Kwalificatiescript Spoedsamenvatting 2.2.0 Raadplegen MKA: verschil tussen versies
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Regel 1: | Regel 1: | ||
Kwalificatiescript Spoedsamenvatting 2.2.0 Raadplegen MKA | Kwalificatiescript Spoedsamenvatting 2.2.0 Raadplegen MKA | ||
+ | |||
+ | <section begin="bundel" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Bundel | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="6" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Auteur | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="36"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="34"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ZorgverlenerIdentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Specialisme | ||
+ | |style="background-color: white;"| Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Naamgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |colspan="3"|Voornamen | ||
+ | |style="background-color: white;"| Peter | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Initialen | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Roepnaam | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geslachtsnaam | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voorvoegsels | ||
+ | |style="background-color: white;"| van | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Achternaam | ||
+ | |style="background-color: white;"|Pulver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|GeslachtsnaamPartner | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|VoorvoegselsPartner | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AchternaamPartner | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Adresgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |colspan="3"|Straat | ||
+ | |style="background-color: white;"|Valkendael | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummer | ||
+ | |style="background-color: white;"|45 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummerletter | ||
+ | |style="background-color: white;"|A | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummertoevoeging | ||
+ | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AanduidingBijNummer | ||
+ | |style="background-color: white;"|Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Postcode | ||
+ | |style="background-color: white;"|6245 HK | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Woonplaats | ||
+ | |style="background-color: white;"|Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Land | ||
+ | |style="background-color: white;"|Nederland | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdditioneleInformatie | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdresSoort | ||
+ | |style="background-color: white;"|Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Contactgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="6"| | ||
+ | |colspan="5"|Telefoonnummers | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"| Telefoonnummer | ||
+ | |style="background-color: white;"| 0211234567 | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|NummerSoort | ||
+ | |style="background-color: white;"|Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|EmailAdressen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|EmailAdres | ||
+ | |style="background-color: white;"|huisarts@zorgverlener.org | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|EmailSoort | ||
+ | |style="background-color: white;"|Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="3"| ZorgaanbiederIdentificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|OrganisatieNaam | ||
+ | |style="background-color: white;"|Gezondheidscentrum A | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="7"|Dossierhouder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="22"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|ZorgaanbiederIdentificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|OrganisatieNaam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="18"| | ||
+ | |colspan="5"|Contactgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Telefoonnummers | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="3"|Telefoonnummer | ||
+ | |style="background-color: white;"|0211234567 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|NummerSoort | ||
+ | |style="background-color: white;"|Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EmailAdressen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="3"|EmailAdres | ||
+ | |style="background-color: white;"|huisarts@zorgverlener.org | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|EmailSoort | ||
+ | |style="background-color: white;"|Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Adresgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |colspan="3"|Straat | ||
+ | |style="background-color: white;"|Valkendael | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummer | ||
+ | |style="background-color: white;"|45 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummerletter | ||
+ | |style="background-color: white;"|A | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummertoevoeging | ||
+ | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AanduidingBijNummer | ||
+ | |style="background-color: white;"|Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Postcode | ||
+ | |style="background-color: white;"|6245 HK | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Woonplaats | ||
+ | |style="background-color: white;"|Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Land | ||
+ | |style="background-color: white;"|Nederland | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdditioneleInformatie | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdresSoort | ||
