GZ: InhoudelijkeGegevens Integrale Zwangerschapskaart Kraam: verschil tussen versies
(→Scenario Vrouw 4, kaart 5, kraam (tweede zwangerschap)) |
|||
Regel 1: | Regel 1: | ||
<noinclude> | <noinclude> | ||
− | {{DISPLAYTITLE:MedMij Integrale zwangerschapskaart | + | {{DISPLAYTITLE:MedMij Integrale zwangerschapskaart - inhoud }} |
__NUMBEREDHEADINGS__ | __NUMBEREDHEADINGS__ | ||
Regel 35: | Regel 35: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toelichting | |colspan="2"|Toelichting | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Normale woon- en leefomstandigheden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Woning type | |colspan="2"|Woning type | ||
Regel 48: | Regel 48: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Arbeidssituatie | |colspan="2"|Arbeidssituatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Werkt 3 dagen in de week in de kinderopvang |
|}<section end= /> | |}<section end= /> | ||
=== Administratief === | === Administratief === | ||
Regel 61: | Regel 61: | ||
|colspan="6"|Betaler | |colspan="6"|Betaler | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verzekeraar | |colspan="5"|Verzekeraar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verzekering | |colspan="4"|Verzekering | ||
Regel 75: | Regel 75: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Eind datum tijd | |colspan="2"|Eind datum tijd | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2025-12-31 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatie nummer | ||
+ | |style="background-color: white;"|1000 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Organisatie naam | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Veilige Haven Verzekeringen | |style="background-color: white;"|Veilige Haven Verzekeringen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id="Contact1- | + | |colspan="6"|<span id="Contact1-Kraamzorg_Intake" title="Intern ID = Contact1-Kraamzorg_Intake">Contact Contact1-Kraamzorg_Intake</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
Regel 95: | Regel 98: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
− | |style="background-color: white;"|Zie [[#ZV3- | + | |style="background-color: white;"|Zie [[#ZV3-XXX_Meijer|Zorgverlener: ZV3-XXX_Meijer]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Begin datum tijd | |colspan="4"|Begin datum tijd | ||
Regel 103: | Regel 106: | ||
|style="background-color: white;"|T - 167 dagen | |style="background-color: white;"|T - 167 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Contactpersoon |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="5"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voornamen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Toon |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslachtsnaam partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam partner |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Visser |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Relatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|22 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|<span id="Vrouw3-XXX_Zhanganak" title="Intern ID = Vrouw3-XXX_Zhanganak">Patient Vrouw3-XXX_Zhanganak</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="30"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="10"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voornamen | ||
+ | |style="background-color: white;"|Kim | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Initialen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|K |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Naamgebruik |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Zhanganak |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslachtsnaam partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam partner |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Visser |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Straat |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Knolweg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Huisnummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1000 |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Postcode |
+ | |style="background-color: white;"|9999XA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Woonplaats |
− | |style="background-color: white;"| | + | |style="background-color: white;"|STITSWERD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Land |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Adres soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Contactgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="4"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Telefoonnummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|06-12345678 |
− | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
− | + | |colspan="2"|Telecom type | |
+ | |style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Nummer soort |
+ | |style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|999901679 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Geboortedatum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|18 jul 1994 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Geslacht administratief |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="Kind" title="Intern ID = Kind">Patient Kind</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voornamen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Joris |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|(in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Geboortedatum |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 111 dagen |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Geslacht administratief |
+ | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZA3-Wolkendroom" title="Intern ID = ZA3-Wolkendroom">Zorgaanbieder ZA3-Wolkendroom</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Zorgaanbieder identificatienummer |
+ | |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Organisatie naam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Wolkendroom Vroedvrouwenpraktijk |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Organisatie type |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="ZA5-Kraamzorg" title="Intern ID = ZA5-Kraamzorg">Zorgaanbieder ZA5-Kraamzorg</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
+ | |colspan="4"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|33112345 (in identificerend systeem: AGB-Z) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Organisatie naam | ||
+ | |style="background-color: white;"|Kraamzorg Het Blije Ei | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Organisatie type | ||
+ | |style="background-color: white;"|Kraamzorg (code = 'K4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|<span id="ZV3-XXX_Meijer" title="Intern ID = ZV3-XXX_Meijer">Zorgverlener ZV3-XXX_Meijer</span> | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|123456781 (in identificerend systeem: UZI Personen) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Carolien |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
Regel 265: | Regel 274: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Meijer |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Specialisme | ||
+ | |style="background-color: white;"|kraamverzorgende (beroep) (code = '151531000146108' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |style="background-color: white;"|Zie [[#ZA5-Kraamzorg|Zorgaanbieder: ZA5-Kraamzorg]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZV4-XXX_Janssen" title="Intern ID = ZV4-XXX_Janssen">Zorgverlener ZV4-XXX_Janssen</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="11"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgverlener identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|123456001 (in identificerend systeem: UZI Personen) |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="6"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voornamen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Elise |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Naamgebruik |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="4"|Geslachtsnaam | |
− | |||
− | |||
− | |||
− | |colspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Janssen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Specialisme |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA3-Wolkendroom|Zorgaanbieder: ZA3-Wolkendroom]] |
+ | |}<section end=administratief_ /> | ||
+ | === Zorgverlening === | ||
+ | <section begin=zorgverlening_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zorgverlening | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="4" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Zorg episode |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Begin datum |
+ | |style="background-color: white;"|T - 167 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Eind datum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 69 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Zorg episode verantwoordelijke |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Zorgverlener |
− | |style="background-color: white;"| | + | |style="background-color: white;"|ZV4-XXX_Janssen |
− | | | + | |}<section end=zorgverlening_ /> |
− | + | === Gezin === | |
− | |style="background-color: white;"| | + | <section begin=gezin_ /> |
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Gezin | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="3" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Sociaal netwerk |
− | |style="background-color: white;"| | + | |style="background-color: white;"|true |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Beoordeling gezinssituatie observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Toelichting |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Stabiele gezinssituatie. Goede hechting binnen het gezin |
− | | | + | |}<section end=gezin_ /> |
− | + | === Zwangerschapsgegevens === | |
