az:VDraft2.2.0 Kwalificatiescript Spoedsamenvatting addendum: verschil tussen versies
| (13 tussenliggende versies door 3 gebruikers niet weergegeven) | |||
| Regel 93: | Regel 93: | ||
<section end="bundel" /> | <section end="bundel" /> | ||
| − | + | <section begin="bundel Raadplegen SEH" /> | |
| − | <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="7" | Bundel |
|-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"|Auteur |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |rowspan="36"| |
| − | |colspan=" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |style="background-color: | + | |colspan="6"|Zorgverlener |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="34"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgverlenerIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| 100000002 (2.16.528.1.1007.3.1 UZI nummer natuurlijke personen; zorgverlener of medewerker met UZI pas) |
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|Specialisme | |
| − | + | |style="background-color: white;"| Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | |
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| − | |colspan="4"| | ||
| − | |style="background-color: white;"| | ||
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|-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="3"| | + | |rowspan="9"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="3"|Voornamen |
| − | |colspan=" | + | |style="background-color: white;"| Meindert |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="3"|Initialen |
| − | | | + | |style="background-color: white;"| M. |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="3"|Roepnaam | |
| − | + | |style="background-color: white;"| | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |style="background- | + | |colspan="4"|Geslachtsnaam |
| − | |-style="background-color: # | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="3"|Voorvoegsels |
| − | + | |style="background-color: white;"| | |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="3"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Aanmoedigend |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="4"|GeslachtsnaamPartner |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="3"|VoorvoegselsPartner |
| − | |colspan=" | + | |style="background-color: white;"| |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="3"|AchternaamPartner |
| − | |colspan=" | + | |style="background-color: white;"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"|Adresgegevens |
| − | |colspan=" | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="10"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="3"|Straat |
| − | | | + | |style="background-color: white;"|Knolweg |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan="4"| | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|45 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="3"|Huisnummerletter |
| − | + | |style="background-color: white;"|A | |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Huisnummertoevoeging | ||
| + | |style="background-color: white;"|2 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|AanduidingBijNummer | ||
| + | |style="background-color: white;"|Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Postcode | ||
| + | |style="background-color: white;"|9999 AA | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Woonplaats | ||
| + | |style="background-color: white;"|Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Land | ||
| + | |style="background-color: white;"|Nederland | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|AdditioneleInformatie | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|AdresSoort | ||
| + | |style="background-color: white;"|Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |colspan="5"|Telefoonnummers | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"| Telefoonnummer | ||
| + | |style="background-color: white;"| 0211234567 | ||
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|NummerSoort |
| − | | | + | |style="background-color: white;"|Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') |
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|EmailAdressen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|EmailAdres |
| + | |style="background-color: white;"|huisarts@zorgverlener.org | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|EmailSoort |
| + | |style="background-color: white;"|Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Zorgaanbieder |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="2"| |
| − | |style="background-color: white;"| | + | |colspan="3"| ZorgaanbiederIdentificatienummer |
| + | |style="background-color: white;"|00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|OrganisatieNaam |
| + | |style="background-color: white;"| Gezondheidscentrum Aesculaap | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | ||
| − | |colspan=" | + | |colspan="7"|Onderwerp |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="44"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Patient |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="29"| |
| − | | | + | |colspan="5"|Naamgegevens |
|-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=" | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Antoin |
|-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;"| A. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Roepnaam |
| + | |style="background-color: white;"| | ||
| + | |||
|-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;;" | ||
| − | |colspan=" | + | |colspan="3"|Voorvoegsels |
| − | |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"|Achternaam |
| + | |style="background-color: white;"|XXX_Gieteling | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|GeslachtsnaamPartner | |
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| − | |colspan="4"| | ||
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|VoorvoegselsPartner |
| − | |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"|AchternaamPartner |
| − | |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"|Adresgegevens |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="11"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="3"|Straat | ||
| + | |style="background-color: white;"|Knolweg | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Huisnummer | ||
| + | |style="background-color: white;"|1002 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Huisnummerletter | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Huisnummertoevoeging | ||
| + | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|AanduidingBijNummer |
|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"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9999ZZ |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Woonplaats | ||
| + | |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;"|Nederland | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|AdditioneleInformatie |
| − | | | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|AdresSoort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999910528 (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;"|19540806 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslacht |
| + | |style="background-color: white;"|man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|MeerlingIndicator | |
| − | + | |style="background-color: white;"|Nee | |
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| − | |colspan=" | ||
| − | |style="background-color: white;"| | ||
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |} |
| − | |colspan="5"| | + | <section end="bundel Raadplegen SEH" /> |
| + | |||
| + | ==Actuele contactmomenten van patiënt== | ||
| + | <section begin=contactmoment01/> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Contact01 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contact met | ||
| + | |style="background-color: white;"|* | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="5"|ContactType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"|08-06-2023{11:10} | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"|08-06-2023{11:30} | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="6"|RedenContact |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |rowspan="2"| |
| − | |colspan=" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |style="background-color: white;"| | + | |colspan="4"|Episode |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"|EpisodeA20 |
| − | |colspan="5"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |} |
| − | |colspan=" | + | <section end=contactmoment01/> |
| − | |style="background-color: white;"| | + | |
| + | <section begin=contactmoment11/> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Contact11 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contact met | ||
| + | |style="background-color: white;"| * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|ContactType | ||
| + | |style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"|T-9D{11:10} | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"|T-9D{11:30} | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="6"|RedenContact | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |rowspan="3"| | |
| − | |colspan="6"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Episode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeA20 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |} | |
| − | + | <section end=contactmoment11/> | |
| − | + | ||
| − | + | <section begin=contactmoment02 /> | |
| − | + | {| class="wikitable" width="85%" | |
| − | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | |
| − | + | |-style="background-color: #1F497D;; color: white; text-align:left;" | |
| − | + | |colspan="5" width="25%"| Gegevenselement | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |} | ||
| − | <section end= | ||
| − | |||
| − | <section begin= | ||
| − | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
| − | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatienummer | |colspan="5"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contact met | |colspan="5"|Contact met | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| * |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|ContactType | |colspan="5"|ContactType | ||
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|BeginDatumTijd | |colspan="5"|BeginDatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-100D{13:30} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|EindDatumTijd | |colspan="5"|EindDatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-100D{13:50} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|RedenContact | |colspan="6"|RedenContact | ||
| Regel 406: | Regel 383: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Episode | |colspan="4"|Episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeD02 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|} | |} | ||