+ | |style="background-color: white;"|Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Onderwerp | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="44"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Patient | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="29"| | ||
+ | |colspan="5"|Naamgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voornamen | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Initialen | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Roepnaam | ||
+ | |style="background-color: white;"| | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geslachtsnaam | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voorvoegsels | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Achternaam | ||
+ | |style="background-color: white;"|XXX_ | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|GeslachtsnaamPartner | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|VoorvoegselsPartner | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AchternaamPartner | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Adresgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Straat | ||
+ | |style="background-color: white;"|Knolweg | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummer | ||
+ | |style="background-color: white;"|1000 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummerletter | ||
+ | |style="background-color: white;"|A | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Huisnummertoevoeging | ||
+ | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AanduidingBijNummer | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Postcode | ||
+ | |style="background-color: white;"|9999XX | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Woonplaats | ||
+ | |style="background-color: white;"|STITSWERD | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Land | ||
+ | |style="background-color: white;"|Nederland | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdditioneleInformatie | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|AdresSoort | ||
+ | |style="background-color: white;"|Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|999910942 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geboortedatum | ||
+ | |style="background-color: white;"|19540822 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geslacht | ||
+ | |style="background-color: white;"|man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MeerlingIndicator | ||
+ | |style="background-color: white;"|Nee | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="bundel" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele contactmomenten van patiënt== | ||
+ | <section begin="contactmomentT-600D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|ContactType | ||
+ | |style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="6"|Contact met | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="6"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="1"| | ||
+ | |colspan="3"|Zorgverleneridentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"|T-300D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|RedenContact | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |}<section end="contactmomentT-600D" /> | ||
+ | <section begin="contactmomentT-100D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contact02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|ContactType | ||
+ | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="6"|Contact met | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="6"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="1"| | ||
+ | |colspan="3"|Zorgverleneridentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"|T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"|T-90D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|RedenContact | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Episode | ||
+ | |style="background-color: white;"|D02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |}<section end="contactmomentT-100D" /> | ||
+ | |||
+ | <section begin="contactmomentT-9D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|ContactType | ||
+ | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="6"|Contact met | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="6"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="1"| | ||
+ | |colspan="3"|Zorgverleneridentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|RedenContact | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="contactmomentT-9D" /> | ||
+ | |||
+ | <section begin="contactmomentT-6D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|ContactType | ||
+ | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="6"|Contact met | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |colspan="6"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="1"| | ||
+ | |colspan="3"|Zorgverleneridentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"|T | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|RedenContact | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="contactmomentT-6D" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele contactverslagen van patiënt== | ||
+ | <section begin="contactverslag01" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contactverslag01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Contact | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|DatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Journaalregel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="18"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Type | ||
+ | |style="background-color: #E3E3E3;"|Tekst | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|S | ||
+ | |style="background-color: white;"|Wakker geworden, maar vannacht hartkloppingen. Geen beklemdheid. Verder geen klachten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|O | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|E | ||