− | |style="background-color: white;"| | + | <section begin=zwangerschapsgegevens_ /> |
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Voornemens vrouw |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="10"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Voorgenomen plaats baring tijdens zwangerschap observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="5"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voorgenomen plaats baring waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Voorkeursziekenhuis |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|ZA4-Medisch_Centrum_Hartevreugde |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Voorgenomen voeding observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="2"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voorgenomen voeding waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Kraamzorg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Kraamzorg intake | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="2"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact1-Kraamzorg_Intake |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Prenatale controle | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="7"| |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Alcohol gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="3"|Alcohol gebruik status |
− | |style="background-color: white;"| | + | |style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
− | |}<section end= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
− | === | + | |colspan="5"|Tabak gebruik |
− | <section begin= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Tabak gebruik status | ||
+ | |style="background-color: white;"|niet-roker, maar rookgedrag in verleden onbekend (code = '405746006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
+ | |}<section end=zwangerschapsgegevens_ /> | ||
+ | === Bevalling === | ||
+ | <section begin=bevalling_ /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bevalling |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
− | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Ontsluitingsfase | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="14"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Actieve ontsluiting observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Begin actieve ontsluiting waarde |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T - 111 dagen om 08:00 uur |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Wijze begin baring observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 111 dagen om 08:00 uur |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Begin baring waarde |
+ | |style="background-color: white;"|spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Breken vliezen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Breken vliezen waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D{08:00:00} |
− | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
− | |colspan=" | + | |colspan="5"|Aard vruchtwater observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="3"|Aard vruchtwater waarde | |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |colspan="3"| | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Uitdrijvingsfase |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Patient | ||
+ | |style="background-color: white;"|Zie [[#Vrouw3-XXX_Zhanganak|Patient: Vrouw3-XXX_Zhanganak]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Type partus observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Type partus waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|vacuum (code = '61586001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Werkelijke plaats baring type locatie observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Werkelijke plaats baring waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Nageboortefase | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="15"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Placenta |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="10"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Wijze geboorte placenta observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Wijze geboorte placenta waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geboorte placenta observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Geboorte placenta waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D{14:40:00} |
− | |}<section end= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
− | === | + | |colspan="4"|Placenta compleet observatie |
− | <section begin= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Placenta compleet waarde | ||
+ | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Hoeveelheid bloedverlies observatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Hoeveelheid bloedverlies waarde | ||
+ | |style="background-color: white;"|400 | ||
+ | |}<section end=bevalling_ /> | ||
+ | === Kind === | ||
+ | <section begin=kind_ /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
− | |colspan=" | + | |colspan="6" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="7"|Demografische gegevens |
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Patient |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="7"|Lichamelijk onderzoek kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="35"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Geboortegewicht lichaamsgewicht | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="4"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Gewicht waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|3600 gram |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Gewicht datum tijd |
+ | |style="background-color: white;"|T - 111 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Kleding |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zonder kleding. (code = 'UNDRESSED' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Bevindingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="28"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Algemene indruk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="14"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Apgar score1min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Apgar score totaal |
+ | |style="background-color: white;"|7 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Toelichting |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Vermoeid na langdurige uitdrijving |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Apgar score5min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score totaal |
− | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Apgar score10min | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-111D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Apgar score totaal | ||
+ | |style="background-color: white;"|10 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Huid |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="5"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|<span id="Huid1-kind" title="Intern ID = Huid1-kind">Huid observatie Huid1-kind</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Huid datum tijd |
+ | |style="background-color: white;"|T-111D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Huid waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Genitalia |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan="2"| | + | |rowspan="5"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Genitalia observatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Genitalia datum tijd | ||
+ | |style="background-color: white;"|T-111D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Genitalia waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
+ | |}<section end=kind_ /> | ||
+ | === Postnatale fase === | ||
+ | <section begin=postnatale_fase_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Postnatale fase | ||
+ | |-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=" | + | |colspan="7"|Kraamweek |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="74"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Vrouw |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="10"| | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Zorg voor kind observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-110D |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Onzekerheid waarde |
+ | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Vaardigheid waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|4 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Controles moeder |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Contact |
+ | |style="background-color: white;"|Contact2-moeder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Lichaamstemperatuur |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Temp2-Vrouw |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="51"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Patient |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Controles kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="24"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact1-kind |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Lichaamsgewicht |
+ | |style="background-color: white;"|Gewicht1-Laagste_gewicht_kind | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Lichaamstemperatuur |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Temp1-Kind |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Voedingspatroon zuigeling |
+ | |style="background-color: white;"|Voeding1-eerste_dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Ademhaling observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Ademhaling waarde |
+ | |style="background-color: white;"|5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="4"|Slaappatroon observatie | |
− | |||
− | |||
− | |||