| − | <section end= | + | <section end=contactmoment02 /> |
| − | <section begin= | + | <section begin=contactmoment03 /> |
{| 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="8" | Contactmoment |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="7" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="7"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="7"|ContactType |
| − | + | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="7"|BeginDatumTijd | |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-9D{08:30} |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | ||
| − | |style="background-color: white;"|T- | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="7"|EindDatumTijd |
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D{08:45} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="8"|RedenContact |
|-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="6"|Episode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeR95 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="8"|ContactMet* |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |rowspan="56"| | |
| − | = | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | + | |colspan="7"|Zorgverlener | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |style="background-color: # | + | |rowspan="30"| |
| − | |-style="background-color: # | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="5"|ZorgverlenerIdentificatienummer |
| − | || | + | |style="background-color: white;"| 000001111 (2.16.528.1.1007.3.1 UZI nummer natuurlijke personen; zorgverlener of medewerker met UZI pas) |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="5"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="6"|Naamgegevens |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |rowspan="10"| |
| − | |colspan=" | + | |colspan="4"|Voornamen |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"|Peter |
| − | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Initialen |
| − | |colspan="4"| | + | |style="background-color: white;"|P. |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Roepnaam |
| − | |colspan="4"| | + | |style="background-color: white;"|Peter |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Naamgebruik |
| − | |colspan="4"| | + | |style="background-color: white;"|Eigen geslachtsnaam (Code = 'NL1' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.4 'NaamGebruik') |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"|Geslachtsnaam |
| − | |colspan="4"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |style="background-color: white;"| | + | |colspan="4"|Voorvoegsels |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"|van |
| − | |rowspan=" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="4"|Achternaam | ||
| + | |style="background-color: white;"|Pulver | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|GeslachtsnaamPartner | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|VoorvoegselsPartner | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|AchternaamPartner | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Adresgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="10"| | ||
| + | |colspan="4"|Straat | ||
| + | |style="background-color: white;"|Knolweg | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Huisnummer |
| − | | | + | |style="background-color: white;"|45 |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Huisnummerletter |
| − | |colspan=" | + | |style="background-color: white;"| A |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Huisnummertoevoeging |
| − | |colspan=" | + | |style="background-color: white;"| 2 |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|AanduidingBijNummer |
| − | |colspan=" | + | |style="background-color: white;"| Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') |
| − | |style="background-color: white;"| | ||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9999 AA |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="4"|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="4"|Land |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="4"|AdditioneleInformatie | |
| − | + | |style="background-color: white;"| | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="4"|AdresSoort | |
| − | |style="background-color: # | + | |style="background-color: white;"|Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') |
| − | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | + | |colspan="6"|Contactgegevens | |
| − | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |rowspan="4"| |
| − | |colspan=" | + | |colspan="5"|Telefoonnummers |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|Telefoonnummer |
| − | |colspan=" | + | |style="background-color: white;"|0211234567 |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|TelecomType |
| − | |colspan=" | + | |style="background-color: white;"|LL |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="4"|NummerSoort |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"|Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') |
| − | |colspan="4"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |style="background-color: | + | |colspan="8"|Zorgaanbieder |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan="4"| | + | |rowspan="31"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"| ZorgaanbiederIdentificatienummer |
| − | |colspan=" | + | |style="background-color: white;"|00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"|OrganisatieNaam |
| − | |colspan=" | + | |style="background-color: white;"|Gezondheidscentrum Aesculaap |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"|OrganisatieType |
| − | |colspan="5"| | + | |style="background-color: white;"|Z3 |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="6"| Contactgegevens |
| − | |colspan="5"| | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="7"| |
| − | + | |colspan="5"| Telefoonnummers | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="4"|Telefoonnummer | |
| − | + | |style="background-color: white;"|0211234567 | |
| − | |style="background-color: # | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="4"|TelecomType |
| − | |colspan="5" | + | |style="background-color: white;"|LL |
| − | || | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|NummerSoort |
| − | |colspan=" | + | |style="background-color: white;"|Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="5"| Emailadressen |
| − | |colspan=" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |style="background-color: white;"| | + | |colspan="4"|Emailadres |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"| |
| − | |colspan=" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|EmailSoort |
| − | | | + | |style="background-color: white;"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan="4"| | + | |colspan="6"| Adresgegevens |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |rowspan="10"| |
| − | |colspan="4"| | + | |colspan="4"|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="4"| | + | |colspan="4"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|45 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan="4"| | + | |colspan="4"|Huisnummerletter |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| A |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | | | + | |colspan="4"|Huisnummertoevoeging |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |style="background-color: white;"| 2 |
| − | |colspan="4"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |colspan="4"|AanduidingBijNummer |
| − | | | + | |style="background-color: white;"|Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="4"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9999 AA |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Woonplaats | ||
| + | |style="background-color: white;"|Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Land | ||
| + | |style="background-color: white;"|Nederland | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|AdditioneleInformatie | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|AdresSoort | ||
| + | |style="background-color: white;"|Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=contactmoment03 /> | ||
| + | |||
| + | <section begin=contactmoment04 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact04 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Contact met |
| − | |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"|ContactType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|BeginDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-6D{09:00} |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"|T-6D{09:15} | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|RedenContact | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="3"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="4"|Episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
| − | <section end= | + | <section end=contactmoment04 /> |
| − | <section begin= | + | <section begin=contactmoment05 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactmoment |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Contact05 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contact met | ||
| + | |style="background-color: white;"| * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|ContactType | ||
| + | |style="background-color: white;"|telefonisch contact (Code = 05 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"|T-150D{14:30} | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"|T-150D{14:50} | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|RedenContact |
| − | |-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"|Episode |
| − | | | + | |style="background-color: white;"|EpisodeN88 |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |} |
| − | | | + | <section end=contactmoment05 /> |
| − | + | ||
| − | + | ==Actuele contactverslagen van patiënt== | |
| − | + | <section begin=contactverslag01/> | |
| − | + | {| class="wikitable" width="85%" | |
| − | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | |
| − | + | |-style="background-color: #1F497D;; color: white; text-align:left;" | |
| − | | | + | |colspan="5" width="25%"| Gegevenselement |
| − | + | || Waarde | |
| − | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | + | |colspan="5"|Identificatienummer | |
| − | + | |style="background-color: white;"|Contactverslag01 | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |-style=" | ||
| − | |||
| − | |||
| − | |||
| − | |colspan=" | ||
| − | | | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|Identificatienummer | ||
| − | |style="background-color: white;"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|DatumTijd | |colspan="5"|DatumTijd | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|08-06-2023 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Journaalregel | |colspan="6"|Journaalregel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="13"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Type | |colspan="4"|Type | ||