+ | |style="background-color: white;"|Ritmestoornis | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|P | ||
+ | |style="background-color: white;"|Naar SEH | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Probleem | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="5"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatienummer | ||
+ | |style="background-color: white;"|ProbleemK78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemNaam | ||
+ | |style="background-color: white;"| Boezemfibrilleren/-fladderen (Code = K78 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemBeginDatum | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemEindDatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | <section end="contactverslag01" /> | ||
+ | <section begin="contactverslag02" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contactverslag02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Contact | ||
+ | |style="background-color: white;"|Contact02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Episode | ||
+ | |style="background-color: white;"|D02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|DatumTijd | ||
+ | |style="background-color: white;"|T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Journaalregel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Type | ||
+ | |style="background-color: #E3E3E3;"|Tekst | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|S | ||
+ | |style="background-color: white;"|In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|O | ||
+ | |style="background-color: white;"|Maagstreek gevoelig. Overig gb. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|E | ||
+ | |style="background-color: white;"|Maag/duodenum problemen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Probleem | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatienummer | ||
+ | |style="background-color: white;"|ProbleemD02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemNaam | ||
+ | |style="background-color: white;"|Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemBeginDatum | ||
+ | |style="background-color: white;"|T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemEindDatum | ||
+ | |style="background-color: white;"|T-90D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="contactverslag02" /> | ||
+ | |||
+ | <section begin="contactverslag03" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contactverslag03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|DatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Journaalregel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Type | ||
+ | |style="background-color: #E3E3E3;"|Tekst | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|S | ||
+ | |style="background-color: white;"|Gaat beter, nog wel af en toe benauwd/hosten. Geen koorts, weinig slijm en geen PoB. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|O | ||
+ | |style="background-color: white;"|Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|E | ||
+ | |style="background-color: white;"|COPD, beterend | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|P | ||
+ | |style="background-color: white;"|Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Probleem | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatienummer | ||
+ | |style="background-color: white;"|ProbleemR95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemNaam | ||
+ | |style="background-color: white;"|Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemBeginDatum | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemEindDatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="contactverslag03" /> | ||
+ | |||
+ | <section begin="contactverslag04" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"|Contactverslag03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|DatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Journaalregel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Type | ||
+ | |style="background-color: #E3E3E3;"|Tekst | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|S | ||
+ | |style="background-color: white;"|Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|O | ||
+ | |style="background-color: white;"|Longen VAG crep+, piep iets, rhonchi+. Percussie gb. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|E | ||
+ | |style="background-color: white;"|COPD, exacerbatie. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|P | ||
+ | |style="background-color: white;"|AB starten, ventolin 3-4 dgs. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Probleem | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatienummer | ||
+ | |style="background-color: white;"|ProbleemR95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemNaam | ||
+ | |style="background-color: white;"|Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemBeginDatum | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|ProbleemEindDatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="contactverslag04" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele episodes van patiënt== | ||
+ | |||
+ | <section begin="episode" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Episodetitel | ||
+ | |style="background-color: white;"|Hartkloppingen – paroxysmaal boezemfibrilleren | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Status | ||
+ | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Startdatum | ||
+ | |style="background-color: white;"| T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Einddatum | ||
+ | |style="background-color: white;"| T-300D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Probleem | ||
+ | |style="background-color: white;"|ProbleemK78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Attentiewaarden | ||
+ | |style="background-color: white;"| Ja | ||
+ | |} | ||
+ | <section end="episode" /> | ||
