = '04' 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;"|Veiligheid kind (code = '47' in codeSystem '2.16.840.1.113883.2.4.4.40.373')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende activiteit discipline
|style="background-color: white;"|Jeugdverpleegkundige (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.431')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Uitvoerende activiteit naam
|style="background-color: white;"|Geeling
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Begeleider
|style="background-color: white;"|Pleegvader (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.421')
|-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 [[#R021-2|R021 functioneren: R021-2]]
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|GekoppeldeActiviteit
|style="background-color: white;"|Zie [[#R038-2|R038 visus en oogonderzoek: R038-2]]
|-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 [[#R047-2|R047 conclusies en vervolgstappen: R047-2]]
|}<section end=r018_activiteit_XXX_Musumeci />
====R018 activiteit XXX_Musumeci====
<section begin=r018_activiteit_XXX_Musumeci />
{| 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;"|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 - 7 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Niet gerealiseerd zonder bericht (code = '02' 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;"|JGZ (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.411')
|}<section end=r018_activiteit_XXX_Musumeci />
====R018 activiteit XXX_Musumeci====
<section begin=r018_activiteit_XXX_Musumeci />
{| 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;"|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;"|T - 6 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Status activiteit
|style="background-color: white;"|Niet gerealiseerd met bericht (code = '03' 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;"|Veilig Thuis / Raad voor de Kinderbescherming (code = '08' in codeSystem '2.16.840.1.113883.2.4.4.40.411')
|}<section end=r018_activiteit_XXX_Musumeci />
====R019 terugkerende anamnese XXX_Musumeci====
<section begin=r019_terugkerende_anamnese_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R019-1" title="Intern ID = R019-1">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;"|waterpokken gehad
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|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="2"|Bijzonderheden voedingeetgedrag
|style="background-color: white;"|geen borstvoeding
|-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;"|Ja
|-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"|Toelichting vitamine
|style="background-color: white;"|geen bijzonderheden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden slapenwaken
|style="background-color: white;"|komt nog één keer 's nachts voor voeding
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden mondgedrag
|style="background-color: white;"|Speengebruik (code = '02' 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;"|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="2"|Ontvangen paramedische zorg
|style="background-color: white;"|kinderfysiotherapie
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Kinderziekten
|style="background-color: white;"|zesde ziekte
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Chronisch drager hepatitisb
|style="background-color: white;"|Nee
|}<section end=r019_terugkerende_anamnese_XXX_Musumeci />
====R019 terugkerende anamnese XXX_Musumeci====
<section begin=r019_terugkerende_anamnese_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R019-2" title="Intern ID = R019-2">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;"|zwanger
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|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="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;"|1x per jaar (code = '03' 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;"|Ja (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.97')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden lichaamsbeweging
|style="background-color: white;"|sport niet
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden vrijetijdsbesteding
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Zwemdiploma
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Zwemles
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Schoolzwemmen
|style="background-color: white;"|Nee
|-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;"|gebroken arm
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum opname ziekenhuis
|style="background-color: white;"|T - 6 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Duur opname ziekenhuis
|style="background-color: white;"|2 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Ontvangen paramedische zorg
|style="background-color: white;"|bekken fysiotherapie
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Kinderziekten
|style="background-color: white;"|DM type 1
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Operaties
|style="background-color: white;"|fixatie arm
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Ongevallen
|style="background-color: white;"|arm gebroken
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Medicijn gebruik
|style="background-color: white;"|paracetamol
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Medicijngebruik tijdens zwangerschap
|style="background-color: white;"|Insuline (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.162')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Ingrijpende gebeurtenissen
|style="background-color: white;"|zwanger geraakt
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|A terme datum
|style="background-color: white;"|T + 6 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Kinkhoest doorgemaakt na zwangerschapsduur 12w6d
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Kinkhoestvaccinatie gekregen na zwangerschapsduur 12w6d
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Stollingsstoornis
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Chronisch drager hepatitisb
|style="background-color: white;"|Nee
|}<section end=r019_terugkerende_anamnese_XXX_Musumeci />
====R021 functioneren XXX_Musumeci====
<section begin=r021_functioneren_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R021-1" title="Intern ID = R021-1">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"|Bijzonderheden ontlastenplassenzindelijkheid
|style="background-color: white;"|ontlasting vaak dun
|-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"|Bijzonderheden hechting
|style="background-color: white;"|eenkennig naar moeder
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden ouderkind relatie
|style="background-color: white;"|moeder doet veel van de zorg
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden gedragtemperament
|style="background-color: white;"|huilt vaak
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden wilsontwikkeling
