vpk:Vissue-EOVDR-832 Testgegevens eOverdracht addendum: verschil tussen versies

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(EOVDR-832: Addendum tekst toegevoegd)
(uitvoerder)
 
(5 tussenliggende versies door 2 gebruikers niet weergegeven)
Regel 1: Regel 1:
 
{{IssuePaginaWaarschuwing|EOVDR-832|vpk:V4.2_Testgegevens_eOverdracht_addendum}}
 
{{IssuePaginaWaarschuwing|EOVDR-832|vpk:V4.2_Testgegevens_eOverdracht_addendum}}
 
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Regel 6: Regel 12:
  
 
=Addenda voor inhoudelijke gegevens=
 
=Addenda voor inhoudelijke gegevens=
−
<section begin=eOvd-SOV-kwa-1.1b-alle_zibs />
+
<section begin=eOvd-SOV-kwa-1.1-alle_zibs />
−
==Kwalificatie Overdracht 1.1b==
+
==Kwalificatie Overdracht 1.1==
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 19: Regel 25:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Datum overplaatsing
 
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|T + 2 dagen
+
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="75"|
+
|rowspan="85"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
Regel 34: Regel 40:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Maria
+
|style="background-color: white;"|Julius
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|M.
+
|style="background-color: white;"|J.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 44: Regel 50:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|XXX_Molog
+
|style="background-color: white;"|XXX_Zonnenberg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 54: Regel 60:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
−
|style="background-color: white;"|1000
+
|style="background-color: white;"|1002
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
−
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|Stitswerd
 
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
Regel 74: Regel 80:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|+31620202020
+
|style="background-color: white;"|+316-99990109
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|mariamolog@provider.nl
+
|style="background-color: white;"|juliuszonnenberg1954@gmail.com
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|999900080 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999910358 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|18 sep 1963
+
|style="background-color: white;"|28 jul 1954
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
Regel 104: Regel 110:
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="2"|EindDatumTijd
 
|style="background-color: white;"|T + 1 jaar
 
|style="background-color: white;"|T + 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|3332 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|9665 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="3"|OrganisatieNaam
−
|style="background-color: white;"|Menzis
+
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="3"|VerzekerdeNummer
−
|style="background-color: white;"|6318708200
+
|style="background-color: white;"|12345679
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-k1-1b-contactpersoon-01" title="Intern ID = eovd-k1-1b-contactpersoon-01">Contactpersoon eovd-k1-1b-contactpersoon-01</span>
+
|colspan="6"|<span id="eovd-1-1-contactpersoon-01" title="Intern ID = eovd-1-1-contactpersoon-01">Contactpersoon eovd-1-1-contactpersoon-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|rowspan="25"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 128: Regel 134:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Johan
+
|style="background-color: white;"|Helena
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|J.
+
|style="background-color: white;"|H.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Roepnaam
 
|colspan="3"|Roepnaam
−
|style="background-color: white;"|Han
+
|style="background-color: white;"|Lenie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 141: Regel 147:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|Timmerman
+
|style="background-color: white;"|Slager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
Regel 152: Regel 158:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|+31645678912
+
|style="background-color: white;"|+316-99990009
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|jtimmerman@123net.nl
+
|style="background-color: white;"|lenie@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-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;"|1003
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdditioneleInformatie
 +
|style="background-color: white;"|ingang via achtertuin
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Rol
 
|colspan="4"|Rol
−
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
+
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Relatie
 
|colspan="4"|Relatie
−
|style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode')
+
|style="background-color: white;"|Kleindochter (code = 'GRNDDAU' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Contactpersoon
 
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Johanna
+
|style="background-color: white;"|Pleun
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Roepnaam
 
−
|style="background-color: white;"|Hanna
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|ter
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|Stegge
+
|style="background-color: white;"|Bloemist
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
Regel 200: Regel 216:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|+31612121212
+
|style="background-color: white;"|+316-99990008
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Relatie
 
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achternicht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="35"|
+
|rowspan="4"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|06757677 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|1003
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|MC-Westland
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="4"|Rol
−
|style="background-color: white;"|Centrum
+
|style="background-color: white;"|Buur (code = '19' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="4"|Relatie
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="34"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieNaam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieLocatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AfdelingSpecialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
Regel 234: Regel 266:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|+31174300400
+
|style="background-color: white;"|+31182435770
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|urologie@mcw.nl
+
|style="background-color: white;"|neurologie@ABZ.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 248: Regel 280:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Straat
 
|colspan="3"|Straat
−
|style="background-color: white;"|Wortellaan
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
−
|style="background-color: white;"|2
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
−
|style="background-color: white;"|9998SO
+
|style="background-color: white;"|9999PO
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
−
|style="background-color: white;"|Monster
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgverlener
 
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Julia
+
|style="background-color: white;"|Charlotte Maria
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|J.
+
|style="background-color: white;"|C. M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Roepnaam
 
|colspan="3"|Roepnaam
−
|style="background-color: white;"|Lieke
+
|style="background-color: white;"|Lotte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|van den
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|Bos
+
|style="background-color: white;"|Bruinsma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Specialisme
 
|colspan="4"|Specialisme
Regel 303: Regel 332:
 
|rowspan="6"|
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|75191919 (in identificerend systeem: URA)
+
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|WijZorgen
+
|style="background-color: white;"|ThuiszorgOrg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="4"|OrganisatieLocatie
−
|style="background-color: white;"|Honselersdijk
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|}
 
|}
−
=== Algemene patienten context===
+
=== Algemene patiënten context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Algemene patienten context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="10" | Algemene patiënten context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="5" width="30%"| Gegevenselement
+
|colspan="9" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Woonomgeving
+
|colspan="10"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Woonsituatie
+
|colspan="9"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toelichting
 
−
|style="background-color: white;"|woning is op de begane grond
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Woning type
 
−
|style="background-color: white;"|Aanleunwoning (code = 'AANLW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Levensovertuiging
+
|colspan="8"|BurgerlijkeStaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Wilsverklaring
+
|colspan="7"|BurgerlijkeStaatRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|BurgerlijkeStaat
 +
|style="background-color: white;"|Gehuwd (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.2">HL7 MaritalStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring type
+
|colspan="7"|Gezinssamenstelling
−
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
+
|style="background-color: white;"|Alleenwonend (code = '105529008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring datum
+
|colspan="7"|Zorgtaak
−
|style="background-color: white;"|T - 3 jaar
+
|style="background-color: white;"|zorgt voor zijn kat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Vertegenwoordiger
+
|colspan="10"|Juridische situatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Contactpersoon
 
−
|style="background-color: white;"|Zie [[#eovd-k1-1b-contactpersoon-01|Contactpersoon: eovd-k1-1b-contactpersoon-01]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toelichting
 