+ | |||
+ | <section begin="geslotenepisodemetattentiewaarde" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|D02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Episodetitel | ||
+ | |style="background-color: white;"|Maagpijn | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Status | ||
+ | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Startdatum | ||
+ | |style="background-color: white;"|T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Einddatum | ||
+ | |style="background-color: white;"|T-90D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Probleem | ||
+ | |style="background-color: white;"|ProbleemD02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Attentiewaarden | ||
+ | |style="background-color: white;"| Nee | ||
+ | |} | ||
+ | <section end="geslotenepisodemetattentiewaarde" /> | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Episodetitel | ||
+ | |style="background-color: white;"|COPD | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Status | ||
+ | |style="background-color: white;"|Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Startdatum | ||
+ | |style="background-color: white;"| T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Einddatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Probleem | ||
+ | |style="background-color: white;"|ProbleemR95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Attentiewaarden | ||
+ | |style="background-color: white;"| Ja | ||
+ | |} | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele labbepalingen van patiënt== | ||
+ | <section begin="lab600D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"|Twijfelachtig (code 312) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="lab 600D" /> | ||
+ | |||
+ | <section begin="lab 9D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"| ‘’Positief’’ (Vrije tekst) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="lab 9D" /> | ||
+ | |||
+ | <section begin="lab 6D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"|Positief (vrije tekst) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="lab 6D" /> | ||
+ | |||
+ | <section begin="lab 6D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"|4,5 mmol/l | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"|6,1 mmol/l | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"|4,0 mmol/l | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83) | ||
+ | |} | ||
+ | <section end="lab meer dan 10D" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt== | ||
+ | <section begin="algbep01" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Systolische bloeddruk (1744) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|184 mmHg | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| 140 mmHG | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"|High (code= H codesysteem 2.16.840.1.113883.5.83) | ||
+ | |}<section end="algbep01" /> | ||
+ | <section begin="algbep02" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Diastolische bloeddruk (1740) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|94 mmHg | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"|89 mmHg | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83) | ||
+ | |}<section end="algbep02" /> | ||
+ | <section begin="algbep03" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|K78 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Polsfrequentie (1875) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|120/min | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-600D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| 60 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| 100 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| High Alert (code= HH codesysteem 2.16.840.1.113883.5.83) | ||
+ | |}<section end="algbep03" /> | ||
+ | <section begin="algbep04" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|FEV1/FVC ratio pré-BD (1675) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|66% | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| 70 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"|Low (code=L codesysteem 2.16.840.1.113883.5.83) | ||
+ | |}<section end="algbep04" /> | ||
+ | <section begin="algbep05" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep05 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Conclusie longfunctieonderzoek (1704) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|COPD (vrije tekst) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |}<section end="algbep05" /> | ||
+ | |||
+ | <section begin="algbep06" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep06 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Roken (1739) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|Voorheen (4) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep06" /> | ||
+ | |||
+ | <section begin="algbep07" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep07 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Aantal jaren gerookt | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|10 jaar | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep07" /> | ||
+ | |||
+ | <section begin="algbep08" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep08 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Temperatuur patiënt (in oor gemeten) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|37.5 oC | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep08" /> | ||
+ | |||
+ | <section begin="algbep09" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep09 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Stadium COPD (GOLD classificatie)(2209) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|1:mild COPD (255) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep09" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt== | ||