− | |colspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Slaappatroon waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Rommelig |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Huilgedrag observatie |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Observatie datum tijd | ||
+ | |style="background-color: white;"|T-107D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Huilgedrag waarde |
+ | |style="background-color: white;"|8 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Toelichting |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Kreunend |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Controle huid |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Huid observatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Huid1-kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Spugen observatie |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Observatie datum tijd |
+ | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Controles kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan="3"| | + | |rowspan="11"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Contact | ||
+ | |style="background-color: white;"|Contact1-kind | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Lichaamsgewicht |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gewicht2-Afsluit_gewicht_kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voedingspatroon zuigeling |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Voeding2-Laatste_dag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Navelstomp observatie |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Observatie datum tijd | ||
+ | |style="background-color: white;"|T-105D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Navelstomp waarde |
+ | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Spugen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Gehoortest observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Gehoortest waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|true |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Datum gehoortest waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-105D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Hielprik observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Hielprik waarde |
− | | | + | |style="background-color: white;"|true |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Datum hielprik waarde |
+ | |style="background-color: white;"|T-105D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Vitamine k observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Vitamine kwaarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|true |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Datum vitamine kwaarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-105D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gezin | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="9"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Voorlichting veilig slapen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voorlichting veilig slapen waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Voorlichting gegeven m.b.t. veilig slapen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Voorlichting vitamine d observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voorlichting vitamine dwaarde | ||
+ | |style="background-color: white;"|true | ||
+ | |}<section end=postnatale_fase_ /> | ||
+ | === Bouwstenen === | ||
+ | <section begin=bouwstenen_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bouwstenen | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Klinische context |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="19"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|<span id="Voeding1-eerste_dag" title="Intern ID = Voeding1-eerste_dag">Voedingspatroon zuigeling Voeding1-eerste_dag</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="8"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Bijvoeding? |
− | |style="background-color: white;"| | + | |style="background-color: white;"|false |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"|Voedingspatroon zuigeling | + | |colspan="3"|Voedingspatroon zuigeling datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voeding frequentie | ||
+ | |style="background-color: white;"|8 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Voeding |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Voeding soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Voeding methode |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Voeding2-Laatste_dag" title="Intern ID = Voeding2-Laatste_dag">Voedingspatroon zuigeling Voeding2-Laatste_dag</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Bijvoeding? |
− | |style="background-color: white;"| | + | |style="background-color: white;"|false |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voedingspatroon zuigeling datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-105D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voeding frequentie | ||
+ | |style="background-color: white;"|8 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Voeding |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Voeding soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Voeding methode |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Metingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="17"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|<span id="Gewicht1-Laagste_gewicht_kind" title="Intern ID = Gewicht1-Laagste_gewicht_kind">Lichaamsgewicht Gewicht1-Laagste_gewicht_kind</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Gewicht waarde |
+ | |style="background-color: white;"|3400 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Gewicht datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 107 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|<span id="Gewicht2-Afsluit_gewicht_kind" title="Intern ID = Gewicht2-Afsluit_gewicht_kind">Lichaamsgewicht Gewicht2-Afsluit_gewicht_kind</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Gewicht waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|3630 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Gewicht datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 105 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Temp1-Kind" title="Intern ID = Temp1-Kind">Lichaamstemperatuur Temp1-Kind</span> |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Temperatuur waarde |
+ | |style="background-color: white;"|36.8 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Temperatuur datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|<span id="Temp2-Vrouw" title="Intern ID = Temp2-Vrouw">Lichaamstemperatuur Temp2-Vrouw</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Temperatuur waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|36.7 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Temperatuur datum tijd | ||
+ | |style="background-color: white;"|T-111D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Patienten context |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="9"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|<span id="BurgelijkeStaat1" title="Intern ID = BurgelijkeStaat1">Burgerlijke staat rc BurgelijkeStaat1</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="2"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Burgerlijke staat |
|style="background-color: white;"|2 | |style="background-color: white;"|2 | ||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Taalvaardigheid1" title="Intern ID = Taalvaardigheid1">Taalvaardigheid Taalvaardigheid1</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Communicatie taal |
|style="background-color: white;"| | |style="background-color: white;"| | ||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Taalvaardigheid begrijpen |
+ | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Taalvaardigheid lezen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 |
+ | |}<section end=bouwstenen_ /> | ||
+ | ==Scenario Vrouw 4, kaart 5, kraam (twee zwangerschap)== | ||
+ | <section begin= /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vrouw | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="4" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Demografische gegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="14"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Patient |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#patient-vrouw4-XXX_Hollanders|Patient: patient-vrouw4-XXX_Hollanders]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Gezinssituatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Burgerlijke staat rc |
− | |style="background-color: white;"| | + | |style="background-color: white;"|BurgerlijkeStaatRC1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Woonsituatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Toelichting |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Onhygiënische woon- en leefomstandigheden |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Woning type | ||
+ | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Taalvaardigheid |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Taalvaardigheid1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Participatie in maatschappij |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Sociaal netwerk |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Heeft mantelzorg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Arbeidssituatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Heeft geen baan |
+ | |}<section end= /> | ||
+ | === Administratief === | ||
+ | <section begin=administratief_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="6"|Betaler |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verzekeraar | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="6"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Verzekering | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Begin datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2024-01-01 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Eind datum tijd | ||