| Regel 649: | Regel 663: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|S | |colspan="4"|S | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Weloverwogen besluit voor een niet reanimeerwens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|O |
| − | | | + | |style="background-color: white;"|Compos mentis |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan="5"| | + | |colspan="4"|E |
| + | |style="background-color: white;"|Gesprek levenseinde, niet reanimeren | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Identificatienummer | |colspan="2"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemA20 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|ProbleemNaam | |colspan="2"|ProbleemNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|ProbleemBeginDatum | |colspan="2"|ProbleemBeginDatum | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|08-06-2023 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|ProbleemEindDatum | |colspan="2"|ProbleemEindDatum | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-1D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|P |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Wilsverklaring ondertekend |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Contact | ||
| + | |style="background-color: white;"|Contact01 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verwijzing Episode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeA20 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |} |
| − | | | + | <section end=contactverslag01/> |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |
| − | |colspan=" | + | <section begin=contactverslagtweedeA20/> |
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Contactverslag11 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|DatumTijd | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Journaalregel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Type |
| − | + | |style="background-color: #E3E3E3;"|Tekst | |
| − | | | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|S |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Herevaluatie niet reanimeerwens |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|O | ||
| + | |style="background-color: white;"|Compos mentis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|E | |
| − | + | |style="background-color: white;"|Continueer behandelgrens, niet reanimeren | |
| − | |||
| − | |colspan="4"| | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Contact | |colspan="5"|Verwijzing Contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact11 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Episode | |colspan="5"|Verwijzing Episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeA20 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |} | + | |} |
| − | <section end= | + | <section end=contactverslagtweedeA20/> |
| − | <section begin= | + | <section begin=contactverslag02/> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
| Regel 713: | Regel 746: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatienummer | |colspan="5"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contactverslag02 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|DatumTijd | |colspan="5"|DatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-100D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Journaalregel | |colspan="6"|Journaalregel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Type | |colspan="4"|Type | ||
| Regel 726: | Regel 759: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|S | |colspan="4"|S | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|O | |colspan="4"|O | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Maagstreek gevoelig. Overig gb. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|E | |colspan="4"|E | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Maag/duodenum problemen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem | ||
|-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="5"|Verwijzing Episode | + | |colspan="2"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemD02 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="2"|ProbleemNaam | ||
| + | |style="background-color: white;"|Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|ProbleemBeginDatum | ||
| + | |style="background-color: white;"|T-100D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|ProbleemEindDatum | ||
| + | |style="background-color: white;"|T-90D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Contact | ||
| + | |style="background-color: white;"|Contact02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Episode | ||
| + | |style="background-color: white;"|EpisodeD02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
| − | <section end= | + | <section end=contactverslag02/> |
| − | <section begin= | + | <section begin=contactverslag03 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
| Regel 752: | Regel 800: | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Auteur * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="12"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|ZorgverlenerIdentificatienummer | ||
| + | |style="background-color: white;"| 000001111 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Specialisme | ||
| + | |style="background-color: white;"| Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"| Peter | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Initialen | ||
| + | |style="background-color: white;"| P. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Geslachtsnaam | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voorvoegsels | ||
| + | |style="background-color: white;"|van | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Achternaam | ||
| + | |style="background-color: white;"|Pulver | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Contactverslag03 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="5"|DatumTijd | |
| − | + | |style="background-color: white;"|T-9D | |
| − | |||
| − | |colspan="5"|DatumTijd | ||
| − | |style="background-color: white;"|T- | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="6"|Journaalregel | |
| − | |||
| − | |colspan=" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan="5"| | + | |rowspan="20"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Type | ||
| + | |style="background-color: #E3E3E3;"|Tekst | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|S | ||
| + | |style="background-color: white;"|Gaat beter, nog wel af en toe benauwd/hoesten. Geen koorts, weinig slijm en geen PoB. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Identificatienummer | |colspan="2"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR05 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|ProbleemNaam | |colspan="2"|ProbleemNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Hoesten (Code = R05 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|ProbleemBeginDatum | |colspan="2"|ProbleemBeginDatum | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|ProbleemEindDatum | |colspan="2"|ProbleemEindDatum | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="4"|O |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Longen VAG geen crep, piep, wel wat rhonchi, Percussie gb |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|E |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|COPD, beterend |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem | ||
|-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="2"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR95 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="2"|ProbleemNaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|ProbleemBeginDatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|ProbleemEindDatum |
| − | |||
| − | |||
| − | |||
|style="background-color: white;"| | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|P | ||
| + | |style="background-color: white;"|Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Contact | ||
| + | |style="background-color: white;"|Contact03 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|Verwijzing | + | |colspan="5"|Verwijzing Episode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeR95 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |||
| − | |||
|} | |} | ||
| − | <section end= | + | <section end=contactverslag03 /> |
| − | <section begin= | + | <section begin=contactverslag04 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contactverslag04 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|DatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-6D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Journaalregel |
| − | |||
|-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=" | + | |colspan="4"|Type |
| − | |style="background-color: | + | |style="background-color: #E3E3E3;"|Tekst |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|S |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|Verwijzing | + | |colspan="4"|O |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Longen VAG crep+, piep iets, rhonchi+. Percussie gb. |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|E | ||
| + | |style="background-color: white;"|COPD, exacerbatie. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|P | ||
| + | |style="background-color: white;"|AB starten, ventolin 3-4 dgs. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Contact | ||
| + | |style="background-color: white;"|Contact04 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Verwijzing Episode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeR95 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
| − | <section end= | + | <section end=contactverslag04 /> |
| − | <section begin= | + | <section begin=contactverslagepilepsie/> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contactverslag05 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan="5"| | + | |colspan="5"|DatumTijd |
| − | |style="background-color: | + | |style="background-color: white;"|T-150D |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Journaalregel | ||
|-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=" | + | |colspan="4"|Type |
| − | |style="background-color: | + | |style="background-color: #E3E3E3;"|Tekst |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|S |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Belt voor herhaalrecept |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|E |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bekend met epilepsie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |rowspan="7"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |} | + | |colspan="4"|Probleem |
| − | <section end= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Identificatienummer | ||
| + | |style="background-color: white;"|ProbleemN88 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|ProbleemNaam | ||
| + | |style="background-color: white;"|Epilepsie (Code = N88 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|ProbleemBeginDatum | ||