−
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Wilsverklaring
+
|colspan="9"|<span id="eovd-kwa-1-1-juridischesituatie-01" title="Intern ID = eovd-kwa-1-1-juridischesituatie-01">JuridischeSituatie eovd-kwa-1-1-juridischesituatie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring type
+
|colspan="7"|Vertegenwoordiging
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden
+
|style="background-color: white;"|Bewindvoering (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring datum
+
|colspan="7"|DatumAanvang
 
|style="background-color: white;"|T - 1 jaar
 
|style="background-color: white;"|T - 1 jaar
−
|}
 
−
=== Medische context===
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="10"|Woonomgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="9"|Woonsituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="7"|WoningType
 +
|style="background-color: white;"|Aanleunwoning (code = 'AANLW' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.13.1">ZIB WoningType</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="10"|Levensovertuiging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="12"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Bart
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|B.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="9"|LevensovertuigingRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|Levensovertuiging
−
|style="background-color: white;"|Kuiper
+
|style="background-color: white;"|Protestant (code = '309885004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorgaanbieder
+
|colspan="9"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="7"|WilsverklaringType
−
|style="background-color: white;"|06757677 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.14.1">ZIB WilsverklaringType</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="7"|WilsverklaringDatum
−
|style="background-color: white;"|MC-Westland
+
|style="background-color: white;"|T - 4 jaar
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie locatie
 
−
|style="background-color: white;"|Centrum
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="8"|Vertegenwoordiger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|Contactpersoon
 +
|style="background-color: white;"|Zie [[#eovd-1-1-contactpersoon-01|Contactpersoon: eovd-1-1-contactpersoon-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|03161616 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="10"|Sociale omgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="39"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Alexandra
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|A.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="9"|ParticipatieInMaatschappij
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="7"|SociaalNetwerk
−
|style="background-color: white;"|van
+
|style="background-color: white;"|heeft veel contact met buren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|Vrijetijdsbesteding
−
|style="background-color: white;"|Breukelen
+
|style="background-color: white;"|viool spelen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="7"|Arbeidssituatie
−
|style="background-color: white;"|Medisch specialisten, chirurgie (code = '0303' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Gepensioneerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorgaanbieder
+
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatienummer
+
|rowspan="14"|
−
|style="background-color: white;"|06757677 (in identificerend systeem: AGB-Z)
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Mantelzorger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|rowspan="12"|
−
|style="background-color: white;"|MC-Westland
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie locatie
 
−
|style="background-color: white;"|Centrum
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="24"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-k1-1b-probleem-01" title="Intern ID = eovd-k1-1b-probleem-01">Probleem eovd-k1-1b-probleem-01</span>
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Marriet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="3"|Initialen
−
|style="background-color: white;"|ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|T - 3 jaar
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toelichting
 
−
|style="background-color: white;"|naast beven ook somberheid en moeheid
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-k1-1b-probleem-02" title="Intern ID = eovd-k1-1b-probleem-02">Probleem eovd-k1-1b-probleem-02</span>
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Blauw
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="4"|Rol
−
|style="background-color: white;"|primair maligne neoplasma van blaas (code = '93689003')
+
|style="background-color: white;"|Buur (code = '19' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="7"|Aard
−
|style="background-color: white;"|T - 30 dagen
+
|style="background-color: white;"|helpt met ondersteuning echtgenote als meneer er niet is
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Frequentie
 +
|style="background-color: white;"|zo vaak als nodig
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|SoortHulp
 +
|style="background-color: white;"|Mantelzorg (code = '386229000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|HulpVanAnderen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|rowspan="6"|
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem anatomische locatie
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|structuur van huid van schouder (code = '76552005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|WijZorgen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem lateraliteit
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="5"|OrganisatieType
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="7"|Aard
−
|style="background-color: white;"|melanoom (code = '372244006')
+
|style="background-color: white;"|ondersteuning bij wassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|T - 2 maanden
+
|style="background-color: white;"|dagelijks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="7"|SoortHulp
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verificatie status
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|niet in het weekend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Voorgeschiedenis
+
|colspan="10"|Communicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="9"|Taalvaardigheid
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="7"|CommunicatieTaal
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="7"|TaalvaardigheidBegrijpen
−
|style="background-color: white;"|diverticulitis (code = '307496006')
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="7"|TaalvaardigheidSpreken
−
|style="background-color: white;"|T - 12 jaar
+
|style="background-color: white;"|Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem eind datum
+
|colspan="7"|TaalvaardigheidLezen
−
|style="background-color: white;"|T - 1 jaar
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Allergie
+
|colspan="9"|Taalvaardigheid
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="37"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Allergie intolerantie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|colspan="7"|CommunicatieTaal
 +
|style="background-color: white;"|Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Veroorzakende stof
+
|colspan="7"|TaalvaardigheidBegrijpen
−
|style="background-color: white;"|selderij (code = '256326004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie categorie
+
|colspan="7"|TaalvaardigheidSpreken
−
|style="background-color: white;"|Voeding (code = '418471000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie status
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|opgegroeid in Zuid-Limburg
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="4"|Begin datum tijd
+
=== Medische context===
−
|style="background-color: white;"|T - 10 jaar
+
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
{| class="wikitable" width="85%"
−
|colspan="4"|Mate van kritiek zijn
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="9" | Medische context
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|-style="background-color: #1F497D;; color: white; text-align:left;"
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="8" width="30%"| Gegevenselement
−
|colspan="4"|Toelichting
+
|| Waarde
−
|style="background-color: white;"|betreft zowel gekookte als rauwe selderij
+
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="9"|Behandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="8"|<span id="eovdv-kwa-1-1-behandelaar-01" title="Intern ID = eovdv-kwa-1-1-behandelaar-01">Zorgverlener eovdv-kwa-1-1-behandelaar-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|rowspan="6"|
−
|style="background-color: white;"|Misselijk en braken (code = '16932000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|colspan="5"|Voornamen
−
|style="background-color: white;"|Misselijkheid en braken
+
|style="background-color: white;"|Joshua Pieter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wijze van blootstelling
+
|colspan="5"|Initialen
−
|style="background-color: white;"|via spijsverteringskanaal (code = '447964005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|J. P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Allergie intolerantie
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Veroorzakende stof
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|huisstofmijt (code = '264401009')
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie categorie
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie status
+
|rowspan="4"|
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum tijd
+
|colspan="5"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|T - 500 dagen
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Mate van kritiek zijn
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Laatste reactie datum tijd
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|T - 99 dagen
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="9"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovdv-kwa-1-1-behandelaar-02" title="Intern ID = eovdv-kwa-1-1-behandelaar-02">Zorgverlener eovdv-kwa-1-1-behandelaar-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|rowspan="14"|
−
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specifieke stof
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|eiwit van huisstofmijt (code = '720687003')
+
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|rowspan="5"|
−
|style="background-color: white;"|veelvuldig niezen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Ernst
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|G.
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Reactie tijdstip
 