+ | |style="background-color: white;"|2025-12-31 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Organisatie naam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|ZorgStandaard Verzekeringen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|<span id="Contact1" title="Intern ID = Contact1">Contact Contact1</span> |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Contact type | ||
+ | |style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Contact soort |
+ | |style="background-color: white;"|prenataal huisbezoek door kraamzorg (regime/therapie) (code = '158111000146102' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Locatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA1-Medisch_Centrum_Hartevreugde|Zorgaanbieder: ZA1-Medisch_Centrum_Hartevreugde]] |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Begin datum tijd | ||
+ | |style="background-color: white;"|T - 111 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Eind datum tijd | ||
+ | |style="background-color: white;"|T - 111 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Contactpersoon |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Relatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|22 |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|<span id="patient-vrouw4-XXX_Hollanders" title="Intern ID = patient-vrouw4-XXX_Hollanders">Patient patient-vrouw4-XXX_Hollanders</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="27"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Naamgegevens |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Voornamen |
+ | |style="background-color: white;"|Linda | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Initialen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Naamgebruik |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="2"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Hollanders |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Straat |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Knolweg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Huisnummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1002 |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Postcode |
+ | |style="background-color: white;"|9999ZZ | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Woonplaats |
− | |style="background-color: white;"| | + | |style="background-color: white;"|STITSWERD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Land |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Adres soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="6"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Telefoonnummers |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Telefoonnummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|06-87654321 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Telecom type |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Nummer soort |
+ | |style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|999901692 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geboortedatum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|13 okt 2010 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslacht administratief |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|<span id="Patiënt-Kind" title="Intern ID = Patiënt-Kind">Patient Patiënt-Kind</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="13"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voornamen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Lisa |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Initialen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|L |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Naamgebruik |
+ | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Hollanders |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|(in identificerend systeem: BSN) |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Geboren indicator |
+ | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geboortedatum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 112 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslacht administratief |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZA1-Medisch_Centrum_Hartevreugde" title="Intern ID = ZA1-Medisch_Centrum_Hartevreugde">Zorgaanbieder ZA1-Medisch_Centrum_Hartevreugde</span> |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Zorgaanbieder identificatienummer |
+ | |style="background-color: white;"|08767234 (in identificerend systeem: AGB-Z) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Organisatie naam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Medisch Centrum Hartevreugde |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Organisatie type |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ziekenhuis (code = 'V4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZA2-Wolkendroom" title="Intern ID = ZA2-Wolkendroom">Zorgaanbieder ZA2-Wolkendroom</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgaanbieder identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Organisatie naam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Wolkendroom Vroedvrouwenpraktij |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Organisatie type |
+ | |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZA3-Kraamzorg" title="Intern ID = ZA3-Kraamzorg">Zorgaanbieder ZA3-Kraamzorg</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgaanbieder identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|08112345 (in identificerend systeem: AGB-Z) |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Organisatie naam |
+ | |style="background-color: white;"|Kraamzorg Het Blije E | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Organisatie type |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Kraamzorg (code = 'K4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZV1-XXX_Egelinks" title="Intern ID = ZV1-XXX_Egelinks">Zorgverlener ZV1-XXX_Egelinks</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="14"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgverlener identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|98765432 (in identificerend systeem: UZI Personen) |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Naamgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voornamen | ||
+ | |style="background-color: white;"|Eduard | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgebruik | ||
+ | |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Egelinks |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Geslachtsnaam partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Achternaam partner |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Gras |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Specialisme |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA1-Medisch_Centrum_Hartevreugde|Zorgaanbieder: ZA1-Medisch_Centrum_Hartevreugde]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|<span id="ZV2-XXX_Janssen" title="Intern ID = ZV2-XXX_Janssen">Zorgverlener ZV2-XXX_Janssen</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="11"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgverlener identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|123456001 (in identificerend systeem: UZI Personen) |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="5"|Naamgegevens |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="6"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Voornamen | ||
+ | |style="background-color: white;"|Elise | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Naamgebruik |
+ | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Janssen |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Specialisme |
+ | |style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA2-Wolkendroom|Zorgaanbieder: ZA2-Wolkendroom]] |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|<span id="ZV3-XXX_Meijer" title="Intern ID = ZV3-XXX_Meijer">Zorgverlener ZV3-XXX_Meijer</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="11"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Zorgverlener identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|123456781 (in identificerend systeem: UZI Personen) |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voornamen |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Carolien |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Naamgebruik |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="2"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Achternaam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Meijer |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Specialisme |
+ | |style="background-color: white;"|kraamverzorgende (beroep) (code = '151531000146108' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA3-Kraamzorg|Zorgaanbieder: ZA3-Kraamzorg]] |
+ | |}<section end=administratief_ /> | ||
+ | === Zorgverlening === | ||
+ | <section begin=zorgverlening_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="3" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorg episode | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Begin datum |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 346 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Eind datum |
|style="background-color: white;"|T - 101 dagen | |style="background-color: white;"|T - 101 dagen | ||
+ | |}<section end=zorgverlening_ /> | ||
+ | === Gezin === | ||
+ | <section begin=gezin_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Gezin | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="3" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="4"|Beoordeling gezinssituatie observatie | |
− | |||
− | |||
− | |||
− | |colspan="4"| | ||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Beoordeling gezinssituatie datum tijd |
+ | |style="background-color: white;"|T-107D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Instabiele gezinssituatie waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gezin heeft schulden |
− | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |}<section end=gezin_ /> |
− | |colspan=" | + | === Zwangerschapsgegevens === |
− | |style="background-color: | + | <section begin=zwangerschapsgegevens_ /> |
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voornemens vrouw | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Voorgenomen plaats baring tijdens zwangerschap observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voorgenomen plaats baring waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Voorkeursziekenhuis |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Zorgaanbieder |
− | |style="background-color: white;"| | + | |style="background-color: white;"|ZA1-Medisch_Centrum_Hartevreugde |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Voorgenomen voeding observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voorgenomen voeding waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Kraamzorg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Kraamzorg intake |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact1 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geindiceerd aantal uur kraamzorg observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Geindiceerd aantal uur kraamzorg datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-111D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Geindiceerd aantal uur kraamzorg waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|37 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Prenatale controle | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="16"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Alcohol gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Alcohol gebruik status |
− | |style="background-color: white;"| | + | |style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Drugs gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Drugs gebruik status |
− | |style="background-color: white;"|(in | + | |style="background-color: white;"|heeft drugs gebruikt in het verleden (code = '44870007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Drugs of geneesmiddel soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|cannabis (code = '398705004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Waarneming gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Start datum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 450 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Stop datum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 350 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Hoeveelheid |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 joint per week |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Tabak gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Tabak gebruik status |
− | |style="background-color: white;"| | + | |style="background-color: white;"|rookt passief tabak (code = '43381005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
− | + | |}<section end=zwangerschapsgegevens_ /> | |
− | + | === Bevalling === | |
− | + | <section begin=bevalling_ /> | |
− | |||
− | |||
− | |||
− | |}<section end= | ||
− | === | ||
− | <section begin= | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bevalling |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
− | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Ontsluitingsfase |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="28"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Actieve ontsluiting observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Begin actieve ontsluiting waarde |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 112 dagen om 09:00 uur |
− | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
− | + | |colspan="5"|Wijze begin baring observatie | |
− | |||
− | |||
− | |||
− | |||
− | |colspan=" | ||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Observatie datum tijd |
+ | |style="background-color: white;"|T - 112 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Begin baring waarde |
− | + | |style="background-color: white;"|onbekend (code = 'UNK' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>') | |
− | |||
− | |||
− | |style="background-color: white;"| | ||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Breken vliezen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Breken vliezen waarde |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-112D{15:00:00} |
− | |||
− | |||
− | |||
− | { | ||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Aard vruchtwater observatie |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Aard vruchtwater waarde |
+ | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Partusassistentie contact |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="13"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Contact type |
+ | |style="background-color: white;"|6 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Contact soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|11 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Contact met |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Zorgverlener |
− | |style="background-color: white;"| | + | |style="background-color: white;"|ZV3-XXX_Meijer |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Locatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="2"|Zorgaanbieder |
+ | |style="background-color: white;"|ZA1-Medisch_Centrum_Hartevreugde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Partus stadium waarde | ||
|style="background-color: white;"|2 | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Oproep datum tijd | ||
+ | |style="background-color: white;"|T-112D{08:45} | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Aankomst datum tijd | ||
+ | |style="background-color: white;"|T-112D{15:00} | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Eind datum tijd | ||
+ | |style="background-color: white;"|T-112D{15:45} | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Uitdrijvingsfase |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Patient |
+ | |style="background-color: white;"|Zie [[#patient-vrouw4-XXX_Hollanders|Patient: patient-vrouw4-XXX_Hollanders]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Type partus observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Type partus waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Werkelijke plaats baring type locatie observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Observatie datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T - 112 dagen |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Werkelijke plaats baring waarde | ||
+ | |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Nageboortefase | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="15"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Placenta |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="10"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Wijze geboorte placenta observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Wijze geboorte placenta waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|4 |
− | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
− | + | |colspan="4"|Geboorte placenta observatie | |
− | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
− | + | |rowspan="2"| | |
− | |style=" | ||
− | |||
− | |colspan=" | ||
− | |||
− | |||
− | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Geboorte placenta waarde |
+ | |style="background-color: white;"|T-112D{15:10:00} | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Placenta compleet observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Placenta compleet waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Hoeveelheid bloedverlies observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Hoeveelheid bloedverlies waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|100 |
− | | | + | |}<section end=bevalling_ /> |
− | + | === Kind === | |
− | |style="background-color: white;"| | + | <section begin=kind_ /> |
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind | ||
+ | |-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=" | + | |colspan="7"|Demografische gegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Patient |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Patiënt-Kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Gezinssituatie kind |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="4"|Gezinssamenstelling kind |
+ | |style="background-color: white;"|4 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Aantal broers en zussen |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="7"|Lichamelijk onderzoek kind |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="33"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Geboortegewicht lichaamsgewicht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Gewicht waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2350 gram |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Gewicht datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 112 dagen |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Bevindingen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="27"| |
− | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
+ | |colspan="5"|Algemene indruk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="13"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Apgar score1min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-112D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Apgar score totaal | ||
+ | |style="background-color: white;"|7 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Apgar score5min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T-112D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score totaal |
− | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Apgar score10min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Apgar score datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-112D |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Apgar score totaal |