+ | <section begin="medicatie" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-600 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-600 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"|T + 29 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, + 29 dagen, 1 maal per dag 2 stuks, Oraal | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|1 maal per dag 1 stuks | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-100 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-100 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"|T + 15 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|1 maal per dag 1 stuks | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-9 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-9 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"|T + 29 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"| 2 maal daags 1 inhalatie | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-9 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-9 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"|T + 29 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|2 maal daags 1 inhalatie | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med05 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-6 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-6 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '73040’ in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '99473' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, 3-4 daags 1 inhalatie (3-4D1I), inhalatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|3-4 maal daags 1 inhalatie | ||
+ | |} | ||
+ | |||
+ | |||
+ | |||
+ | <section end="medicatie" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele alerts van patiënt== | ||
+ | |||
+ | <section begin="alert" /> | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"| Alert01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|AlertNaam | ||
+ | |style="background-color: white;"| COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"| T-9 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"| Alert02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|AlertNaam | ||
+ | |style="background-color: white;"| Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"| T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|D02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | <section end="alert" /> | ||
+ | |||
+ | ==Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt== | ||
+ | <section begin="allergie" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AllergieIntolerantie | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatienummer | ||
+ | |style="background-color: white;"| Allergie01 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Informatiebron Patient | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Auteur ZorgverlenerIdentificatienummer | ||
+ | |style="background-color: white;"| UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|VeroorzakendeStof | ||
+ | |style="background-color: white;"| Amoxicilline | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|AllergieCategorie | ||
+ | |style="background-color: white;"| Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"| 20200827 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|MateVanKritiekZijn | ||
+ | |style="background-color: white;"| Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Toelichting | ||
+ | |style="background-color: white;"| Via neuroloog | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Reactie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Symptoom | ||
+ | |style="background-color: white;"| dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|SpecifiekeStof | ||
+ | |style="background-color: white;"| Amoxicille | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ernst | ||
+ | |style="background-color: white;"| Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|WijzeVanBlootstelling | ||
+ | |style="background-color: white;"| Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReactieTijdstip | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | |||
+ | <section end="allergie" /> |
Versie van 24 okt 2024 om 07:33
Kwalificatiescript Spoedsamenvatting 2.2.0 Raadplegen MKA
Bundel | ||||||
Gegevenselement | Waarde | |||||
Auteur | ||||||
Zorgverlener | ||||||
ZorgverlenerIdentificatienummer | UZI 1 | |||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | |||||
Naamgegevens | ||||||
Voornamen | Peter | |||||
Initialen | ||||||
Roepnaam | ||||||
Geslachtsnaam | ||||||
Voorvoegsels | van | |||||
Achternaam | Pulver | |||||
GeslachtsnaamPartner | ||||||
VoorvoegselsPartner | ||||||
AchternaamPartner | ||||||
Adresgegevens | ||||||
Straat | Valkendael | |||||
Huisnummer | 45 | |||||
Huisnummerletter | A | |||||
Huisnummertoevoeging | 2 | |||||
AanduidingBijNummer | Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | |||||
Postcode | 6245 HK | |||||
Woonplaats | Maastricht | |||||
Land | Nederland | |||||
AdditioneleInformatie | ||||||
AdresSoort | Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Contactgegevens | ||||||
Telefoonnummers | ||||||
Telefoonnummer | 0211234567 | |||||
NummerSoort | Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
EmailAdressen | ||||||
EmailAdres | huisarts@zorgverlener.org | |||||
EmailSoort | Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Zorgaanbieder | ||||||
ZorgaanbiederIdentificatienummer | URA 1 | |||||
OrganisatieNaam | Gezondheidscentrum A | |||||
Dossierhouder | ||||||
Zorgaanbieder | ||||||
ZorgaanbiederIdentificatienummer | URA 1 | |||||
OrganisatieNaam | Gezondheidscentrum Aesculaap | |||||
Contactgegevens | ||||||
Telefoonnummers | ||||||
Telefoonnummer | 0211234567 | |||||
NummerSoort | Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
EmailAdressen | ||||||
EmailAdres | huisarts@zorgverlener.org | |||||