−
|style="background-color: white;"|T - 99 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spijkerman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specifieke stof
+
|rowspan="4"|
−
|style="background-color: white;"|allergeen van roofmijt (code = '110171000146101')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|colspan="5"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|ernstige benauwdheid en koorts
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Ernst
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie tijdstip
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|T - 200 dagen
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Let op
+
|colspan="9"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Alert
+
|colspan="8"|<span id="eovd-kwa-1-1-probleem-01" title="Intern ID = eovd-kwa-1-1-probleem-01">Probleem eovd-kwa-1-1-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert naam
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|Drager VRE (code = '431109006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum tijd
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|T - 20 dagen
+
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert type
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem 'LOINC')
+
|style="background-color: white;"|T - 100 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Alert
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert naam
+
|colspan="6"|VerificatieStatus
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): verhoogd valrisico
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum tijd
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|niet bekend met neurologische klachten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Meetwaarden
+
|colspan="8"|<span id="eovd-kwa-1-1-probleem-02" title="Intern ID = eovd-kwa-1-1-probleem-02">Probleem eovd-kwa-1-1-probleem-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Bloeddruk
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|ProbleemType
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meetmethode
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Manchet type
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Klein (code = 'S' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.15.1')
+
|style="background-color: white;"|T - 150 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meet locatie
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Linker bovenarm (code = '368208006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovd-kwa-1-1-probleem-03" title="Intern ID = eovd-kwa-1-1-probleem-03">Probleem eovd-kwa-1-1-probleem-03</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Systolische bloeddruk
+
|colspan="6"|ProbleemLateraliteit
−
|style="background-color: white;"|160 mmhg
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Diastolische bloeddruk
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|92 mmhg
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gemiddelde bloeddruk
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|109 mmhg
+
|style="background-color: white;"|polsfractuur (code = '31641000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Bloeddruk datum tijd
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|T - 2 dagen om 14:45 uur
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|mevrouw gebruikt medicatie
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Voorgeschiedenis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Houding
+
|rowspan="7"|
−
|style="background-color: white;"|Zittende positie (code = '33586001' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Lichaamsgewicht
+
|colspan="8"|Probleem
 
|-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="4"|Gewicht waarde
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|58 kg
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|mevrouw is aan het aansterken
+
|style="background-color: white;"|T - 12 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gewicht datum tijd
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|T - 5 dagen om 14:30 uur
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Allergie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Kleding
+
|rowspan="37"|
−
|style="background-color: white;"|Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Lichaamslengte
+
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VeroorzakendeStof
 +
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AllergieCategorie
 +
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lengte waarde
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|160 cm
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lengte datum tijd
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|T - 2 dagen om 13:30 uur
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|zonder schoenen aan
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Verpleegkundige context zorgplan===
+
|colspan="6"|Toelichting
−
 
+
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden.
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="9" | Verpleegkundige context zorgplan
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="8" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Afspraken patient
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="83"|
+
|rowspan="4"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Contact
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="57"|
+
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contact type
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Contact met
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="5"|WijzeVanBlootstelling
 +
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="22"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|VeroorzakendeStof
 +
|style="background-color: white;"|pollen (code = '256259004')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|AllergieCategorie
−
|style="background-color: white;"|Bart
+
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|B.
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|BeginDatumTijd
 +
|style="background-color: white;"|T - 500 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|Kuiper
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="6"|LaatsteReactieDatumTijd
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Contact met
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="5"|SpecifiekeStof
−
|style="background-color: white;"|03282828 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|graspollen (code = '256277009')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="5"|ReactieBeschrijving
 +
|style="background-color: white;"|veelvuldig niezen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="5"|Ernst
−
|style="background-color: white;"|Sebastiaan
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="5"|ReactieTijdstip
−
|style="background-color: white;"|S.
+
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="7"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="5"|SpecifiekeStof
 +
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|de
+
|style="background-color: white;"|ernstige benauwdheid en koorts
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="5"|Ernst
−
|style="background-color: white;"|Vries
+
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="5"|ReactieTijdstip
−
|style="background-color: white;"|Medisch specialisten, chirurgie (code = '0303' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T - 200 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Locatie
+
|colspan="9"|Let op
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="8"|Alert
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="6"|AlertNaam
−
|style="background-color: white;"|06757677 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|MC-Westland
+
|style="background-color: white;"|T - 20 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie locatie
 
−
|style="background-color: white;"|Centrum
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="6"|AlertType
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="8"|Alert
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|AlertNaam
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): ernstige claustrofobie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|+31174300400
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="9"|Vrijheidsbeperking
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="9"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Email adres
 
−
|style="background-color: white;"|urologie@mcw.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="8"|VrijheidsbeperkendeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|Wilsbekwaam
−
|style="background-color: white;"|Wortellaan
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="6"|JuridischeSituatie
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-juridischesituatie-01|JuridischeSituatie: eovd-kwa-1-1-juridischesituatie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="6"|SoortInterventie
−
|style="background-color: white;"|9998SO
+
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|RedenVanToepassen
−
|style="background-color: white;"|Monster
+
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="6"|Instemming
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="6"|Begin
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|T - 50 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="9"|Meetwaarden
−
|style="background-color: white;"|T + 5 dagen om 10:00 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eind datum tijd
+
|rowspan="57"|
−
|style="background-color: white;"|T + 5 dagen om 10:30 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reden contact
+
|colspan="8"|Bloeddruk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Meetmethode
 +
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ManchetType
 +
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.15.1">ZIB ManchetType</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MeetLocatie
 +
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DiastolischEindpunt
 +
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Probleem
+
|colspan="6"|SystolischeBloeddruk
−
|style="background-color: white;"|Zie [[#eovd-k1-1b-probleem-02|Probleem: eovd-k1-1b-probleem-02]]
+
|style="background-color: white;"|170 mm[Hg]
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Contact
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="6"|DiastolischeBloeddruk
 +
|style="background-color: white;"|90 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contact type
+
|colspan="6"|GemiddeldeBloeddruk
−
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|110 mm[Hg]
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Contact met
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|BloeddrukDatumTijd
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|T - 20 dagen om 14:45 uur
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|meneer gebruikt medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="6"|Houding
−
|style="background-color: white;"|04434343 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Polsfrequentie
 
|-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="3"|Voornamen
+
|colspan="6"|PolsfrequentieWaarde
−
|style="background-color: white;"|Elise
+
|style="background-color: white;"|90
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|PolsfrequentieDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Willems
+
|style="background-color: white;"|is altijd sportief geweest
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="6"|PolsRegelmatigheid
−
|style="background-color: white;"|Fysiotherapeuten, niet nader gespecificeerd (code = '0400' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Polsslag regelmatig (code = '271636001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="8"|Lichaamstemperatuur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|TemperatuurWaarde
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|36.8 Cel
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|TemperatuurDatumTijd
 +
|style="background-color: white;"|T - 4 dagen om 07 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|ewillems@fysio.nl
+
|style="background-color: white;"|voeten voelen heel koud aan
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="6"|TemperatuurType
−
|style="background-color: white;"|T + 9 dagen om 10:20 uur
+
|style="background-color: white;"|Tympanische temperatuur (code = '415974002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reden contact
+
|colspan="8"|Ademhaling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reden contact tekst
+
|colspan="6"|Ademfrequentie
−
|style="background-color: white;"|advies over veilige en passende lichaamsbeweging
+
|style="background-color: white;"|18 /min
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Verpleegkundige context specificatie gezondheidstoestand===
+
|colspan="6"|AdemhalingDatumTijd
−
 