| + | |style="background-color: white;"|T-1010D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|ProbleemEindDatum | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Contact | ||
| + | |style="background-color: white;"|Contact05 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Episode | ||
| + | |style="background-color: white;"|EpisodeN88 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=contactverslagepilepsie/> | ||
| − | <section begin= | + | ==Actuele episodes van patiënt== |
| + | <section begin=episode01 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | ||
| Regel 899: | Regel 1.004: | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
| − | |||
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| − | |||
| − | |||
| − | |||
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| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|Identificatie | + | |colspan="5"|Identificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeN88 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Episodetitel = ICPC-omschrijving | ||
| + | |style="background-color: white;"|Epilepsie (alle vormen) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status | ||
| + | |style="background-color: white;"|Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Startdatum | ||
| + | |style="background-color: white;"| T-1010D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Einddatum | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Probleem | ||
| + | |style="background-color: white;"|ProbleemN88 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|ICPC omschrijving | + | |colspan="5"|Attentiewaarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Ja |
| + | |} | ||
| + | <section end=episode01 /> | ||
| + | |||
| + | <section begin=episode02 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|EpisodeA20 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|ICPC omschrijving | ||
| + | |style="background-color: white;"|Gesprek levenseinde/behandelwensen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Episodetitel (eigen omschrijving) | |colspan="5"|Episodetitel (eigen omschrijving) | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|08-06-2023 besluit met patient. Wilsverklaring: niet reanimeren. PZP:Z wel, IC wel, B wel, BP wel, AB wel |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Status | |colspan="5"|Status | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Startdatum | |colspan="5"|Startdatum | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| 08-06-2023 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Einddatum | |colspan="5"|Einddatum | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| T-1D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Probleem | |colspan="5"|Verwijzing Probleem | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemA20 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Attentiewaarde | |colspan="5"|Attentiewaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Ja |
|} | |} | ||
| − | <section end= | + | <section end=episode02 /> |
| − | + | <section begin=episode03 /> | |
| − | <section begin= | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Identificatie |
| + | |style="background-color: white;"|EpisodeD02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Episodetitel = ICPC-omschrijving | ||
| + | |style="background-color: white;"|Maagpijn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="5"|Status | |
| − | + | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | |
| − | |colspan=" | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Startdatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-100D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Einddatum |
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-90D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verwijzing Probleem |
| − | + | |style="background-color: white;"|ProbleemD02 | |
| − | |||
| − | |||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="5"|Attentiewaarde | |
| − | + | |style="background-color: white;"| Nee | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan="5"| | ||
| − | |style="background-color: white;"| | ||
|} | |} | ||
| − | <section end= | + | <section end=episode03 /> |
| − | <section begin= | + | <section begin=episode04 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Episode |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Auteur * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="12"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|ZorgverlenerIdentificatienummer | ||
| + | |style="background-color: white;"| 000001111 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Specialisme | ||
| + | |style="background-color: white;"| Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"|Peter | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Initialen | ||
| + | |style="background-color: white;"| P. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Geslachtsnaam | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voorvoegsels | ||
| + | |style="background-color: white;"|van | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Achternaam | ||
| + | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Identificatie |
| − | + | |style="background-color: white;"|EpisodeR95 | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|ICPC omschrijving | ||
| + | |style="background-color: white;"|Emfyseem/COPD | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Episodetitel (eigen omschrijving) |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|COPD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Status |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Startdatum | ||
| + | |style="background-color: white;"| T-9D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Einddatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"|Verwijzing | + | |colspan="5"|Verwijzing Probleem |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Attentiewaarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Nee |
|} | |} | ||
| − | <section end= | + | <section end=episode04 /> |
| − | <section begin= | + | ==Actuele labbepalingen van patiënt== |
| + | <section begin=lab01 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
| Regel 1.052: | Regel 1.169: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|LabTest01 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestCode | |colspan="4"|TestCode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestDatumTijd | |colspan="4"|TestDatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestUitslag | |colspan="4"|TestUitslag | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Twijfelachtig (code 312) |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
| Regel 1.071: | Regel 1.188: | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
| − | <section end= | + | <section end=lab01 /> |
| − | <section begin= | + | <section begin=lab02 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
| Regel 1.092: | Regel 1.209: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|LabTest02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestCode | |colspan="4"|TestCode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestDatumTijd | |colspan="4"|TestDatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestUitslag | |colspan="4"|TestUitslag | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| ‘’Positief’’ (Vrije tekst) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
|style="background-color: white;"|EpisodeR95 | |style="background-color: white;"|EpisodeR95 | ||
|} | |} | ||
| − | <section end= | + | <section end=lab02 /> |
| − | + | <section begin=lab03 /> | |
| − | <section begin= | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|LaboratoriumTest |
|-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;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|LabTest03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|kweek MultiRes.Staf.Aur. (MRSA) keel (code = '2654' in codeSystem 'NHG Diagnostische bepalingen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|TestDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-6D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Positief (vrije tekst) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ReferentieBovengrens |
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ReferentieOndergrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeR95 |
|} | |} | ||
| − | <section end= | + | <section end=lab03 /> |
| − | <section begin= | + | <section begin=lab04 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|LaboratoriumTest |
|-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;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|LabTest04 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|TestCode | ||
| + | |style="background-color: white;"|Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|TestDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-6D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|4,5 mmol/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|6,1 mmol/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ReferentieOndergrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|4,0 mmol/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| Regel 1.195: | Regel 1.312: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact04 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|EpisodeR95 |
|} | |} | ||
| − | <section end= | + | <section end=lab04 /> |
| − | <section begin= | + | ==Actuele algemene bepalingen van patiënt== |
| + | <section begin=AlgBep01 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.211: | Regel 1.329: | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AlgBep01 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Systolische bloeddruk (1744) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|184 mm[Hg] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|08-06-2023 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| 140 mm[Hg] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|High (code= H codesysteem 2.16.840.1.113883.5.83) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact01 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
| − | <section end= | + | <section end=AlgBep01 /> |
| − | <section begin= | + | <section begin=AlgBep02 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.251: | Regel 1.369: | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AlgBep02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Diastolische bloeddruk (1740) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|93 mm[Hg] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|08-06-2023 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
| Regel 1.269: | Regel 1.387: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| 89 mm[Hg] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact01 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