EmailSoort | Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Adresgegevens | ||||||
Straat | Valkendael | |||||
Huisnummer | 45 | |||||
Huisnummerletter | A | |||||
Huisnummertoevoeging | 2 | |||||
AanduidingBijNummer | Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | |||||
Postcode | 6245 HK | |||||
Woonplaats | Maastricht | |||||
Land | Nederland | |||||
AdditioneleInformatie | ||||||
AdresSoort | Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Onderwerp | ||||||
Patient | ||||||
Naamgegevens | ||||||
Voornamen | ||||||
Initialen | ||||||
Roepnaam | ||||||
Geslachtsnaam | ||||||
Voorvoegsels | ||||||
Achternaam | XXX_ | |||||
GeslachtsnaamPartner | ||||||
VoorvoegselsPartner | ||||||
AchternaamPartner | ||||||
Adresgegevens | ||||||
Straat | Knolweg | |||||
Huisnummer | 1000 | |||||
Huisnummerletter | A | |||||
Huisnummertoevoeging | 2 | |||||
AanduidingBijNummer | ||||||
Postcode | 9999XX | |||||
Woonplaats | STITSWERD | |||||
Land | Nederland | |||||
AdditioneleInformatie | ||||||
AdresSoort | Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Identificatienummer | 999910942 | |||||
Geboortedatum | 19540822 | |||||
Geslacht | man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | |||||
MeerlingIndicator | Nee |
Inhoud
- 1 Scenario - Beschikbaarstellen actuele contactmomenten van patiënt
- 2 Scenario - Beschikbaarstellen actuele contactverslagen van patiënt
- 3 Scenario - Beschikbaarstellen actuele episodes van patiënt
- 4 Scenario - Beschikbaarstellen actuele labbepalingen van patiënt
- 5 Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt
- 6 Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt
- 7 Scenario - Beschikbaarstellen actuele alerts van patiënt
- 8 Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt
Scenario - Beschikbaarstellen actuele contactmomenten van patiënt
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact01 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-600D | |||||
EindDatumTijd | T-300D | |||||
RedenContact | ||||||
Episode | K78 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact02 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-100D | |||||
EindDatumTijd | T-90D | |||||
RedenContact | ||||||
Episode | D02 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact03 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-9D | |||||
EindDatumTijd | ||||||
RedenContact | ||||||
Episode | R95 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact04 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-6D | |||||
EindDatumTijd | T | |||||
RedenContact | ||||||
Episode | R95 |
Scenario - Beschikbaarstellen actuele contactverslagen van patiënt
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag01 | ||||
Verwijzing Contact | Contact01 | ||||
Verwijzing Episode | K78 | ||||
DatumTijd | T-600D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Wakker geworden, maar vannacht hartkloppingen. Geen beklemdheid. Verder geen klachten. | ||||
O | |||||
E | Ritmestoornis | ||||
P | Naar SEH | ||||
Probleem | |||||
Identificatienummer | ProbleemK78 | ||||
ProbleemNaam | Boezemfibrilleren/-fladderen (Code = K78 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-600D | ||||
ProbleemEindDatum |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag02 | ||||
Verwijzing Contact | Contact02 | ||||
Verwijzing Episode | D02 | ||||
DatumTijd | T-100D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel | ||||
O | Maagstreek gevoelig. Overig gb. | ||||
E | Maag/duodenum problemen | ||||
Probleem | |||||
Identificatienummer | ProbleemD02 | ||||
ProbleemNaam | Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-100D | ||||
ProbleemEindDatum | T-90D |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag03 | ||||
Verwijzing Contact | Contact03 | ||||
Verwijzing Episode | R95 | ||||
DatumTijd | T-9D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Gaat beter, nog wel af en toe benauwd/hosten. Geen koorts, weinig slijm en geen PoB. | ||||
O | Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb | ||||
E | COPD, beterend | ||||
P | Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin | ||||
Probleem | |||||
Identificatienummer | ProbleemR95 | ||||
ProbleemNaam | Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-9D | ||||
ProbleemEindDatum |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag03 | ||||
Verwijzing Contact | Contact03 | ||||
Verwijzing Episode | R95 | ||||
DatumTijd | T-6D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel | ||||
O | Longen VAG crep+, piep iets, rhonchi+. Percussie gb. | ||||
E | COPD, exacerbatie. | ||||
P | AB starten, ventolin 3-4 dgs. | ||||
Probleem | |||||
Identificatienummer | ProbleemR95 | ||||
ProbleemNaam | Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-9D | ||||
ProbleemEindDatum |
Scenario - Beschikbaarstellen actuele episodes van patiënt
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | K78 | ||||
Episodetitel | Hartkloppingen – paroxysmaal boezemfibrilleren | ||||
Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-600D | ||||
Einddatum | T-300D | ||||
Verwijzing Probleem | ProbleemK78 | ||||
Attentiewaarden | Ja |
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | D02 | ||||
Episodetitel | Maagpijn | ||||
Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-100D | ||||
Einddatum | T-90D | ||||
Verwijzing Probleem | ProbleemD02 | ||||
Attentiewaarden | Nee |
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | R95 | ||||
Episodetitel | COPD | ||||
Status | Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-9D | ||||
Einddatum | |||||
Verwijzing Probleem | ProbleemR95 | ||||
Attentiewaarden | Ja |
Scenario - Beschikbaarstellen actuele labbepalingen van patiënt
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab01 | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest01 | ||||