+
|style="background-color: white;"|T - 3 dagen om 14:45 uur
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verpleegkundige context specificatie gezondheidstoestand
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="4" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voedingvocht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|Ritme
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Abnormaal ademhalingsritme (code = '85617008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="4"|Voedingsadvies
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|Diepte
 +
|style="background-color: white;"|Normale ademhalingsdiepte (code = '301284009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Dieet type
+
|colspan="6"|AfwijkendAdemhalingspatroon
−
|style="background-color: white;"|lactosevrij
+
|style="background-color: white;"|Apneu (code = '1023001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Consistentie
+
|colspan="6"|ExtraZuurstofToediening
−
|style="background-color: white;"|solide
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toelichting
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|naar eigen zeggen lactose-intolerant
+
|style="background-color: white;"|meneer lijkt angstig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Voedingsadvies
+
|colspan="7"|ToegediendeZuurstof
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Dieet type
+
|colspan="5"|FlowRate
−
|style="background-color: white;"|geen selderij
+
|style="background-color: white;"|2 l/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toelichting
+
|colspan="5"|FiO2
−
|style="background-color: white;"|in verband met allergie
+
|style="background-color: white;"|0.29 l
−
|}<section end=eOvd-SOV-kwa-1.1b-alle_zibs />
 
−
<section begin=eOvd-SOV-tst-1.1-alle_zibs />
 
−
==Test Overdracht volwassene- 1.1==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum overplaatsing
 
−
|style="background-color: white;"|T + 1 dag
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="6"|ToedieningHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="75"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="5"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="26"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="2"|ProductType
−
|style="background-color: white;"|Erik
+
|style="background-color: white;"|Neusbril (code = '336623009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="3"|ProductOmschrijving
−
|style="background-color: white;"|E
+
|style="background-color: white;"|neusbril
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtWaarde
 +
|style="background-color: white;"|74 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|XXX_Altenborg
+
|style="background-color: white;"|meneer volgt afvaldieet
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Adresgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|GewichtDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|Kleding
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|rowspan="4"|
−
|style="background-color: white;"|1000
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="6"|LengteWaarde
−
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|170 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|LengteDatumTijd
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|zonder schoenen aan
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="9"|Pijnscore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|PijnScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|PijnscoreWaarde
−
|style="background-color: white;"|+31634567891
+
|style="background-color: white;"|2
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|PijnscoreDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="6"|PijnMeetmethode
−
|style="background-color: white;"|evertaltenborg@hotmail.com
+
|style="background-color: white;"|NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
+
|style="background-color: white;"|gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|14 aug 1964
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Af en toe pijn, maar niet belemmerend bij het lopen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|}
−
|colspan="6"|Betaler
+
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="11" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="10" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="11"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="79"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Verzekering
+
|colspan="9"|<span id="eovd-kwa-1-1-patientprobleem-01" title="Intern ID = eovd-kwa-1-1-patientprobleem-01">Probleem eovd-kwa-1-1-patientprobleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="7"|ProbleemNaam
 +
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="7"|ProbleemBeginDatum
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|T - 100 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="7"|ProbleemStatus
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|meneer kan niet buigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|<span id="eovd-kwa-1-1-interventie-01" title="Intern ID = eovd-kwa-1-1-interventie-01">VerpleegkundigeInterventie eovd-kwa-1-1-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|rowspan="14"|
−
|style="background-color: white;"|Trias
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="7"|Interventie
−
|style="background-color: white;"|12345678
+
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-1-1-contactpersoon-01" title="Intern ID = eovd-1-1-contactpersoon-01">Contactpersoon eovd-1-1-contactpersoon-01</span>
+
|colspan="8"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|colspan="6"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-patientprobleem-01|Probleem: eovd-kwa-1-1-patientprobleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|GewenstZorgresultaat
 +
|style="background-color: white;"|wassen onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="7"|ActieStartDatumTijd
−
|style="background-color: white;"|Johanna
+
|style="background-color: white;"|T - 90 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|J
+
|style="background-color: white;"|1 /dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="7"|Instructie
−
|style="background-color: white;"|Hanna
+
|style="background-color: white;"|let op: valrisico
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Zorgverlener
−
|style="background-color: white;"|Bakker
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="9"|<span id="eovd-kwa-1-1-patientprobleem-02" title="Intern ID = eovd-kwa-1-1-patientprobleem-02">Probleem eovd-kwa-1-1-patientprobleem-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|ProbleemNaam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="7"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 90 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="7"|ProbleemStatus
−
|style="background-color: white;"|+31645678912
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="9"|<span id="eovd-kwa-1-1-interventie-02" title="Intern ID = eovd-kwa-1-1-interventie-02">VerpleegkundigeInterventie eovd-kwa-1-1-interventie-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="7"|Interventie
−
|style="background-color: white;"|jbakker@123net.nl
+
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rol
+
|rowspan="2"|
−
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|colspan="6"|Probleem
−
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-patientprobleem-02|Probleem: eovd-kwa-1-1-patientprobleem-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Contactpersoon
+
|colspan="8"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|GewenstZorgresultaat
 +
|style="background-color: white;"|kleden onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|Johannes
+
|style="background-color: white;"|3 /dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|rowspan="37"|
−
|style="background-color: white;"|Hans
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="9"|<span id="eovd-kwa-1-1-patientprobleem-04" title="Intern ID = eovd-kwa-1-1-patientprobleem-04">Probleem eovd-kwa-1-1-patientprobleem-04</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="7"|ProbleemType
−
|style="background-color: white;"|van
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|ProbleemNaam
−
|style="background-color: white;"|Dijk
+
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="7"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Toelichting
 +
|style="background-color: white;"|vastgesteld met DOS score
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="28"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Interventie
 +
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-patientprobleem-04|Probleem: eovd-kwa-1-1-patientprobleem-04]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|GewenstZorgresultaat
−
|style="background-color: white;"|+31612121212
+
|style="background-color: white;"|vochtinname > 1,5 liter/dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Instructie
 +
|style="background-color: white;"|Graag er op toezien dat meneer > 1,5 liter per dag drinkt
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Verzorger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|rowspan="16"|
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="34"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Gerda
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|GeslachtsnaamPartner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|rowspan="2"|
−
|style="background-color: white;"|Noord
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="2"|AchternaamPartner
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|XXX_Altenborg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Telefoonnummers
 