| − | <section end= | + | <section end=AlgBep02 /> |
| − | <section begin= | + | <section begin=AlgBep04 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.291: | Regel 1.409: | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AlgBep04 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|FEV1/FVC ratio pré-BD (1675) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|66% |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
| Regel 1.306: | Regel 1.424: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|70% |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
| Regel 1.312: | Regel 1.430: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Low (code=L codesysteem 2.16.840.1.113883.5.83) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| Regel 1.320: | Regel 1.438: | ||
|style="background-color: white;"|EpisodeR95 | |style="background-color: white;"|EpisodeR95 | ||
|} | |} | ||
| − | <section end= | + | <section end=AlgBep04 /> |
| − | <section begin= | + | <section begin=AlgBep05 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.331: | Regel 1.449: | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
|-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;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AlgBep05 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Conclusie longfunctieonderzoek (1704) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|COPD (vrije tekst) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
| Regel 1.360: | Regel 1.478: | ||
|style="background-color: white;"|EpisodeR95 | |style="background-color: white;"|EpisodeR95 | ||
|} | |} | ||
| − | <section end= | + | <section end=AlgBep05 /> |
| − | <section begin= | + | <section begin=AlgBep06 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.374: | Regel 1.492: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AlgBep06 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Roken (1739) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Voorheen (4) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
| − | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
| Regel 1.395: | Regel 1.513: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
|style="background-color: white;"|EpisodeR95 | |style="background-color: white;"|EpisodeR95 | ||
|} | |} | ||
| − | <section end= | + | <section end=AlgBep06 /> |
| − | <section begin= | + | <section begin=AlgBep07 /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| Regel 1.409: | Regel 1.527: | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|MeetUitslag | + | |colspan="6"|MeetUitslag |
| − | |-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"|Identificatienummer | ||
| + | |style="background-color: white;"|AlgBep07 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|MetingNaam | ||
| + | |style="background-color: white;"|Aantal jaren gerookt (1991) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagWaarde | ||
| + | |style="background-color: white;"|10 jaar | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagDatumTijd | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieOndergrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieBovengrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagInterpretatie | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing contact | ||
| + | |style="background-color: white;"|Contact03 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |} | ||
| + | <section end=AlgBep07 /> | ||
| + | |||
| + | <section begin=AlgBep08 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|MeetUitslag | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="8"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatienummer | ||
| + | |style="background-color: white;"|AlgBep08 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|MetingNaam | ||
| + | |style="background-color: white;"|Temperatuur patiënt (in oor gemeten) (1913) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagWaarde | ||
| + | |style="background-color: white;"|37.5 Cel | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagDatumTijd | ||
| + | |style="background-color: white;"|T-6D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieOndergrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieBovengrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagInterpretatie | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing contact | ||
| + | |style="background-color: white;"|Contact04 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |} | ||
| + | <section end=AlgBep08 /> | ||
| + | |||
| + | <section begin=AlgBep09 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|MeetUitslag | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="8"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatienummer | ||
| + | |style="background-color: white;"|AlgBep09 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|MetingNaam | ||
| + | |style="background-color: white;"|Stadium COPD (GOLD classificatie) (2209) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagWaarde | ||
| + | |style="background-color: white;"|1:mild COPD (255) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagDatumTijd | ||
| + | |style="background-color: white;"|T-6D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieOndergrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|ReferentieBovengrens | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|UitslagInterpretatie | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing contact | ||
| + | |style="background-color: white;"|Contact04 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |} | ||
| + | <section end=AlgBep09 /> | ||
| + | |||
| + | ==Actuele medicatieafspraken van patiënt== | ||
| + | <section begin=MedAfs01 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|Med01 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Afspraakdatum | ||
| + | |style="background-color: white;"|T-600D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Gebruiksperiode | ||
| + | |style="background-color: #E3E3E3;;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Ingangsdatum | ||
| + | |style="background-color: white;"|T-600D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Einddatum | ||
| + | |style="background-color: white;"|T-570D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorschrijver * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener identificatienummer | ||
| + | |style="background-color: white;"|100000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Naamgegevens | ||
| + | |style="background-color: white;"|Meindert Aanmoedigend | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Specialisme | ||
| + | |style="background-color: white;"|Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Organisatie naam | ||
| + | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Adresgegevens | ||
| + | |style="background-color: white;"|Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - primaire code | ||
| + | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - generiekere code | ||
| + | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gebruiksinstructie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Omschrijving | ||
| + | |style="background-color: white;"|Vanaf vandaag, + 30 dagen, 2 maal per dag 1 stuks, Oraal | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Toedieningsweg | ||
| + | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerinstructie | ||
| + | |style="background-color: white;"|2 maal per dag 1 stuks | ||
| + | |} | ||
| + | <section end=MedAfs01 /> | ||
| + | |||
| + | <section begin=MedAfs02 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|Med02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Afspraakdatum | ||
| + | |style="background-color: white;"|T-100D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Gebruiksperiode | ||
| + | |style="background-color: #E3E3E3;;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Ingangsdatum | ||
| + | |style="background-color: white;"|T-100D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Einddatum | ||
| + | |style="background-color: white;"|T - 85D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Relaties ketenzorg | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Contactmoment | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Episode | ||
| + | |style="background-color: white;"|EpisodeD02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorschrijver * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener identificatienummer | ||
| + | |style="background-color: white;"|100000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Naamgegevens | ||
| + | |style="background-color: white;"|Meindert Aanmoedigend | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Specialisme | ||
| + | |style="background-color: white;"|Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Organisatie naam | ||
| + | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Adresgegevens | ||
| + | |style="background-color: white;"|Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - primaire code | ||
| + | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - generiekere code | ||
| + | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gebruiksinstructie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Omschrijving | ||
| + | |style="background-color: white;"|Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Toedieningsweg | ||
| + | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerinstructie | ||
| + | |style="background-color: white;"|1 maal per dag 1 stuks | ||
| + | |} | ||
| + | <section end=MedAfs02 /> | ||
| + | |||
| + | <section begin=MedAfs03 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|Med03 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Afspraakdatum | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Gebruiksperiode | ||
| + | |style="background-color: #E3E3E3;;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Ingangsdatum | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Einddatum | ||
| + | |style="background-color: white;"|T + 21D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Relaties ketenzorg | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Contactmoment | ||
| + | |style="background-color: white;"|Contact03 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorschrijver * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener identificatienummer | ||
| + | |style="background-color: white;"|000001111 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Naamgegevens | ||
| + | |style="background-color: white;"|Peter van Pulver | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Specialisme | ||
| + | |style="background-color: white;"|Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Organisatie naam | ||
| + | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Adresgegevens | ||
| + | |style="background-color: white;"|Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - primaire code | ||
| + | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - generiekere code | ||
| + | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gebruiksinstructie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Omschrijving | ||
| + | |style="background-color: white;"|Vanaf vandaag, + 30 dagen, 2 maal daags 1 dosis (2D1dosis), inhalatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Toedieningsweg | ||
| + | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerinstructie | ||
| + | |style="background-color: white;"| 2 maal daags 1 dosis | ||
| + | |} | ||
| + | <section end=MedAfs03 /> | ||
| + | |||
| + | <section begin=MedAfs04 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|Med04 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Afspraakdatum | ||
| + | |style="background-color: white;"|T-150D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Gebruiksperiode | ||
| + | |style="background-color: #E3E3E3;;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Ingangsdatum | ||
| + | |style="background-color: white;"|T-150D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Einddatum | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Relaties ketenzorg | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Contactmoment | ||
| + | |style="background-color: white;"|Contact05 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Identificatie Episode | ||
| + | |style="background-color: white;"|EpisodeN88 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorschrijver * | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener identificatienummer | ||
| + | |style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Naamgegevens | ||
| + | |style="background-color: white;"|Meindert Aanmoedigend | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Specialisme | ||
| + | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Organisatie naam | ||
| + | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Adresgegevens | ||
| + | |style="background-color: white;"|Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - primaire code | ||
| + | |style="background-color: white;"|VALPROINEZUUR DRANK 40MG/ML (code = '43966’ in codeSystem 'G-Standaard PRK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - generiekere code | ||
| + | |style="background-color: white;"|VALPROINEZUUR DRANK 40MG/ML (code = '97888' in codeSystem 'G-Standaard GPK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Reden van voorschrijven | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleemnaam | ||
| + | |style="background-color: white;"|N88 - Epilepsie (alle vormen) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gebruiksinstructie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Omschrijving | ||
| + | |style="background-color: white;"|2 maal daags 15 ml | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Toedieningsweg | ||
| + | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerinstructie | ||
| + | |style="background-color: white;"|2 maal daags 15 ml | ||
| + | |} | ||
| + | <section end=MedAfs04 /> | ||
| + | |||
| + | <section begin=MedAfs05 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"|Med05 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Afspraakdatum | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Gebruiksperiode | ||
| + | |style="background-color: #E3E3E3;;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Ingangsdatum | ||
| + | |style="background-color: white;"|T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Einddatum | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Gebruiksduur | ||
| + | |style="background-color: white;"|5 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorschrijver | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener identificatienummer | ||
| + | |style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Naamgegevens | ||
| + | |style="background-color: white;"|Meindert Aanmoedigend | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Specialisme | ||
| + | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Organisatie naam | ||
| + | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Adresgegevens | ||
| + | |style="background-color: white;"|Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - primaire code | ||
| + | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Geneesmiddel - generiekere code | ||
| + | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gebruiksinstructie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Omschrijving | ||
| + | |style="background-color: white;"|Vanaf vandaag, zo nodig 6 maal daags 1 stuks, oraal, gedurende 5 dagen. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Toedieningsweg | ||
| + | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerinstructie | ||
| + | |style="background-color: white;"|zo nodig 6 maal daags 1 stuks | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Doseerduur | ||
| + | |style="background-color: white;"|5 dagen | ||
| + | |} | ||
| + | <section end=MedAfs05 /> | ||
| + | |||
| + | ==Actuele alerts van patiënt== | ||
| + | <section begin=alert01 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"| Alert01 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AlertNaam | ||
| + | |style="background-color: white;"| COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| T-9D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=alert01 /> | ||
| + | |||
| + | <section begin=alert02 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"| Alert02 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AlertNaam | ||
| + | |style="background-color: white;"| Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| T-3D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeR95 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=alert02 /> | ||
| + | |||
| + | <section begin=alert03 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"| Alert03 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AlertNaam | ||
| + | |style="background-color: white;"| Epilepsie (code = 42 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| T-1010D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"|EpisodeN88 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=alert03 /> | ||
| + | |||
| + | <section begin=alert04 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"| Alert04 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AlertNaam | ||
| + | |style="background-color: white;"| Jicht (code = 98 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| T-55D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"| T-40D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=alert04 /> | ||
| + | |||
| + | <section begin=alert05 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatie | ||
| + | |style="background-color: white;"| Alert05 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AlertNaam | ||
| + | |style="background-color: white;"| Agressieve patiënt (vrije tekst) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| T-60D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|EindDatumTijd | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing episode | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |} | ||
| + | <section end=alert05 /> | ||
| + | |||
| + | ==Actuele allergie/intoleranties van patiënt== | ||
| + | <section begin=allergie01 /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AllergieIntolerantie | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"| Allergie01 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijzing Informatiebron | ||
| + | |style="background-color: white;"| Patient | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|VeroorzakendeStof | ||
| + | |style="background-color: white;"| Amoxicilline | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AllergieCategorie | ||
| + | |style="background-color: white;"| Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|BeginDatumTijd | ||
| + | |style="background-color: white;"| 20200827 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|MateVanKritiekZijn | ||
| + | |style="background-color: white;"| Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Toelichting | ||
| + | |style="background-color: white;"| Via neuroloog | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Reactie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Symptoom | ||
| + | |style="background-color: white;"| dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|SpecifiekeStof |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Amoxicilline |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Ernst |
| − | |style="background-color: white;"|1 | + | |style="background-color: white;"| Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|WijzeVanBlootstelling |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ReactieTijdstip |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| 20200826 |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|} | |} | ||
| − | <section end= | + | <section end=allergie01 /> |
Huidige versie van 12 jan 2026 om 16:39
Inhoud
- 1 Bundel
- 2 Actuele contactmomenten van patiënt
- 3 Actuele contactverslagen van patiënt
- 4 Actuele episodes van patiënt
- 5 Actuele labbepalingen van patiënt
- 6 Actuele algemene bepalingen van patiënt
- 7 Actuele medicatieafspraken van patiënt
- 8 Actuele alerts van patiënt
- 9 Actuele allergie/intoleranties van patiënt
Bundel
| Bundel | ||||||
| Gegevenselement | Waarde | |||||
| Onderwerp | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Antoin | |||||
| Initialen | A. | |||||
| Roepnaam | ||||||
| Geslachtsnaam | ||||||
| Voorvoegsels | ||||||
| Achternaam | XXX_Gieteling | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | ||||||
| AchternaamPartner | ||||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1002 | |||||
| Huisnummerletter | ||||||
| Huisnummertoevoeging | ||||||
| AanduidingBijNummer | ||||||
| Postcode | 9999ZZ | |||||
| Woonplaats | STITSWERD | |||||
| Land | Nederland | |||||
| AdditioneleInformatie | ||||||
| AdresSoort | Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
| Identificatienummer | 999910528 (BSN) | |||||
| Geboortedatum | 19540806 | |||||
| Geslacht | man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | |||||
| MeerlingIndicator | Nee | |||||
| Bundel | ||||||
| Gegevenselement | Waarde | |||||
| Auteur | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 100000002 (2.16.528.1.1007.3.1 UZI nummer natuurlijke personen; zorgverlener of medewerker met UZI pas) | |||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | |||||
| Naamgegevens | ||||||
| Voornamen | Meindert | |||||
| Initialen | M. | |||||
| Roepnaam | ||||||
| Geslachtsnaam | ||||||
| Voorvoegsels | ||||||
| Achternaam | Aanmoedigend | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | ||||||
| AchternaamPartner | ||||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 45 | |||||
| Huisnummerletter | A | |||||
| Huisnummertoevoeging | 2 | |||||
| AanduidingBijNummer | Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | |||||