TestCode | Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-600D | ||||
TestUitslag | Twijfelachtig (code 312) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab02 | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest02 | ||||
TestCode | MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-9D | ||||
TestUitslag | ‘’Positief’’ (Vrije tekst) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab03 | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest03 | ||||
TestCode | as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-6D | ||||
TestUitslag | Positief (vrije tekst) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab04 | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest04 | ||||
TestCode | Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-6D | ||||
TestUitslag | 4,5 mmol/l | ||||
ReferentieBovengrens | 6,1 mmol/l | ||||
ReferentieOndergrens | 4,0 mmol/l | ||||
UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) |
Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep01 | ||||
MetingNaam | Systolische bloeddruk (1744) | ||||
UitslagWaarde | 184 mmHg | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | 140 mmHG | ||||
UitslagInterpretatie | High (code= H codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep02 | ||||
MetingNaam | Diastolische bloeddruk (1740) | ||||
UitslagWaarde | 94 mmHg | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | 89 mmHg | ||||
ReferentieBovengrens | |||||
UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep03 | ||||
MetingNaam | Polsfrequentie (1875) | ||||
UitslagWaarde | 120/min | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | 60 | ||||
ReferentieBovengrens | 100 | ||||
UitslagInterpretatie | High Alert (code= HH codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep04 | ||||
MetingNaam | FEV1/FVC ratio pré-BD (1675) | ||||
UitslagWaarde | 66% | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | 70 | ||||
ReferentieBovengrens | |||||
UitslagInterpretatie | Low (code=L codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep05 | ||||
MetingNaam | Conclusie longfunctieonderzoek (1704) | ||||
UitslagWaarde | COPD (vrije tekst) | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep06 | ||||
MetingNaam | Roken (1739) | ||||
UitslagWaarde | Voorheen (4) | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep07 | ||||
MetingNaam | Aantal jaren gerookt | ||||
UitslagWaarde | 10 jaar | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep08 | ||||
MetingNaam | Temperatuur patiënt (in oor gemeten) | ||||
UitslagWaarde | 37.5 oC | ||||
UitslagDatumTijd | T-6D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep09 | ||||
MetingNaam | Stadium COPD (GOLD classificatie)(2209) | ||||
UitslagWaarde | 1:mild COPD (255) | ||||
UitslagDatumTijd | T-6D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med01 | ||||
Afspraakdatum | T-600 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-600 dagen | ||||
Einddatum | T + 29 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' | ||||
Geneesmiddel - generiekere code | SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 1 maal per dag 2 stuks, Oraal | ||||
Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 1 maal per dag 1 stuks |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med02 | ||||
Afspraakdatum | T-100 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-100 dagen | ||||
Einddatum | T + 15 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal | ||||
Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 1 maal per dag 1 stuks |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med03 | ||||
Afspraakdatum | T-9 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-9 dagen | ||||
Einddatum | T + 29 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 2 maal daags 1 inhalatie |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med04 | ||||
Afspraakdatum | T-9 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-9 dagen | ||||
Einddatum | T + 29 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 2 maal daags 1 inhalatie |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med05 | ||||
Afspraakdatum | T-6 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-6 dagen | ||||
Einddatum | |||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '73040’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '99473' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, 3-4 daags 1 inhalatie (3-4D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 3-4 maal daags 1 inhalatie |
Scenario - Beschikbaarstellen actuele alerts van patiënt
Alert | |||||
Gegevenselement | Waarde | ||||
Identificatie | Alert01 | ||||
AlertNaam | COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
BeginDatumTijd | T-9 dagen | ||||
EindDatumTijd | |||||
Verwijzing episode | R95 |
Alert | |||||
Gegevenselement | Waarde | ||||
Identificatie | Alert02 | ||||
AlertNaam | Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||||
BeginDatumTijd | T-100D | ||||
EindDatumTijd | |||||
Verwijzing episode | D02 |
Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt
AllergieIntolerantie | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Allergie01 | ||||
Informatiebron Patient | |||||
Auteur ZorgverlenerIdentificatienummer | UZI 1 | ||||
VeroorzakendeStof | Amoxicilline | ||||
AllergieCategorie | Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
BeginDatumTijd | 20200827 | ||||
MateVanKritiekZijn | Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality') | ||||
Toelichting | Via neuroloog | ||||
Reactie | |||||
Symptoom | dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
SpecifiekeStof | Amoxicille | ||||
Ernst | Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) | ||||
WijzeVanBlootstelling | Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
ReactieTijdstip |