|colspan="4"|Telefoonnummers
Regel 1.230: Regel 1.275:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|+31182435770
+
|style="background-color: white;"|+31662626262
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie
 +
|style="background-color: white;"|Echtgenoot (code = 'HUSB' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="11"|Zorgresultaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="10"|UitkomstVanZorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Zorgresultaat
 +
|style="background-color: white;"|doel deels behaald: kan nog niet rug wassen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="7"|VerpleegkundigeInterventie
−
|style="background-color: white;"|neurologie@ABZ.nl
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-interventie-01|VerpleegkundigeInterventie: eovd-kwa-1-1-interventie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="10"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="8"|Zorgresultaat
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|doel deels behaald, kan nog niet zelf veters strikken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|rowspan="2"|
−
|style="background-color: white;"|10
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="7"|VerpleegkundigeInterventie
−
|style="background-color: white;"|9999PO
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-interventie-02|VerpleegkundigeInterventie: eovd-kwa-1-1-interventie-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="11"|Afspraken patiënt
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|rowspan="81"|
−
|style="background-color: white;"|Stitswerd
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Contact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|rowspan="55"|
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="8"|ContactType
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|rowspan="6"|
−
|style="background-color: white;"|Charlotte Maria
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="5"|Voornamen
−
|style="background-color: white;"|C. M.
+
|style="background-color: white;"|Joshua Pieter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Lotte
+
|style="background-color: white;"|J.P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Bruinsma
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontvangende organisatie
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|03686868 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|rowspan="5"|
−
|style="background-color: white;"|ThuiszorgOrg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|F.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|rowspan="2"|
−
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Snijder
−
|}
 
−
=== Algemene patienten context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="10" | Algemene patienten context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="9" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Gezinssituatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|colspan="6"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Gezinssituatie
+
|colspan="9"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|rowspan="23"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Burgerlijke staat
+
|colspan="8"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="21"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Burgerlijke staat rc
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Burgerlijke staat
+
|colspan="6"|OrganisatieNaam
−
|style="background-color: white;"|Gehuwd (code = 'M' in codeSystem '2.16.840.1.113883.5.2')
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Gezinssamenstelling
+
|colspan="6"|OrganisatieLocatie
−
|style="background-color: white;"|Samenwonend met partner (code = '408821002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Aantal kinderen
+
|colspan="6"|AfdelingSpecialisme
−
|style="background-color: white;"|3
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Aantal kinderen inwonend
+
|rowspan="7"|
−
|style="background-color: white;"|0
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Zorgtaak
+
|rowspan="2"|
−
|style="background-color: white;"|zorgt voor zijn vrouw die slecht ter been is
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Zorgtaak
+
|colspan="4"|Telefoonnummer
−
|style="background-color: white;"|zorgt voor de hond
+
|style="background-color: white;"|+31182435770
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Kind
+
|colspan="6"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Geboortedatum
+
|colspan="4"|EmailAdres
−
|style="background-color: white;"|T - 30 jaar
+
|style="background-color: white;"|neurologie@ABZ.nl
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Inwonend
 
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Kind
+
|colspan="7"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Geboortedatum
+
|colspan="5"|Straat
−
|style="background-color: white;"|T - 25 jaar
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Inwonend
+
|colspan="5"|Huisnummer
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="5"|Postcode
−
|style="background-color: white;"|kinderen wonen ver weg en kunnen niet helpen bij dagelijkse zorg aan echtgenote
+
|style="background-color: white;"|9999PO
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Juridische situatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|Woonplaats
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Stitswerd
−
|colspan="9"|<span id="eovd-1-1-juridischesituatie-01" title="Intern ID = eovd-1-1-juridischesituatie-01">Juridische situatie eovd-1-1-juridischesituatie-01</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="5"|AdresSoort
 +
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Vertegenwoordiging
+
|colspan="6"|OrganisatieType
−
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Datum aanvang
+
|colspan="8"|BeginDatumTijd
−
|style="background-color: white;"|T - 1 jaar
+
|style="background-color: white;"|T + 5 dagen om 10:00 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|EindDatumTijd
 +
|style="background-color: white;"|T + 5 dagen om 10:30 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Woonomgeving
+
|colspan="9"|RedenContact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-probleem-01|Probleem: eovd-kwa-1-1-probleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Woonsituatie
+
|colspan="10"|Contact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="23"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="8"|ContactType
−
|style="background-color: white;"|woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig
+
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Woning type
 
−
|style="background-color: white;"|Appartement of flatwoning (code = 'FLATW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Levensovertuiging
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="16"|
 
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Levensovertuiging rc
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Levensovertuiging
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|Geen geloof (code = 'GeenGeloof' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
+
|style="background-color: white;"|88131313 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Wilsverklaring
+
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Wilsverklaring type
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Verklaring donorschap (code = 'DO' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
+
|style="background-color: white;"|W.
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Wilsverklaring datum
 