|style="background-color: white;"|volhardend bij huilen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Functioneren op school nagevraagd
|style="background-color: white;"|Nee
|}<section end=r021_functioneren_XXX_Musumeci />
====R021 functioneren XXX_Musumeci====
<section begin=r021_functioneren_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R021-2" title="Intern ID = R021-2">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;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Zindelijkheid
|style="background-color: white;"|’s Nachts onzindelijk voor urine (code = '08' in codeSystem '2.16.840.1.113883.2.4.4.40.46')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden ontlastenplassenzindelijkheid
|style="background-color: white;"|incontinentieklachten sinds zwangerschap
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Seksueel actief
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Anticonceptie
|style="background-color: white;"|Onconventionele anticonceptie (coïtus interruptus, temp. curve e.d.) (code = '11' in codeSystem '2.16.840.1.113883.2.4.4.40.312')
|-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"|Bijzonderheden karakterpersoonlijkheid
|style="background-color: white;"|temperamentvol; dwars
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden zelfbeeld
|style="background-color: white;"|laag
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden stemmingangsten
|style="background-color: white;"|veel moodswings
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden ontdekkingsdrang
|style="background-color: white;"|groot
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden zelfstandigheid
|style="background-color: white;"|leunt erg op moeder
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden begrijpen
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden omgaan met broerzusleeftijdgenoten
|style="background-color: white;"|Legt geen/moeilijk contact met leeftijdgenoten (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.409')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden contact met volwassenen
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden omgaan met nieuwe situaties
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden gewelddelinquent gedrag
|style="background-color: white;"|gb
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden verslavingsrisico
|style="background-color: white;"|Roken (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.313')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Toelichting verslavingsrisico
|style="background-color: white;"|sigaretten
|-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"|Bijzonderheden functioneren in de klas
|style="background-color: white;"|gaat niet goed op school
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Bijzonderheden indruk school
|style="background-color: white;"|dreigt van school gestuurd te worden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Schoolverzuim
|style="background-color: white;"|Onderzocht, bijzonderheden (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.432')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Toelichting schoolverzuim
|style="background-color: white;"|Spijbelt veel
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Advies met betrekking tot deelname aan lesprogramma
|style="background-color: white;"|Kan deels deelnemen (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.433')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Toelichting advies met betrekking tot deelname lesprogramma
|style="background-color: white;"|Verliest verbinding met klasgenoten
|}<section end=r021_functioneren_XXX_Musumeci />
====R038 visus en oogonderzoek XXX_Musumeci====
<section begin=r038_visus_en_oogonderzoek_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R038-1" title="Intern ID = R038-1">R038 visus en oogonderzoek</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"|Oogonderzoek uitgevoerd
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Cornea lichtreflex 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"|Cornea lichtreflex 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"|Rode fundusreflex 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"|Rode fundusreflex 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"|Afdektest geen instel beweging 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"|Afdektest geen instel beweging 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"|Volgbeweging binoculair 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"|Volgbeweging binoculair 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"|Volgbeweging monoculair 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"|Volgbeweging monoculair 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"|Bijzonderheden inspectie oog
|style="background-color: white;"|Geen bijzonderheden
|}<section end=r038_visus_en_oogonderzoek_XXX_Musumeci />
====R038 visus en oogonderzoek XXX_Musumeci====
<section begin=r038_visus_en_oogonderzoek_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="4" | <span id="R038-2" title="Intern ID = R038-2">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="3"|Brillenzen dragend
|style="background-color: white;"|Bril (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.328')
|-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 5 meter (code = '02' 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;"|0,12 (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.428')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Apkkaart uitslag rechts
|style="background-color: white;"|5/30 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.329')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Apkkaart uitslag links
|style="background-color: white;"|5/20 (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.329')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Apktovkaart 5 meter uitslag rechts
|style="background-color: white;"|5/15 (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.406')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Apktovkaart 5 meter uitslag links
|style="background-color: white;"|5/10 (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.406')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Lhkaart uitslag rechts
|style="background-color: white;"|0,10 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.331')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Lhkaart uitslag links
|style="background-color: white;"|0,16 (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.331')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Landoltckaart uitslag rechts
|style="background-color: white;"|Niet gelukt (code = 'NAV' in codeSystem 'HL7 NullFlavor')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Landoltckaart uitslag links
|style="background-color: white;"|0,15 (code = '03' 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;"|Twijfelachtig (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.333')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Bijzonderheden visusbepaling