| Postcode | 9999 AA | |||||
| Woonplaats | Stitswerd | |||||
| Land | Nederland | |||||
| AdditioneleInformatie | ||||||
| AdresSoort | Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | 0211234567 | |||||
| NummerSoort | Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
| EmailAdressen | ||||||
| EmailAdres | huisarts@zorgverlener.org | |||||
| EmailSoort | Zakelijk e-mailadres (Code = 'WP in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | |||||
| OrganisatieNaam | Gezondheidscentrum Aesculaap | |||||
| Onderwerp | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Antoin | |||||
| Initialen | A. | |||||
| Roepnaam | ||||||
| Geslachtsnaam | ||||||
| Voorvoegsels | ||||||
| Achternaam | XXX_Gieteling | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | ||||||
| AchternaamPartner | ||||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1002 | |||||
| Huisnummerletter | ||||||
| Huisnummertoevoeging | ||||||
| AanduidingBijNummer | ||||||
| Postcode | 9999ZZ | |||||
| Woonplaats | STITSWERD | |||||
| Land | Nederland | |||||
| AdditioneleInformatie | ||||||
| AdresSoort | Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
| Identificatienummer | 999910528 (BSN) | |||||
| Geboortedatum | 19540806 | |||||
| Geslacht | man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | |||||
| MeerlingIndicator | Nee | |||||
Actuele contactmomenten van patiënt
| Contactmoment | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contact01 | ||||
| Contact met | * | ||||
| ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||
| BeginDatumTijd | 08-06-2023{11:10} | ||||
| EindDatumTijd | 08-06-2023{11:30} | ||||
| RedenContact | |||||
| Episode | EpisodeA20 | ||||
| Contactmoment | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contact11 | ||||
| Contact met | * | ||||
| ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||
| BeginDatumTijd | T-9D{11:10} | ||||
| EindDatumTijd | T-9D{11:30} | ||||
| RedenContact | |||||
| Episode | EpisodeA20 | ||||
| Contactmoment | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contact02 | ||||
| Contact met | * | ||||
| ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||
| BeginDatumTijd | T-100D{13:30} | ||||
| EindDatumTijd | T-100D{13:50} | ||||
| RedenContact | |||||
| Episode | EpisodeD02 | ||||
| Contactmoment | |||||||
| Gegevenselement | Waarde | ||||||
| Identificatienummer | Contact03 | ||||||
| ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||||
| BeginDatumTijd | T-9D{08:30} | ||||||
| EindDatumTijd | T-9D{08:45} | ||||||
| RedenContact | |||||||
| Episode | EpisodeR95 | ||||||
| ContactMet* | |||||||
| Zorgverlener | |||||||
| ZorgverlenerIdentificatienummer | 000001111 (2.16.528.1.1007.3.1 UZI nummer natuurlijke personen; zorgverlener of medewerker met UZI pas) | ||||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||||
| Naamgegevens | |||||||
| Voornamen | Peter | ||||||
| Initialen | P. | ||||||
| Roepnaam | Peter | ||||||
| Naamgebruik | Eigen geslachtsnaam (Code = 'NL1' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.4 'NaamGebruik') | ||||||
| Geslachtsnaam | |||||||
| Voorvoegsels | van | ||||||
| Achternaam | Pulver | ||||||
| GeslachtsnaamPartner | |||||||
| VoorvoegselsPartner | |||||||
| AchternaamPartner | |||||||
| Adresgegevens | |||||||
| Straat | Knolweg | ||||||
| Huisnummer | 45 | ||||||
| Huisnummerletter | A | ||||||
| Huisnummertoevoeging | 2 | ||||||
| AanduidingBijNummer | Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | ||||||
| Postcode | 9999 AA | ||||||
| Woonplaats | Stitswerd | ||||||
| Land | Nederland | ||||||
| AdditioneleInformatie | |||||||
| AdresSoort | Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||||||
| Contactgegevens | |||||||
| Telefoonnummers | |||||||
| Telefoonnummer | 0211234567 | ||||||
| TelecomType | LL | ||||||
| NummerSoort | Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||||||
| Zorgaanbieder | |||||||
| ZorgaanbiederIdentificatienummer | 00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||||||
| OrganisatieNaam | Gezondheidscentrum Aesculaap | ||||||
| OrganisatieType | Z3 | ||||||
| Contactgegevens | |||||||
| Telefoonnummers | |||||||
| Telefoonnummer | 0211234567 | ||||||
| TelecomType | LL | ||||||
| NummerSoort | Work Place (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||||||
| Emailadressen | |||||||
| Emailadres | |||||||
| EmailSoort | |||||||
| Adresgegevens | |||||||
| Straat | Knolweg | ||||||
| Huisnummer | 45 | ||||||
| Huisnummerletter | A | ||||||
| Huisnummertoevoeging | 2 | ||||||
| AanduidingBijNummer | Bij (Code = 'by' in codesysteem 2.16.840.1.113883.2.4.3.11.60.101.5.3 'AanduidingBijHuisnummer') | ||||||
| Postcode | 9999 AA | ||||||
| Woonplaats | Stitswerd | ||||||
| Land | Nederland | ||||||
| AdditioneleInformatie | |||||||
| AdresSoort | Werkadres (Code = 'WP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | ||||||
| Contactmoment | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contact04 | ||||
| Contact met | * | ||||
| ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||
| BeginDatumTijd | T-6D{09:00} | ||||
| EindDatumTijd | T-6D{09:15} | ||||
| RedenContact | |||||
| Episode | EpisodeR95 | ||||
| Contactmoment | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contact05 | ||||
| Contact met | * | ||||
| ContactType | telefonisch contact (Code = 05 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | ||||
| BeginDatumTijd | T-150D{14:30} | ||||
| EindDatumTijd | T-150D{14:50} | ||||
| RedenContact | |||||
| Episode | EpisodeN88 | ||||
Actuele contactverslagen van patiënt
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contactverslag01 | ||||
| DatumTijd | 08-06-2023 | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | Weloverwogen besluit voor een niet reanimeerwens | ||||
| O | Compos mentis | ||||
| E | Gesprek levenseinde, niet reanimeren | ||||
| Probleem | |||||
| Identificatienummer | ProbleemA20 | ||||
| ProbleemNaam | Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
| ProbleemBeginDatum | 08-06-2023 | ||||
| ProbleemEindDatum | T-1D | ||||
| P | Wilsverklaring ondertekend | ||||
| Verwijzing Contact | Contact01 | ||||
| Verwijzing Episode | EpisodeA20 | ||||
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contactverslag11 | ||||
| DatumTijd | T-9D | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | Herevaluatie niet reanimeerwens | ||||
| O | Compos mentis | ||||
| E | Continueer behandelgrens, niet reanimeren | ||||
| Verwijzing Contact | Contact11 | ||||
| Verwijzing Episode | EpisodeA20 | ||||
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contactverslag02 | ||||
| DatumTijd | T-100D | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel | ||||
| O | Maagstreek gevoelig. Overig gb. | ||||
| E | Maag/duodenum problemen | ||||
| Probleem | |||||
| Identificatienummer | ProbleemD02 | ||||
| ProbleemNaam | Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
| ProbleemBeginDatum | T-100D | ||||
| ProbleemEindDatum | T-90D | ||||
| Verwijzing Contact | Contact02 | ||||
| Verwijzing Episode | EpisodeD02 | ||||
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Auteur * | |||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 000001111 | ||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Initialen | P. | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Identificatienummer | Contactverslag03 | ||||
| DatumTijd | T-9D | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | Gaat beter, nog wel af en toe benauwd/hoesten. Geen koorts, weinig slijm en geen PoB. | ||||
| Probleem | |||||
| Identificatienummer | ProbleemR05 | ||||
| ProbleemNaam | Hoesten (Code = R05 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
| ProbleemBeginDatum | T-9D | ||||
| ProbleemEindDatum | |||||
| O | Longen VAG geen crep, piep, wel wat rhonchi, Percussie gb | ||||
| E | COPD, beterend | ||||
| Probleem | |||||
| Identificatienummer | ProbleemR95 | ||||
| ProbleemNaam | Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
| ProbleemBeginDatum | T-9D | ||||
| ProbleemEindDatum | |||||
| P | Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin | ||||
| Verwijzing Contact | Contact03 | ||||
| Verwijzing Episode | EpisodeR95 | ||||
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contactverslag04 | ||||
| DatumTijd | T-6D | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel | ||||
| O | Longen VAG crep+, piep iets, rhonchi+. Percussie gb. | ||||
| E | COPD, exacerbatie. | ||||
| P | AB starten, ventolin 3-4 dgs. | ||||
| Verwijzing Contact | Contact04 | ||||
| Verwijzing Episode | EpisodeR95 | ||||
| Contactverslag | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Contactverslag05 | ||||
| DatumTijd | T-150D | ||||
| Journaalregel | |||||
| Type | Tekst | ||||
| S | Belt voor herhaalrecept | ||||
| E | Bekend met epilepsie | ||||
| Probleem | |||||
| Identificatienummer | ProbleemN88 | ||||
| ProbleemNaam | Epilepsie (Code = N88 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
| ProbleemBeginDatum | T-1010D | ||||
| ProbleemEindDatum | |||||
| Verwijzing Contact | Contact05 | ||||
| Verwijzing Episode | EpisodeN88 | ||||
Actuele episodes van patiënt
| Episode | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | EpisodeN88 | ||||
| Episodetitel = ICPC-omschrijving | Epilepsie (alle vormen) | ||||
| Status | Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
| Startdatum | T-1010D | ||||
| Einddatum | |||||
| Verwijzing Probleem | ProbleemN88 | ||||
| Attentiewaarde | Ja | ||||
| Episode | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | EpisodeA20 | ||||
| ICPC omschrijving | Gesprek levenseinde/behandelwensen | ||||
| Episodetitel (eigen omschrijving) | 08-06-2023 besluit met patient. Wilsverklaring: niet reanimeren. PZP:Z wel, IC wel, B wel, BP wel, AB wel | ||||
| Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
| Startdatum | 08-06-2023 | ||||
| Einddatum | T-1D | ||||
| Verwijzing Probleem | ProbleemA20 | ||||
| Attentiewaarde | Ja | ||||
| Episode | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | EpisodeD02 | ||||
| Episodetitel = ICPC-omschrijving | Maagpijn | ||||
| Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
| Startdatum | T-100D | ||||
| Einddatum | T-90D | ||||
| Verwijzing Probleem | ProbleemD02 | ||||
| Attentiewaarde | Nee | ||||
| Episode | |||||
| Gegevenselement | Waarde | ||||
| Auteur * | |||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 000001111 | ||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Initialen | P. | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Identificatie | EpisodeR95 | ||||
| ICPC omschrijving | Emfyseem/COPD | ||||
| Episodetitel (eigen omschrijving) | COPD | ||||
| Status | Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
| Startdatum | T-9D | ||||
| Einddatum | |||||
| Verwijzing Probleem | ProbleemR95 | ||||
| Attentiewaarde | Nee | ||||
Actuele labbepalingen van patiënt