−
|style="background-color: white;"|T - 4 jaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vertegenwoordiger
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contactpersoon
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Zie [[#eovd-1-1-contactpersoon-01|Contactpersoon: eovd-1-1-contactpersoon-01]]
+
|style="background-color: white;"|Bloem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
+
|style="background-color: white;"|Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Wilsverklaring
+
|colspan="7"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Wilsverklaring type
+
|rowspan="2"|
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Wilsverklaring datum
+
|colspan="4"|EmailAdres
−
|style="background-color: white;"|T - 1 jaar
+
|style="background-color: white;"|bloem@ergotherapie.nl
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Sociale omgeving
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="61"|
+
|colspan="8"|BeginDatumTijd
 +
|style="background-color: white;"|T + 12 dagen om 15:15 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Participatie in maatschappij
+
|colspan="9"|RedenContact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Sociaal netwerk
+
|colspan="7"|RedenContactTekst
−
|style="background-color: white;"|heeft veel contact met collega's en buren
+
|style="background-color: white;"|Controle voortgang revalidatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Vrijetijdsbesteding
+
|colspan="10"|Wensen en behoeften patiënt en/of naasten
−
|style="background-color: white;"|gitaar spelen
+
|style="background-color: white;"|meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="7"|Arbeidssituatie
+
=== Verpleegkundige context: specificatie gezondheidstoestand===
−
|style="background-color: white;"|werkt als administratief medewerker bij gemeente
+
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
{| class="wikitable" width="85%"
−
|colspan="7"|Toelichting
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context: specificatie gezondheidstoestand
−
|style="background-color: white;"|heeft tijdelijk contract
+
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="8" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Hulp van anderen
+
|colspan="9"|Zelfzorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|rowspan="103"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Hulpverlener
+
|colspan="8"|VermogenTotDrinken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mantelzorger
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|colspan="6"|Drinken
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Hulp nodig (code = '16681000146102' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|colspan="6"|Contactpersoon
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|DrinkBeperkingen
 +
|style="background-color: white;"|Bereiden (openen/uitschenken) (code = '286506008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|VermogenTotDrinken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|Drinken
−
|style="background-color: white;"|Marriet
+
|style="background-color: white;"|Onafhankelijk (code = '19841000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|M.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Naamgebruik
+
|colspan="6"|DrinkBeperkingen
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Vastpakken (code = '307071002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|VermogenTotEten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Eten
−
|style="background-color: white;"|Blauw
+
|style="background-color: white;"|Hulp nodig (code = '129033007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rol
+
|colspan="6"|EetBeperkingen
−
|style="background-color: white;"|Buur (code = '19' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
+
|style="background-color: white;"|Snijden/openen (code = '289078003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotEten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Aard
+
|rowspan="3"|
−
|style="background-color: white;"|helpt met ondersteuning echtgenote als meneer er niet is
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|colspan="6"|Eten
−
|style="background-color: white;"|zo vaak als nodig
+
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetBeperkingen
 +
|style="background-color: white;"|Eetgerei hanteren (code = '289046006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotMondverzorging
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Soort hulp
+
|colspan="6"|VerzorgenTanden
−
|style="background-color: white;"|Mantelzorg (code = '386229000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Hulp nodig (code = '16671000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Hulp van anderen
+
|colspan="7"|Prothese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Hulpverlener
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgaanbieder
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie naam
+
|colspan="3"|ProductType
−
|style="background-color: white;"|WijZorgen
+
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie locatie
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|Gebitsprothese bovenkaak
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Prothese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie type
+
|rowspan="7"|
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Aard
+
|rowspan="5"|
−
|style="background-color: white;"|ondersteuning bij wassen
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|rowspan="2"|
−
|style="background-color: white;"|dagelijks
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Soort hulp
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|niet in het weekend
+
|style="background-color: white;"|Gebitsprothese onderkaak
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Hulp van anderen
+
|colspan="8"|VermogenTotZichWassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Hulpverlener
+
|colspan="6"|ZichWassen
 +
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="6"|TeWassenLichaamsdeel
 +
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgverlener
+
|colspan="8"|VermogenTotZichWassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|ZichWassen
 +
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Voornamen
+
|colspan="6"|TeWassenLichaamsdeel
−
|style="background-color: white;"|Therese
+
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Geslachtsnaam
+
|colspan="8"|VermogenTotZichKleden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ZichKleden
 +
|style="background-color: white;"|Hulp nodig (code = '129039006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Achternaam
+
|colspan="6"|TeKledenLichaamsdeel
−
|style="background-color: white;"|Roep
+
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Contactgegevens
+
|colspan="8"|VermogenTotZichKleden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichKleden
 +
|style="background-color: white;"|Onafhankelijk (code = '129035000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|TeKledenLichaamsdeel
 +
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Email adressen
+
|colspan="8"|VermogenTotUiterlijkeVerzorging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Email adres
+
|colspan="6"|UiterlijkeVerzorging
−
|style="background-color: white;"|thereseroep@zzp.nl
+
|style="background-color: white;"|Hulp nodig (code = '27941000146109' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotToiletgang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Aard
+
|rowspan="2"|
−
|style="background-color: white;"|ondersteuning bij wassen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|colspan="6"|Toiletgebruik
−
|style="background-color: white;"|dagelijks
+
|style="background-color: white;"|Onafhankelijk (code = '129062008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZelfstandigMedicatiegebruik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Soort hulp
+
|rowspan="17"|
−
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="6"|ZelfstandigMedicatiegebruik
−
|style="background-color: white;"|alleen in het weekend
+
|style="background-color: white;"|Hulp nodig (code = '27921000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Communicatie
+
|colspan="7"|HulpBijToediening
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="14"|
 
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Taalvaardigheid
+
|colspan="6"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Communicatie taal
+
|colspan="4"|Interventie
−
|style="background-color: white;"|Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
+
|style="background-color: white;"|bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Taalvaardigheid begrijpen
+
|rowspan="2"|
−
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Taalvaardigheid spreken
+
|colspan="3"|GewenstZorgresultaat
−
|style="background-color: white;"|Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
+
|style="background-color: white;"|therapietrouw
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Taalvaardigheid lezen
+
|colspan="4"|Frequentie
−
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
+
|style="background-color: white;"|2 /d
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|rowspan="5"|
−
|style="background-color: white;"|t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Taalvaardigheid
+
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Communicatie taal
+
|colspan="2"|ProductType
−
|style="background-color: white;"|Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
+
|style="background-color: white;"|medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Taalvaardigheid begrijpen
+
|colspan="3"|ProductOmschrijving
−
|style="background-color: white;"|Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
+
|style="background-color: white;"|baxterrol
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Taalvaardigheid spreken
+
|rowspan="15"|
−
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|rowspan="12"|
−
|style="background-color: white;"|opgegroeid in Zuid-Limburg
 
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="8" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Behandelaar
+
|colspan="6"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="4"|Interventie
 +
|style="background-color: white;"|Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|<span id="eovdv-1-1-behandelaar-01" title="Intern ID = eovdv-1-1-behandelaar-01">Zorgverlener eovdv-1-1-behandelaar-01</span>
+
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="3"|GewenstZorgresultaat
 +
|style="background-color: white;"|goede hygiene met betrekking tot stoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voornamen
+
|colspan="4"|ActieStartDatumTijd
−
|style="background-color: white;"|Joshua Pieter
+
|style="background-color: white;"|T - 6 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Initialen
+
|colspan="5"|Uitvoerder
−
|style="background-color: white;"|J. P.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Achternaam
+
|colspan="3"|Patient
−
|style="background-color: white;"|Helmond
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toelichting
 +
|style="background-color: white;"|toezicht bij uitvoer, en instructie hygiënisch werken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VerrichtenVPKHandeling
 +
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Specialisme
+
|rowspan="6"|
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgaanbieder
+
|colspan="6"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Zorgaanbieder identificatienummer
+
|colspan="4"|Interventie
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie naam
+
|colspan="4"|ActieStartDatumTijd
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie locatie
+
|colspan="4"|Interval
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|2 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Behandelaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|VerrichtenVPKHandeling
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|colspan="8"|<span id="eovdv-1-1-behandelaar-02" title="Intern ID = eovdv-1-1-behandelaar-02">Zorgverlener eovdv-1-1-behandelaar-02</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="7"|Toelichting zelfzorg
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.
−
|colspan="6"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Naamgegevens
+
|colspan="9"|Mobiliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="28"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Initialen
 