+ | |style="background-color: white;"|10 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Huid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="5"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|<span id="Huid1" title="Intern ID = Huid1">Huid observatie Huid1</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Huid datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-112D |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Huid waarde |
− | + | |style="background-color: white;"|11 | |
− | |||
− | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Genitalia |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Genitalia observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Genitalia datum tijd |
+ | |style="background-color: white;"|T-112D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Genitalia waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|7 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="7"|Opname ontslag overplaatsing |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact3-PostPartum |
+ | |}<section end=kind_ /> | ||
+ | === Postnatale fase === | ||
+ | <section begin=postnatale_fase_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Postnatale fase | ||
+ | |-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=" | + | |colspan="7"|Kraamweek |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="52"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Vrouw | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorg voor kind observatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Observatie datum tijd | ||
+ | |style="background-color: white;"|T-107D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Onzekerheid waarde |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Vaardigheid waarde | ||
+ | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Controles moeder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact3-PostPartum |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="40"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Patient |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Patiënt-Kind |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Controles kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="19"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Contact |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact2_postnaleFase |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Lichaamsgewicht |
+ | |style="background-color: white;"|LaagstGemetenGewicht | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Lichaamstemperatuur |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Temp1_kind |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Voedingspatroon zuigeling |
− | |style="background-color: white;"| | + | |style="background-color: white;"|VoedingpatroonZuigeling1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Slaappatroon observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Observatie datum tijd |
+ | |style="background-color: white;"|T-107D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Slaappatroon waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Normaal |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="4"|Huilgedrag observatie | |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |colspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-107D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Huilgedrag waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Controle huid |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Huid observatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Huid1 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Spugen observatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Observatie datum tijd | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Controles kind | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Lichaamsgewicht |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Afsluitgewicht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Navelstomp observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-105D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Navelstomp waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="4"|Spugen observatie | |
− | |||
− | |||
− | |||
− | |colspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Hielprik observatie |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Hielprik waarde |
+ | |style="background-color: white;"|true | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Datum hielprik waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-107D |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Vitamine k observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Vitamine kwaarde | ||
+ | |style="background-color: white;"|true | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Datum vitamine kwaarde | ||
+ | |style="background-color: white;"|T-105D | ||
+ | |}<section end=postnatale_fase_ /> | ||
+ | === Bouwstenen === | ||
+ | <section begin=bouwstenen_ /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bouwstenen | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Klinische context |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="9"| | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|<span id="VoedingpatroonZuigeling1" title="Intern ID = VoedingpatroonZuigeling1">Voedingspatroon zuigeling VoedingpatroonZuigeling1</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voedingspatroon zuigeling datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-105D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Voeding frequentie |
− | |style="background-color: white;"|4 | + | |style="background-color: white;"|8 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Voeding | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Voeding soort |
+ | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Voeding hoeveelheid |
− | |style="background-color: white;"| | + | |style="background-color: white;"|50 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Metingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="17"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|<span id="LaagstGemetenGewicht" title="Intern ID = LaagstGemetenGewicht">Lichaamsgewicht LaagstGemetenGewicht</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="3"|Gewicht waarde |
+ | |style="background-color: white;"|1980 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Gewicht datum tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T - 107 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Afsluitgewicht" title="Intern ID = Afsluitgewicht">Lichaamsgewicht Afsluitgewicht</span> |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3 | + | |colspan="3"|Gewicht waarde |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|style="background-color: white;"|2380 | |style="background-color: white;"|2380 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Gewicht datum tijd |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 105 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Temp1_kind" title="Intern ID = Temp1_kind">Lichaamstemperatuur Temp1_kind</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan | + | |colspan="3"|Temperatuur waarde |
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
|style="background-color: white;"|37 | |style="background-color: white;"|37 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Temperatuur datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-107D{15:15:00} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Temp2_vrouw" title="Intern ID = Temp2_vrouw">Lichaamstemperatuur Temp2_vrouw</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Temperatuur waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|37.1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Temperatuur datum tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-107D{15:45:00} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Patienten context |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="BurgerlijkeStaatRC1" title="Intern ID = BurgerlijkeStaatRC1">Burgerlijke staat rc BurgerlijkeStaatRC1</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Burgerlijke staat |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|<span id="Taalvaardigheid1" title="Intern ID = Taalvaardigheid1">Taalvaardigheid Taalvaardigheid1</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Communicatie taal |
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Taalvaardigheid begrijpen |
|style="background-color: white;"|2 | |style="background-color: white;"|2 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Taalvaardigheid lezen | ||
+ | |style="background-color: white;"|4 | ||
|}<section end=bouwstenen_ /> | |}<section end=bouwstenen_ /> |
Versie van 11 nov 2024 om 11:13
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[verbergen]1 Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart Kraam 3.2
1.1 Scenario Vrouw 3 kaart 4 - Kraam (eerste zwangerschap)
Vrouw | ||||
Gegevenselement | Waarde | |||
Demografische gegevens | ||||
Patient | Zie Patient: Vrouw3-XXX_Zhanganak | |||
Gezinssituatie | ||||
Burgerlijke staat rc | BurgelijkeStaat1 | |||
Gezinssamenstelling | 2 | |||
Woonsituatie | ||||
Toelichting | Normale woon- en leefomstandigheden | |||
Woning type | 3 | |||
Taalvaardigheid | Taalvaardigheid1 | |||
Participatie in maatschappij | ||||
Arbeidssituatie | Werkt 3 dagen in de week in de kinderopvang |
1.1.1 Administratief
Administratief | |||||
Gegevenselement | Waarde | ||||
Betaler | |||||
Verzekeraar | |||||
Verzekering | |||||
Begin datum tijd | 2024-01-01 | ||||
Eind datum tijd | 2025-12-31 | ||||
Identificatie nummer | 1000 | ||||
Organisatie naam | Veilige Haven Verzekeringen | ||||
Contact Contact1-Kraamzorg_Intake | |||||
Contact type | Thuis (code = 'HH' in codeSystem 'HL7 ActCode') | ||||
Contact soort | prenataal huisbezoek door kraamzorg (regime/therapie) (code = '158111000146102' in codeSystem 'SNOMED CT') | ||||