|style="background-color: white;"|advies bezoek oogarts
|}<section end=r038_visus_en_oogonderzoek_XXX_Musumeci />
====R041 rijksvaccinatieprogramma en andere vaccinaties XXX_Musumeci====
<section begin=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="5" | <span id="R041-1" title="Intern ID = R041-1">R041 rijksvaccinatieprogramma en andere vaccinaties</span>
|-style="background-color: #1F497D; color: white; text-align:left;" 
|colspan="4" width="25%"| Gegevenselement
|| Waarde

|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="5"|Groep g076 vaccinatie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="20"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|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="3"|Datum vaccinatie
|style="background-color: white;"|DOB + 3 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|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="3"|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="3"|Partijnummer
|style="background-color: white;"|A21CA365A
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Vaccinatie door rivm afgekeurd
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Toelichting afwijkende plaats vaccinatie
|style="background-color: white;"|nvt
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Uitvoerende instantie vaccinatie
|style="background-color: white;"|GGD Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Naam uitvoerende persoon
|style="background-color: white;"|Groen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Locatie uitvoerende organisatie
|style="background-color: white;"|Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="4"|Groep g111 periode reactie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Startdatum reactie
|style="background-color: white;"|DOB + 3 maanden en 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Einddatum reactie
|style="background-color: white;"|DOB + 3 maanden en 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Verschijnselen
|style="background-color: white;"|koorts
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Reactie gemeld aan bevoegde instantie datum
|style="background-color: white;"|DOB + 3 maanden en 3 dagen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Reactie gemeld aan bevoegde instantie door uzi
|style="background-color: white;"|123456789 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Reactie gemeld aan bevoegde instantie door big
|style="background-color: white;"|654321 (in identificerend systeem: 2.16.528.1.1007.5.1)
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Reactie gemeld aan bevoegde instantie door agb
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;"  
|colspan="5"|Groep g076 vaccinatie
|-style="vertical-align:top; background-color: #E3E3E3;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|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="3"|Datum vaccinatie
|style="background-color: white;"|DOB + 5 maanden
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Type oproepkaart
|style="background-color: white;"|Herinnering (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.399')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|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="3"|Partijnummer
|style="background-color: white;"|A21CA391C
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Vaccinatie door rivm afgekeurd
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Toelichting afwijkende plaats vaccinatie
|style="background-color: white;"|nvt
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Uitvoerende instantie vaccinatie
|style="background-color: white;"|GGD Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Naam uitvoerende persoon
|style="background-color: white;"|Roder
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="3"|Locatie uitvoerende organisatie
|style="background-color: white;"|Groningen
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="4"|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')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="4"|Reden afwijkend schema
|style="background-color: white;"|Verzoek ouders (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.340')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="4"|Toelichting afwijkend schema
|style="background-color: white;"|Op verzoek van de ouders
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="4"|Datum maternale kinkhoestvaccinatie
|style="background-color: white;"|DOB - 5 maanden
|}<section end=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Musumeci />
====R041 rijksvaccinatieprogramma en andere vaccinaties XXX_Musumeci====
<section begin=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Musumeci />
{| 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="6"|
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Soort vaccinatie
|style="background-color: white;"|MenACWY (code = '28' in codeSystem 'RIVM Soort Vaccinatie')
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Datum vaccinatie
|style="background-color: white;"|T - 2 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"|Bezwaar
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ivm zwangerschap
|-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"|Uitslag serologisch onderzoek hepatitis b
|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="3"|Bcg litteken
|style="background-color: white;"|Afwezig (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.402')
|}<section end=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Musumeci />
====R047 conclusies en vervolgstappen XXX_Musumeci====
<section begin=r047_conclusies_en_vervolgstappen_XXX_Musumeci />
{| class="wikitable" width="85%"
|style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;"  colspan="3" | <span id="R047-1" title="Intern ID = R047-1">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_Musumeci />
====R047 conclusies en vervolgstappen XXX_Musumeci====
<section begin=r047_conclusies_en_vervolgstappen_XXX_Musumeci />
{| 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;"|Thuissituatie zorgwekkend
|-style="vertical-align:top; background-color: #E3E3E3;"
|colspan="2"|Extra zorginterventie
|style="background-color: white;"|NullFlavor: UNK
|}<section end=r047_conclusies_en_vervolgstappen_XXX_Musumeci />

=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 3 en 4 i.v.m. toetsing 'Status Activiteit' (element 1605)
|-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:
*UZI aangepast van ‘123456’ naar ‘123456789’.
*Naam 'locatie uitvoerende instantie' toegevoegd aan de 'MenACWY' vaccinatie.
*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'.
*Codesysteem van vorm activiteit aangepast van BDS codesysteem naar HL7 codesysteem
*Codesystemen van soort activiteit vervangen van BDS codesysteem naar HL7 codesysteem
*BSN OID als root toegevoegd.
*Postcodes omgezet van het 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.
*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;;"