−
|style="background-color: white;"|G.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geslachtsnaam
+
|colspan="8"|Mobiliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="26"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Achternaam
+
|colspan="6"|Lopen
−
|style="background-color: white;"|Spijkerman
+
|style="background-color: white;"|Hulp nodig (code = '16581000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Specialisme
+
|colspan="6"|Traplopen
−
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Volledig afhankelijk (code = '301589003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|HoudingVeranderen
 +
|style="background-color: white;"|Onafhankelijk (code = '19821000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Zorgaanbieder identificatienummer
+
|colspan="6"|HoudingHandhaven
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Onafhankelijk (code = '19811000146100' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie naam
+
|colspan="6"|UitvoerenTransfer
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|Hulp nodig (code = '714917003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Organisatie locatie
+
|rowspan="8"|
−
|style="background-color: white;"|Noord
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Medische diagnose
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|<span id="eovd-1-1-probleem-01" title="Intern ID = eovd-1-1-probleem-01">Probleem eovd-1-1-probleem-01</span>
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|rollator
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|T - 100 dagen
+
|style="background-color: white;"|T - 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|rowspan="9"|
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Verificatie status
+
|rowspan="7"|
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|rowspan="2"|
−
|style="background-color: white;"|niet bekend met neurologische klachten
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|<span id="eovd-1-1-probleem-02" title="Intern ID = eovd-1-1-probleem-02">Probleem eovd-1-1-probleem-02</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|ProductType
 +
|style="background-color: white;"|rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|rolstoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|neoplasma van colon (code = '126838000')
+
|style="background-color: white;"|T - 1 maand
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|colspan="4"|Toelichting
−
|style="background-color: white;"|T - 150 dagen
+
|style="background-color: white;"|voor langere afstanden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|lopen is stuk verbeterd, rechter been minder krachtig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|<span id="eovd-1-1-probleem-03" title="Intern ID = eovd-1-1-probleem-03">Probleem eovd-1-1-probleem-03</span>
+
|colspan="9"|Voeding/vocht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="127"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Voedingsadvies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem anatomische locatie
+
|rowspan="4"|
−
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem lateraliteit
+
|colspan="6"|DieetType
−
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|suikervrij, diabetes dieet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="6"|Consistentie
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|dik vloeibaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|inverse psoriasis (code = '238600001')
+
|style="background-color: white;"|eet naar eigen keuze minder vlees
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Voedingsadvies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|rowspan="2"|
−
|style="background-color: white;"|T - 10 jaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|colspan="6"|DieetType
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|geen varkensvlees
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Voorgeschiedenis
+
|colspan="8"|SNAQScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="6"|EetlustScore
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="6"|VoedingsScore
−
|style="background-color: white;"|diabetes mellitus (code = '73211009')
+
|style="background-color: white;"|GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|T - 12 jaar
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|colspan="6"|SNAQScoreDatumTijd
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 6 dagen om 17 uur
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Allergie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="37"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Allergie intolerantie
+
|colspan="8"|SNAQrcScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Veroorzakende stof
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Allergie categorie
+
|colspan="6"|EetlustScore
−
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Allergie status
+
|colspan="6"|BMIScore
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="6"|HulpBijEten
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TotaalScore
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Mate van kritiek zijn
+
|colspan="6"|SNAQrcScoreDatumTijd
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 6 dagen om 17 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden.
+
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reactie
+
|colspan="8"|SNAQ65+Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Symptoom
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reactie beschrijving
+
|colspan="6"|BovenarmOmtrekScore
−
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
+
|style="background-color: white;"|Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Wijze van blootstelling
+
|colspan="6"|EetlustScore
−
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Allergie intolerantie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|colspan="6"|InspanningsScore
 +
|style="background-color: white;"|Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Veroorzakende stof
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|pollen (code = '256259004')
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Allergie categorie
+
|colspan="6"|SNAQ65+ScoreDatumTijd
−
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 6 dagen om 17 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Allergie status
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Begin datum tijd
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Mate van kritiek zijn
 
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Laatste reactie datum tijd
 
−
|style="background-color: white;"|T - 99 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reactie
+
|colspan="8"|MUSTScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Symptoom
+
|colspan="6"|BMIScore
−
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Specifieke stof
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|graspollen (code = '256277009')
+
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reactie beschrijving
+
|colspan="6"|ZiekteScore
−
|style="background-color: white;"|veelvuldig niezen
+
|style="background-color: white;"|Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ernst
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reactie tijdstip
+
|colspan="6"|MUSTScoreDatumTijd
−
|style="background-color: white;"|T - 99 dagen
+
|style="background-color: white;"|T - 12 dagen om 17 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reactie
+
|colspan="8"|Vochtbalans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Symptoom
+
|colspan="6"|VochtTotaalIn
−
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1400 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Symptoom
+
|colspan="6"|VochtTotaalUit
−
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1000 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Specifieke stof
+
|colspan="6"|VochtbalansStarttijd
−
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104')
+
|style="background-color: white;"|T - 6 dagen om 07 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reactie beschrijving
+
|colspan="6"|VochtbalansStoptijd
−
|style="background-color: white;"|ernstige benauwdheid en koorts
+
|style="background-color: white;"|T - 5 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SondeSysteem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ernst
+
|rowspan="15"|
−
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reactie tijdstip
+
|rowspan="11"|
−
|style="background-color: white;"|T - 200 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Let op
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Alert
+
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|neus- maagsonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Alert naam
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|T - 20 dagen
+
|style="background-color: white;"|neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Alert type
+
|colspan="4"|Lateraliteit
−
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem 'LOINC')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="8"|Alert
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Zie [[#eovdv-kwa-1-1-behandelaar-02|Zorgverlener: eovdv-kwa-1-1-behandelaar-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Alert naam
+
|colspan="6"|SondeLengte
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
+
|style="background-color: white;"|575 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|wegens misselijkheid door chemotherapie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Vrijheidsbeperking
+
|colspan="8"|SondeSysteem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vrijheidsbeperkende interventie
+
|colspan="7"|Sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wilsbekwaam
+
|rowspan="6"|
−
|style="background-color: white;"|Ja
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Juridische situatie
+
|rowspan="2"|
−
|style="background-color: white;"|Zie [[#eovd-1-1-juridischesituatie-01|Juridische situatie: eovd-1-1-juridischesituatie-01]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Soort interventie
+
|colspan="3"|ProductType
−
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Reden van toepassen
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|PEJ sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Instemming
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
+
|style="background-color: white;"|T - 5 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Begin
 