Contact met | |||||
Zorgverlener | Zie Zorgverlener: ZV3-XXX_Meijer | ||||
Begin datum tijd | T - 167 dagen | ||||
Eind datum tijd | T - 167 dagen | ||||
Contactpersoon | |||||
Naamgegevens | |||||
Voornamen | Toon | ||||
Geslachtsnaam partner | |||||
Achternaam partner | XXX_Visser | ||||
Relatie | 22 | ||||
Patient Vrouw3-XXX_Zhanganak | |||||
Naamgegevens | |||||
Voornamen | Kim | ||||
Initialen | K | ||||
Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Zhanganak | ||||
Geslachtsnaam partner | |||||
Achternaam partner | XXX_Visser | ||||
Adresgegevens | |||||
Straat | Knolweg | ||||
Huisnummer | 1000 | ||||
Postcode | 9999XA | ||||
Woonplaats | STITSWERD | ||||
Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||||
Contactgegevens | |||||
Telefoonnummers | |||||
Telefoonnummer | 06-12345678 | ||||
Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Identificatienummer | 999901679 (in identificerend systeem: BSN) | ||||
Geboortedatum | 18 jul 1994 | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Patient Kind | |||||
Naamgegevens | |||||
Voornamen | Joris | ||||
Identificatienummer | (in identificerend systeem: BSN) | ||||
Geboortedatum | T - 111 dagen | ||||
Geslacht administratief | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||||
Zorgaanbieder ZA3-Wolkendroom | |||||
Zorgaanbieder identificatienummer | 08001234 (in identificerend systeem: AGB-Z) | ||||
Organisatie naam | Wolkendroom Vroedvrouwenpraktijk | ||||
Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
Zorgaanbieder ZA5-Kraamzorg | |||||
Zorgaanbieder identificatienummer | 33112345 (in identificerend systeem: AGB-Z) | ||||
Organisatie naam | Kraamzorg Het Blije Ei | ||||
Organisatie type | Kraamzorg (code = 'K4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
Zorgverlener ZV3-XXX_Meijer | |||||
Zorgverlener identificatienummer | 123456781 (in identificerend systeem: UZI Personen) | ||||
Naamgegevens | |||||
Voornamen | Carolien | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Meijer | ||||
Specialisme | kraamverzorgende (beroep) (code = '151531000146108' in codeSystem 'SNOMED CT') | ||||
Zorgaanbieder | Zie Zorgaanbieder: ZA5-Kraamzorg | ||||
Zorgverlener ZV4-XXX_Janssen | |||||
Zorgverlener identificatienummer | 123456001 (in identificerend systeem: UZI Personen) | ||||
Naamgegevens | |||||
Voornamen | Elise | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Janssen | ||||
Specialisme | Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | Zie Zorgaanbieder: ZA3-Wolkendroom |
1.1.2 Zorgverlening
Zorgverlening | ||||
Gegevenselement | Waarde | |||
Zorg episode | ||||
Begin datum | T - 167 dagen | |||
Eind datum | T - 69 dagen | |||
Zorg episode verantwoordelijke | ||||
Zorgverlener | ZV4-XXX_Janssen |
1.1.3 Gezin
Gezin | |||
Gegevenselement | Waarde | ||
Sociaal netwerk | true | ||
Beoordeling gezinssituatie observatie | |||
Toelichting | Stabiele gezinssituatie. Goede hechting binnen het gezin |
1.1.4 Zwangerschapsgegevens
Zwangerschapsgegevens | |||||
Gegevenselement | Waarde | ||||
Voornemens vrouw | |||||
Voorgenomen plaats baring tijdens zwangerschap observatie | |||||
Voorgenomen plaats baring waarde | 1 | ||||
Voorkeursziekenhuis | |||||
Zorgaanbieder | ZA4-Medisch_Centrum_Hartevreugde | ||||
Voorgenomen voeding observatie | |||||
Voorgenomen voeding waarde | 1 | ||||
Kraamzorg | |||||
Kraamzorg intake | |||||
Contact | Contact1-Kraamzorg_Intake | ||||
Prenatale controle | |||||
Alcohol gebruik | |||||
Alcohol gebruik status | drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT') | ||||
Tabak gebruik | |||||
Tabak gebruik status | niet-roker, maar rookgedrag in verleden onbekend (code = '405746006' in codeSystem 'SNOMED CT') |
1.1.5 Bevalling
Bevalling | |||||
Gegevenselement | Waarde | ||||
Ontsluitingsfase | |||||
Actieve ontsluiting observatie | |||||
Begin actieve ontsluiting waarde | T - 111 dagen om 08:00 uur | ||||
Wijze begin baring observatie | |||||
Observatie datum tijd | T - 111 dagen om 08:00 uur | ||||
Begin baring waarde | spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT') | ||||
Breken vliezen observatie | |||||
Breken vliezen waarde | T-111D{08:00:00} | ||||
Aard vruchtwater observatie | |||||
Aard vruchtwater waarde | 1 | ||||
Uitdrijvingsfase | |||||
Patient | Zie Patient: Vrouw3-XXX_Zhanganak | ||||
Type partus observatie | |||||
Type partus waarde | vacuum (code = '61586001' in codeSystem 'SNOMED CT') | ||||
Werkelijke plaats baring type locatie observatie | |||||
Werkelijke plaats baring waarde | geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||||
Nageboortefase | |||||
Placenta | |||||
Wijze geboorte placenta observatie | |||||
Wijze geboorte placenta waarde | 3 | ||||
Geboorte placenta observatie | |||||
Geboorte placenta waarde | T-111D{14:40:00} | ||||
Placenta compleet observatie | |||||
Placenta compleet waarde | 2 | ||||
Hoeveelheid bloedverlies observatie | |||||
Hoeveelheid bloedverlies waarde | 400 |
1.1.6 Kind
Kind | ||||||
Gegevenselement | Waarde | |||||
Demografische gegevens | ||||||
Patient | Kind | |||||
Lichamelijk onderzoek kind | ||||||
Geboortegewicht lichaamsgewicht | ||||||
Gewicht waarde | 3600 gram | |||||
Gewicht datum tijd | T - 111 dagen | |||||
Kleding | Zonder kleding. (code = 'UNDRESSED' in codeSystem 'ZIB ContextKleding') | |||||
Bevindingen | ||||||
Algemene indruk | ||||||
Apgar score1min | ||||||
Apgar score datum tijd | T-111D | |||||
Apgar score totaal | 7 | |||||
Toelichting | Vermoeid na langdurige uitdrijving | |||||
Apgar score5min | ||||||
Apgar score datum tijd | T-111D | |||||
Apgar score totaal | 10 | |||||
Apgar score10min | ||||||
Apgar score datum tijd | T-111D | |||||
Apgar score totaal | 10 | |||||
Huid | ||||||
Huid observatie Huid1-kind | ||||||
Huid datum tijd | T-111D | |||||
Huid waarde | 1 | |||||
Genitalia | ||||||
Genitalia observatie | ||||||
Genitalia datum tijd | T-111D | |||||
Genitalia waarde | 1 |
1.1.7 Postnatale fase
Postnatale fase | ||||||
Gegevenselement | Waarde | |||||
Kraamweek | ||||||
Vrouw | ||||||
Zorg voor kind observatie | ||||||
Observatie datum tijd | T-110D | |||||
Onzekerheid waarde | 2 | |||||
Vaardigheid waarde | 4 | |||||
Controles moeder | ||||||
Contact | Contact2-moeder | |||||
Lichaamstemperatuur | Temp2-Vrouw | |||||
Kind | ||||||
Patient | Kind | |||||
Controles kind | ||||||
Contact | Contact1-kind | |||||
Lichaamsgewicht | Gewicht1-Laagste_gewicht_kind | |||||
Lichaamstemperatuur | Temp1-Kind | |||||
Voedingspatroon zuigeling | Voeding1-eerste_dag | |||||
Ademhaling observatie | ||||||
Observatie datum tijd | T-107D | |||||
Ademhaling waarde | 5 | |||||
Slaappatroon observatie | ||||||
Observatie datum tijd | T-107D | |||||
Slaappatroon waarde | Rommelig | |||||
Huilgedrag observatie | ||||||
Observatie datum tijd | T-107D | |||||
Huilgedrag waarde | 8 | |||||
Toelichting | Kreunend | |||||
Controle huid | ||||||
Huid observatie | Huid1-kind | |||||
Spugen observatie | ||||||
Observatie datum tijd | ||||||
Controles kind | ||||||
Contact | Contact1-kind | |||||
Lichaamsgewicht | Gewicht2-Afsluit_gewicht_kind | |||||
Voedingspatroon zuigeling | Voeding2-Laatste_dag | |||||
Navelstomp observatie | ||||||
Observatie datum tijd | T-105D | |||||
Navelstomp waarde | 2 | |||||
Spugen observatie | ||||||
Observatie datum tijd | ||||||
Gehoortest observatie | ||||||
Gehoortest waarde | true | |||||
Datum gehoortest waarde | T-105D | |||||
Hielprik observatie | ||||||
Hielprik waarde | true | |||||
Datum hielprik waarde | T-105D | |||||
Vitamine k observatie | ||||||
Vitamine kwaarde | true | |||||
Datum vitamine kwaarde | T-105D | |||||
Gezin | ||||||
Voorlichting veilig slapen observatie | ||||||
Observatie datum tijd | T-107D | |||||
Voorlichting veilig slapen waarde | Voorlichting gegeven m.b.t. veilig slapen | |||||
Voorlichting vitamine d observatie | ||||||
Observatie datum tijd | T-107D | |||||
Voorlichting vitamine dwaarde | true |
1.1.8 Bouwstenen
Bouwstenen | |||||
Gegevenselement | Waarde | ||||
Klinische context | |||||
Voedingspatroon zuigeling Voeding1-eerste_dag | |||||
Bijvoeding? | false | ||||
Voedingspatroon zuigeling datum tijd | T-107D | ||||
Voeding frequentie | 8 | ||||
Voeding | |||||
Voeding soort | 1 | ||||
Voeding methode | 1 | ||||
Voedingspatroon zuigeling Voeding2-Laatste_dag | |||||
Bijvoeding? | false | ||||
Voedingspatroon zuigeling datum tijd | T-105D | ||||
Voeding frequentie | 8 | ||||
Voeding | |||||
Voeding soort | 1 | ||||
Voeding methode | 1 | ||||
Metingen | |||||
Lichaamsgewicht Gewicht1-Laagste_gewicht_kind | |||||
Gewicht waarde | 3400 | ||||
Gewicht datum tijd | T - 107 dagen | ||||
Lichaamsgewicht Gewicht2-Afsluit_gewicht_kind | |||||
Gewicht waarde | 3630 | ||||
Gewicht datum tijd | T - 105 dagen | ||||
Lichaamstemperatuur Temp1-Kind | |||||
Temperatuur waarde | 36.8 | ||||
Temperatuur datum tijd | T-111D | ||||
Lichaamstemperatuur Temp2-Vrouw | |||||
Temperatuur waarde | 36.7 | ||||
Temperatuur datum tijd | T-111D | ||||
Patienten context | |||||
Burgerlijke staat rc BurgelijkeStaat1 | |||||
Burgerlijke staat | 2 | ||||
Taalvaardigheid Taalvaardigheid1 | |||||
Communicatie taal | |||||
Taalvaardigheid begrijpen | 2 | ||||
Taalvaardigheid lezen | 2 |
1.2 Scenario Vrouw 4, kaart 5, kraam (twee zwangerschap)
Vrouw | ||||
Gegevenselement | Waarde | |||
Demografische gegevens | ||||
Patient | Zie Patient: patient-vrouw4-XXX_Hollanders | |||
Gezinssituatie | ||||
Burgerlijke staat rc | BurgerlijkeStaatRC1 | |||
Woonsituatie | ||||
Toelichting | Onhygiënische woon- en leefomstandigheden | |||
Woning type | 3 | |||
Taalvaardigheid | Taalvaardigheid1 | |||
Participatie in maatschappij | ||||
Sociaal netwerk | Heeft mantelzorg | |||
Arbeidssituatie | Heeft geen baan |
1.2.1 Administratief
Administratief | |||||
Gegevenselement | Waarde | ||||
Betaler | |||||
Verzekeraar | |||||
Verzekering | |||||
Begin datum tijd | 2024-01-01 | ||||
Eind datum tijd | 2025-12-31 | ||||
Organisatie naam | ZorgStandaard Verzekeringen | ||||