| LaboratoriumUitslag | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumTest | |||||
| Identificatienummer | LabTest01 | ||||
| TestCode | Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') | ||||
| TestDatumTijd | T-9D | ||||
| TestUitslag | Twijfelachtig (code 312) | ||||
| ReferentieBovengrens | |||||
| ReferentieOndergrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | |||||
| Verwijzing episode | |||||
| LaboratoriumUitslag | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumTest | |||||
| Identificatienummer | LabTest02 | ||||
| TestCode | MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') | ||||
| TestDatumTijd | T-9D | ||||
| TestUitslag | ‘’Positief’’ (Vrije tekst) | ||||
| ReferentieBovengrens | |||||
| ReferentieOndergrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| LaboratoriumUitslag | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumTest | |||||
| Identificatienummer | LabTest03 | ||||
| TestCode | kweek MultiRes.Staf.Aur. (MRSA) keel (code = '2654' in codeSystem 'NHG Diagnostische bepalingen') | ||||
| TestDatumTijd | T-6D | ||||
| TestUitslag | Positief (vrije tekst) | ||||
| ReferentieBovengrens | |||||
| ReferentieOndergrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| LaboratoriumUitslag | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumTest | |||||
| Identificatienummer | LabTest04 | ||||
| TestCode | Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||||
| TestDatumTijd | T-6D | ||||
| TestUitslag | 4,5 mmol/L | ||||
| ReferentieBovengrens | 6,1 mmol/L | ||||
| ReferentieOndergrens | 4,0 mmol/L | ||||
| UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) | ||||
| Verwijzing contact | Contact04 | ||||
| Verwijzing episode | EpisodeR95 | ||||
Actuele algemene bepalingen van patiënt
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep01 | ||||
| MetingNaam | Systolische bloeddruk (1744) | ||||
| UitslagWaarde | 184 mm[Hg] | ||||
| UitslagDatumTijd | 08-06-2023 | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | 140 mm[Hg] | ||||
| UitslagInterpretatie | High (code= H codesysteem 2.16.840.1.113883.5.83) | ||||
| Verwijzing contact | Contact01 | ||||
| Verwijzing episode | |||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep02 | ||||
| MetingNaam | Diastolische bloeddruk (1740) | ||||
| UitslagWaarde | 93 mm[Hg] | ||||
| UitslagDatumTijd | 08-06-2023 | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | 89 mm[Hg] | ||||
| UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) | ||||
| Verwijzing contact | Contact01 | ||||
| Verwijzing episode | |||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep04 | ||||
| MetingNaam | FEV1/FVC ratio pré-BD (1675) | ||||
| UitslagWaarde | 66% | ||||
| UitslagDatumTijd | T-9D | ||||
| ReferentieOndergrens | 70% | ||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | Low (code=L codesysteem 2.16.840.1.113883.5.83) | ||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep05 | ||||
| MetingNaam | Conclusie longfunctieonderzoek (1704) | ||||
| UitslagWaarde | COPD (vrije tekst) | ||||
| UitslagDatumTijd | T-9D | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep06 | ||||
| MetingNaam | Roken (1739) | ||||
| UitslagWaarde | Voorheen (4) | ||||
| UitslagDatumTijd | T-9D | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep07 | ||||
| MetingNaam | Aantal jaren gerookt (1991) | ||||
| UitslagWaarde | 10 jaar | ||||
| UitslagDatumTijd | T-9D | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact03 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep08 | ||||
| MetingNaam | Temperatuur patiënt (in oor gemeten) (1913) | ||||
| UitslagWaarde | 37.5 Cel | ||||
| UitslagDatumTijd | T-6D | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact04 | ||||
| Verwijzing episode | EpisodeR95 | ||||
| AlgemeneBepaling | |||||
| Gegevenselement | Waarde | ||||
| MeetUitslag | |||||
| Identificatienummer | AlgBep09 | ||||
| MetingNaam | Stadium COPD (GOLD classificatie) (2209) | ||||
| UitslagWaarde | 1:mild COPD (255) | ||||
| UitslagDatumTijd | T-6D | ||||
| ReferentieOndergrens | |||||
| ReferentieBovengrens | |||||
| UitslagInterpretatie | |||||
| Verwijzing contact | Contact04 | ||||
| Verwijzing episode | EpisodeR95 | ||||
Actuele medicatieafspraken van patiënt
| Medicatieafspraken | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Med01 | ||||
| Afspraakdatum | T-600D | ||||
| Gebruiksperiode | |||||
| Ingangsdatum | T-600D | ||||
| Einddatum | T-570D | ||||
| Voorschrijver * | |||||
| Zorgverlener | |||||
| Zorgverlener identificatienummer | 100000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Naamgegevens | Meindert Aanmoedigend | ||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||||
| Organisatie naam | Gezondheidscentrum Aesculaap | ||||
| Adresgegevens | Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||||
| Geneesmiddel - primaire code | SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' | ||||
| Geneesmiddel - generiekere code | SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf vandaag, + 30 dagen, 2 maal per dag 1 stuks, Oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal per dag 1 stuks | ||||
| Medicatieafspraken | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Med02 | ||||
| Afspraakdatum | T-100D | ||||
| Gebruiksperiode | |||||
| Ingangsdatum | T-100D | ||||
| Einddatum | T - 85D | ||||
| Relaties ketenzorg | |||||
| Identificatie Contactmoment | |||||
| Identificatie Episode | EpisodeD02 | ||||
| Voorschrijver * | |||||
| Zorgverlener | |||||
| Zorgverlener identificatienummer | 100000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Naamgegevens | Meindert Aanmoedigend | ||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||||
| Organisatie naam | Gezondheidscentrum Aesculaap | ||||
| Adresgegevens | Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||||
| Geneesmiddel - primaire code | PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 1 maal per dag 1 stuks | ||||
| Medicatieafspraken | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Med03 | ||||
| Afspraakdatum | T-9D | ||||
| Gebruiksperiode | |||||
| Ingangsdatum | T-9D | ||||
| Einddatum | T + 21D | ||||
| Relaties ketenzorg | |||||
| Identificatie Contactmoment | Contact03 | ||||
| Identificatie Episode | EpisodeR95 | ||||
| Voorschrijver * | |||||
| Zorgverlener | |||||
| Zorgverlener identificatienummer | 000001111 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Naamgegevens | Peter van Pulver | ||||
| Specialisme | Huisarts (Code = '01.015' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 00001111 (2.16.528.1.1007.3.3 UZI register abonneenummer (URA); zorgaanbieder die UZI passen aanvraagt) | ||||
| Organisatie naam | Gezondheidscentrum Aesculaap | ||||
| Adresgegevens | Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||||
| Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf vandaag, + 30 dagen, 2 maal daags 1 dosis (2D1dosis), inhalatie | ||||
| Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal daags 1 dosis | ||||
| Medicatieafspraken | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Med04 | ||||
| Afspraakdatum | T-150D | ||||
| Gebruiksperiode | |||||
| Ingangsdatum | T-150D | ||||
| Einddatum | |||||
| Relaties ketenzorg | |||||
| Identificatie Contactmoment | Contact05 | ||||
| Identificatie Episode | EpisodeN88 | ||||
| Voorschrijver * | |||||
| Zorgverlener | |||||
| Zorgverlener identificatienummer | 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Naamgegevens | Meindert Aanmoedigend | ||||
| Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Organisatie naam | Gezondheidscentrum Aesculaap | ||||
| Adresgegevens | Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||||
| Geneesmiddel - primaire code | VALPROINEZUUR DRANK 40MG/ML (code = '43966’ in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | VALPROINEZUUR DRANK 40MG/ML (code = '97888' in codeSystem 'G-Standaard GPK') | ||||
| Reden van voorschrijven | |||||
| Probleemnaam | N88 - Epilepsie (alle vormen) | ||||
| Gebruiksinstructie | |||||
| Omschrijving | 2 maal daags 15 ml | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | 2 maal daags 15 ml | ||||
| Medicatieafspraken | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Med05 | ||||
| Afspraakdatum | T-9D | ||||
| Gebruiksperiode | |||||
| Ingangsdatum | T-9D | ||||
| Einddatum | |||||
| Gebruiksduur | 5 dagen | ||||
| Voorschrijver | |||||
| Zorgverlener | |||||
| Zorgverlener identificatienummer | 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Naamgegevens | Meindert Aanmoedigend | ||||
| Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel) | ||||
| Organisatie naam | Gezondheidscentrum Aesculaap | ||||
| Adresgegevens | Werkadres: Knolweg 45A2 bij 9999 AA Stitswerd | ||||
| Geneesmiddel - primaire code | PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf vandaag, zo nodig 6 maal daags 1 stuks, oraal, gedurende 5 dagen. | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | zo nodig 6 maal daags 1 stuks | ||||
| Doseerduur | 5 dagen | ||||
Actuele alerts van patiënt
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Alert01 | ||||
| AlertNaam | COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
| BeginDatumTijd | T-9D | ||||
| EindDatumTijd | |||||
| Verwijzing episode | EpisodeR95 | ||||
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Alert02 | ||||
| AlertNaam | Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||||
| BeginDatumTijd | T-3D | ||||
| EindDatumTijd | |||||
| Verwijzing episode | EpisodeR95 | ||||
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Alert03 | ||||
| AlertNaam | Epilepsie (code = 42 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
| BeginDatumTijd | T-1010D | ||||
| EindDatumTijd | |||||
| Verwijzing episode | EpisodeN88 | ||||
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Alert04 | ||||
| AlertNaam | Jicht (code = 98 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
| BeginDatumTijd | T-55D | ||||
| EindDatumTijd | T-40D | ||||
| Verwijzing episode | |||||
| Alert | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | Alert05 | ||||
| AlertNaam | Agressieve patiënt (vrije tekst) | ||||
| BeginDatumTijd | T-60D | ||||
| EindDatumTijd | |||||
| Verwijzing episode | |||||
Actuele allergie/intoleranties van patiënt
| AllergieIntolerantie | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Allergie01 | ||||
| Verwijzing Informatiebron | Patient | ||||
| VeroorzakendeStof | Amoxicilline | ||||
| AllergieCategorie | Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
| BeginDatumTijd | 20200827 | ||||
| MateVanKritiekZijn | Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality') | ||||
| Toelichting | Via neuroloog | ||||
| Reactie | |||||
| Symptoom | dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
| SpecifiekeStof | Amoxicilline | ||||
| Ernst | Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) | ||||
| WijzeVanBlootstelling | Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
| ReactieTijdstip | 20200826 | ||||