Contact Contact1 | |||||
Contact type | Thuis (code = 'HH' in codeSystem 'HL7 ActCode') | ||||
Contact soort | prenataal huisbezoek door kraamzorg (regime/therapie) (code = '158111000146102' in codeSystem 'SNOMED CT') | ||||
Locatie | |||||
Zorgaanbieder | Zie Zorgaanbieder: ZA1-Medisch_Centrum_Hartevreugde | ||||
Begin datum tijd | T - 111 dagen | ||||
Eind datum tijd | T - 111 dagen | ||||
Contactpersoon | |||||
Relatie | 22 | ||||
Patient patient-vrouw4-XXX_Hollanders | |||||
Naamgegevens | |||||
Voornamen | Linda | ||||
Initialen | L | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Hollanders | ||||
Adresgegevens | |||||
Straat | Knolweg | ||||
Huisnummer | 1002 | ||||
Postcode | 9999ZZ | ||||
Woonplaats | STITSWERD | ||||
Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||||
Contactgegevens | |||||
Telefoonnummers | |||||
Telefoonnummer | 06-87654321 | ||||
Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Identificatienummer | 999901692 (in identificerend systeem: BSN) | ||||
Geboortedatum | 13 okt 2010 | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Patient Patiënt-Kind | |||||
Naamgegevens | |||||
Voornamen | Lisa | ||||
Initialen | L | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Hollanders | ||||
Identificatienummer | (in identificerend systeem: BSN) | ||||
Geboren indicator | Ja | ||||
Geboortedatum | T - 112 dagen | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Zorgaanbieder ZA1-Medisch_Centrum_Hartevreugde | |||||
Zorgaanbieder identificatienummer | 08767234 (in identificerend systeem: AGB-Z) | ||||
Organisatie naam | Medisch Centrum Hartevreugde | ||||
Organisatie type | Ziekenhuis (code = 'V4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
Zorgaanbieder ZA2-Wolkendroom | |||||
Zorgaanbieder identificatienummer | 08001234 (in identificerend systeem: AGB-Z) | ||||
Organisatie naam | Wolkendroom Vroedvrouwenpraktij | ||||
Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
Zorgaanbieder ZA3-Kraamzorg | |||||
Zorgaanbieder identificatienummer | 08112345 (in identificerend systeem: AGB-Z) | ||||
Organisatie naam | Kraamzorg Het Blije E | ||||
Organisatie type | Kraamzorg (code = 'K4' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
Zorgverlener ZV1-XXX_Egelinks | |||||
Zorgverlener identificatienummer | 98765432 (in identificerend systeem: UZI Personen) | ||||
Naamgegevens | |||||
Voornamen | Eduard | ||||
Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Egelinks | ||||
Geslachtsnaam partner | |||||
Achternaam partner | XXX_Gras | ||||
Specialisme | Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | Zie Zorgaanbieder: ZA1-Medisch_Centrum_Hartevreugde | ||||
Zorgverlener ZV2-XXX_Janssen | |||||
Zorgverlener identificatienummer | 123456001 (in identificerend systeem: UZI Personen) | ||||
Naamgegevens | |||||
Voornamen | Elise | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Janssen | ||||
Specialisme | Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | Zie Zorgaanbieder: ZA2-Wolkendroom | ||||
Zorgverlener ZV3-XXX_Meijer | |||||
Zorgverlener identificatienummer | 123456781 (in identificerend systeem: UZI Personen) | ||||
Naamgegevens | |||||
Voornamen | Carolien | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Meijer | ||||
Specialisme | kraamverzorgende (beroep) (code = '151531000146108' in codeSystem 'SNOMED CT') | ||||
Zorgaanbieder | Zie Zorgaanbieder: ZA3-Kraamzorg |
1.2.2 Zorgverlening
Zorgverlening | |||
Gegevenselement | Waarde | ||
Zorg episode | |||
Begin datum | T - 346 dagen | ||
Eind datum | T - 101 dagen |
1.2.3 Gezin
Gezin | |||
Gegevenselement | Waarde | ||
Beoordeling gezinssituatie observatie | |||
Beoordeling gezinssituatie datum tijd | T-107D | ||
Instabiele gezinssituatie waarde | Gezin heeft schulden |
1.2.4 Zwangerschapsgegevens
Zwangerschapsgegevens | |||||
Gegevenselement | Waarde | ||||
Voornemens vrouw | |||||
Voorgenomen plaats baring tijdens zwangerschap observatie | |||||
Voorgenomen plaats baring waarde | 3 | ||||
Voorkeursziekenhuis | |||||
Zorgaanbieder | ZA1-Medisch_Centrum_Hartevreugde | ||||
Voorgenomen voeding observatie | |||||
Voorgenomen voeding waarde | 2 | ||||
Kraamzorg | |||||
Kraamzorg intake | |||||
Contact | Contact1 | ||||
Geindiceerd aantal uur kraamzorg observatie | |||||
Geindiceerd aantal uur kraamzorg datum tijd | T-111D | ||||
Geindiceerd aantal uur kraamzorg waarde | 37 | ||||
Prenatale controle | |||||
Alcohol gebruik | |||||
Alcohol gebruik status | drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT') | ||||
Drugs gebruik | |||||
Drugs gebruik status | heeft drugs gebruikt in het verleden (code = '44870007' in codeSystem 'SNOMED CT') | ||||
Drugs of geneesmiddel soort | cannabis (code = '398705004' in codeSystem 'SNOMED CT') | ||||
Waarneming gebruik | |||||
Start datum | T - 450 dagen | ||||
Stop datum | T - 350 dagen | ||||
Hoeveelheid | 1 joint per week | ||||
Tabak gebruik | |||||
Tabak gebruik status | rookt passief tabak (code = '43381005' in codeSystem 'SNOMED CT') |
1.2.5 Bevalling
Bevalling | |||||
Gegevenselement | Waarde | ||||
Ontsluitingsfase | |||||
Actieve ontsluiting observatie | |||||
Begin actieve ontsluiting waarde | T - 112 dagen om 09:00 uur | ||||
Wijze begin baring observatie | |||||
Observatie datum tijd | T - 112 dagen | ||||
Begin baring waarde | onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor') | ||||
Breken vliezen observatie | |||||
Breken vliezen waarde | T-112D{15:00:00} | ||||
Aard vruchtwater observatie | |||||
Aard vruchtwater waarde | 1 | ||||
Partusassistentie contact | |||||
Contact type | 6 | ||||
Contact soort | 11 | ||||
Contact met | |||||
Zorgverlener | ZV3-XXX_Meijer | ||||
Locatie | |||||
Zorgaanbieder | ZA1-Medisch_Centrum_Hartevreugde | ||||
Partus stadium waarde | 2 | ||||
Oproep datum tijd | T-112D{08:45} | ||||
Aankomst datum tijd | T-112D{15:00} | ||||
Eind datum tijd | T-112D{15:45} | ||||
Uitdrijvingsfase | |||||
Patient | Zie Patient: patient-vrouw4-XXX_Hollanders | ||||
Type partus observatie | |||||
Type partus waarde | sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT') | ||||
Werkelijke plaats baring type locatie observatie | |||||
Observatie datum tijd | T - 112 dagen | ||||
Werkelijke plaats baring waarde | geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||||
Nageboortefase | |||||
Placenta | |||||
Wijze geboorte placenta observatie | |||||
Wijze geboorte placenta waarde | 4 | ||||
Geboorte placenta observatie | |||||
Geboorte placenta waarde | T-112D{15:10:00} | ||||
Placenta compleet observatie | |||||
Placenta compleet waarde | 1 | ||||
Hoeveelheid bloedverlies observatie | |||||
Hoeveelheid bloedverlies waarde | 100 |
1.2.6 Kind
Kind | ||||||
Gegevenselement | Waarde | |||||
Demografische gegevens | ||||||
Patient | Patiënt-Kind | |||||
Gezinssituatie kind | ||||||
Gezinssamenstelling kind | 4 | |||||
Aantal broers en zussen | 1 | |||||
Lichamelijk onderzoek kind | ||||||
Geboortegewicht lichaamsgewicht | ||||||
Gewicht waarde | 2350 gram | |||||
Gewicht datum tijd | T - 112 dagen | |||||
Bevindingen | ||||||
Algemene indruk | ||||||
Apgar score1min | ||||||
Apgar score datum tijd | T-112D | |||||
Apgar score totaal | 7 | |||||
Apgar score5min | ||||||
Apgar score datum tijd | T-112D | |||||
Apgar score totaal | 10 | |||||
Apgar score10min | ||||||
Apgar score datum tijd | T-112D | |||||
Apgar score totaal | 10 | |||||
Huid | ||||||
Huid observatie Huid1 | ||||||
Huid datum tijd | T-112D | |||||
Huid waarde | 11 | |||||
Genitalia | ||||||
Genitalia observatie | ||||||
Genitalia datum tijd | T-112D | |||||
Genitalia waarde | 7 | |||||
Opname ontslag overplaatsing | ||||||
Contact | Contact3-PostPartum |
1.2.7 Postnatale fase
Postnatale fase | ||||||
Gegevenselement | Waarde | |||||
Kraamweek | ||||||
Vrouw | ||||||
Zorg voor kind observatie | ||||||
Observatie datum tijd | T-107D | |||||
Onzekerheid waarde | 1 | |||||
Vaardigheid waarde | 3 | |||||
Controles moeder | ||||||
Contact | Contact3-PostPartum | |||||
Kind | ||||||
Patient | Patiënt-Kind | |||||
Controles kind | ||||||
Contact | Contact2_postnaleFase | |||||
Lichaamsgewicht | LaagstGemetenGewicht | |||||
Lichaamstemperatuur | Temp1_kind | |||||
Voedingspatroon zuigeling | VoedingpatroonZuigeling1 | |||||
Slaappatroon observatie | ||||||
Observatie datum tijd | T-107D | |||||
Slaappatroon waarde | Normaal | |||||
Huilgedrag observatie | ||||||
Observatie datum tijd | T-107D | |||||
Huilgedrag waarde | 1 | |||||
Controle huid | ||||||
Huid observatie | Huid1 | |||||
Spugen observatie | ||||||
Observatie datum tijd | ||||||
Controles kind | ||||||
Lichaamsgewicht | Afsluitgewicht | |||||
Navelstomp observatie | ||||||
Observatie datum tijd | T-105D | |||||
Navelstomp waarde | 2 | |||||
Spugen observatie | ||||||
Observatie datum tijd | ||||||
Hielprik observatie | ||||||
Hielprik waarde | true | |||||
Datum hielprik waarde | T-107D | |||||
Vitamine k observatie | ||||||
Vitamine kwaarde | true | |||||
Datum vitamine kwaarde | T-105D |
1.2.8 Bouwstenen
Bouwstenen | |||||
Gegevenselement | Waarde | ||||
Klinische context | |||||
Voedingspatroon zuigeling VoedingpatroonZuigeling1 | |||||
Voedingspatroon zuigeling datum tijd | T-105D | ||||
Voeding frequentie | 8 | ||||
Voeding | |||||
Voeding soort | 3 | ||||
Voeding hoeveelheid | 50 | ||||
Metingen | |||||
Lichaamsgewicht LaagstGemetenGewicht | |||||
Gewicht waarde | 1980 | ||||
Gewicht datum tijd | T - 107 dagen | ||||
Lichaamsgewicht Afsluitgewicht | |||||
Gewicht waarde | 2380 | ||||
Gewicht datum tijd | T - 105 dagen | ||||
Lichaamstemperatuur Temp1_kind | |||||
Temperatuur waarde | 37 | ||||
Temperatuur datum tijd | T-107D{15:15:00} | ||||
Lichaamstemperatuur Temp2_vrouw | |||||
Temperatuur waarde | 37.1 | ||||
Temperatuur datum tijd | T-107D{15:45:00} | ||||
Patienten context | |||||
Burgerlijke staat rc BurgerlijkeStaatRC1 | |||||
Burgerlijke staat | 2 | ||||
Taalvaardigheid Taalvaardigheid1 | |||||
Communicatie taal | |||||
Taalvaardigheid begrijpen | 2 | ||||
Taalvaardigheid lezen | 4 |