−
|style="background-color: white;"|T - 50 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Meetwaarden
+
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="57"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Bloeddruk
+
|colspan="6"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Meetmethode
+
|colspan="4"|ProductType
−
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Manchet type
+
|colspan="5"|ProductOmschrijving
−
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.15.1')
+
|style="background-color: white;"|enterale voedingspomp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Meet locatie
+
|colspan="5"|BeginDatum
−
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Diastolisch eindpunt
+
|rowspan="27"|
−
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Systolische bloeddruk
+
|rowspan="12"|
−
|style="background-color: white;"|170 mmhg
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Diastolische bloeddruk
+
|rowspan="10"|
−
|style="background-color: white;"|90 mmhg
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gemiddelde bloeddruk
+
|colspan="3"|ProductType
−
|style="background-color: white;"|110 mmhg
+
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Bloeddruk datum tijd
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|T - 20 dagen om 14:45 uur
+
|style="background-color: white;"|centraal veneuze katheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|meneer gebruikt medicatie
+
|style="background-color: white;"|T - 20 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Houding
+
|colspan="4"|Toelichting
−
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|onder sleutelbeen links
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Polsfrequentie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Polsfrequentie waarde
+
|colspan="4"|Lateraliteit
−
|style="background-color: white;"|90
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Polsfrequentie datum tijd
+
|colspan="4"|Zorgverlener
−
|style="background-color: white;"|T - 5 dagen om 14:45 uur
+
|style="background-color: white;"|Zie [[#eovdv-kwa-1-1-behandelaar-02|Zorgverlener: eovdv-kwa-1-1-behandelaar-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|is altijd sportief geweest
+
|style="background-color: white;"|voor voeding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Pols regelmatigheid
+
|rowspan="3"|
−
|style="background-color: white;"|Polsslag regelmatig (code = '271636001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Lichaamstemperatuur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Temperatuur waarde
+
|colspan="5"|LumenLocatie
−
|style="background-color: white;"|36.8 ºc
+
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Temperatuur datum tijd
+
|rowspan="3"|
−
|style="background-color: white;"|T - 4 dagen om 07 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="5"|LijnStatus
−
|style="background-color: white;"|voeten voelen heel koud aan
+
|style="background-color: white;"|Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Temperatuur type
+
|colspan="5"|LumenLocatie
−
|style="background-color: white;"|Tympanische temperatuur (code = '415974002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Mediaal (code = '255561001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Ademhaling
+
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ademfrequentie
+
|colspan="5"|LijnStatus
−
|style="background-color: white;"|18 /min
+
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ademhaling datum tijd
+
|colspan="5"|LumenLocatie
−
|style="background-color: white;"|T - 3 dagen om 14:45 uur
+
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ritme
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Abnormaal ademhalingsritme (code = '85617008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Diepte
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Normale ademhalingsdiepte (code = '301284009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Perifeer intraveneus infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Afwijkend ademhalingspatroon
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Apneu (code = '1023001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 15 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Extra zuurstof toediening
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|meneer lijkt angstig
+
|style="background-color: white;"|voor medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Toegediende zuurstof
+
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Flow rate
+
|colspan="5"|LijnStatus
−
|style="background-color: white;"|2 l/min
+
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Uitscheiding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Fi o2
+
|rowspan="41"|
−
|style="background-color: white;"|0.29 l
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Toediening hulpmiddel
+
|colspan="8"|Blaasfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="13"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|UrineContinentie
 +
|style="background-color: white;"|Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Product
+
|colspan="7"|Urostoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Product type
+
|colspan="5"|Stoma
−
|style="background-color: white;"|Neusbril (code = '336623009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-stoma-02|Stoma: eovd-kwa-1-1-stoma-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Incontinentiemateriaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product omschrijving
+
|rowspan="7"|
−
|style="background-color: white;"|neusbril
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Lichaamsgewicht
+
|colspan="6"|MedischHulpmiddel
 
|-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;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewicht waarde
+
|colspan="3"|ProductType
−
|style="background-color: white;"|74 kg
+
|style="background-color: white;"|inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|meneer volgt afvaldieet
+
|style="background-color: white;"|inlegger
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Kleding
 
−
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Lichaamslengte
+
|colspan="8"|Darmfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lengte waarde
+
|colspan="6"|Stoma
−
|style="background-color: white;"|170 cm
+
|style="background-color: white;"|Zie [[#eovd-kwa-1-1-stoma-01|Stoma: eovd-kwa-1-1-stoma-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lengte datum tijd
+
|colspan="6"|DefecatieConsistentie
−
|style="background-color: white;"|T - 5 dagen om 14:30 uur
+
|style="background-color: white;"|Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|zonder schoenen aan
+
|style="background-color: white;"|stoma na subtotale darmresectie wegens coloncarcinoom
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Pijnscore
+
|colspan="8"|<span id="eovd-kwa-1-1-stoma-01" title="Intern ID = eovd-kwa-1-1-stoma-01">Stoma eovd-kwa-1-1-stoma-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="6"|StomaType
 +
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Pijn score
+
|colspan="7"|StomaMateriaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Pijnscore waarde
+
|rowspan="5"|
−
|style="background-color: white;"|2
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Pijnscore datum tijd
+
|colspan="3"|ProductType
−
|style="background-color: white;"|T - 5 dagen om 14:45 uur
+
|style="background-color: white;"|Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Pijn meetmethode
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
+
|style="background-color: white;"|stomazak voor ileostoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Lateraliteit
 
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AanlegDatum
 +
|style="background-color: white;"|T - 12 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|Af en toe pijn, maar niet belemmerend bij het lopen
+
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
−
|}
 
−
=== Verpleegkundige context zorgplan===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="11" | Verpleegkundige context zorgplan
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="10" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="11"|Actuele patientproblemen
+
|colspan="8"|<span id="eovd-kwa-1-1-stoma-02" title="Intern ID = eovd-kwa-1-1-stoma-02">Stoma eovd-kwa-1-1-stoma-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="121"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Patientprobleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|colspan="6"|StomaType
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="9"|<span id="eovd-1-1-patientprobleem-01" title="Intern ID = eovd-1-1-patientprobleem-01">Probleem eovd-1-1-patientprobleem-01</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem naam
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem begin datum
+
|colspan="6"|AanlegDatum
−
|style="background-color: white;"|T - 100 dagen
+
|style="background-color: white;"|T - 4 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Huid
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem status
+
|rowspan="91"|
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Toelichting
 
−
|style="background-color: white;"|meneer kan niet buigen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|<span id="eovd-1-1-interventie-01" title="Intern ID = eovd-1-1-interventie-01">Verpleegkundige interventie eovd-1-1-interventie-01</span>
+
|colspan="8"|Brandwond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Interventie
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|T - 2 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Uitgebreidheid
 +
|style="background-color: white;"|1 %
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem
+
|colspan="6"|BrandwondSoort
−
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-01|Probleem: eovd-1-1-patientprobleem-01]]
+
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewenst zorgresultaat
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|wassen onafhankelijk
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Actie start datum tijd
+
|colspan="6"|Dieptegraad
−
|style="background-color: white;"|T - 90 dagen
+
|style="background-color: white;"|1e graad (code = '77140003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|1 /dag
+
|style="background-color: white;"|Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Instructie
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|let op: valrisico
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Uitvoerder
+
|colspan="8"|Brandwond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgverlener
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|T - 2 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Patientprobleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|Uitgebreidheid
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1 %
−
|colspan="9"|<span id="eovd-1-1-patientprobleem-02" title="Intern ID = eovd-1-1-patientprobleem-02">Probleem eovd-1-1-patientprobleem-02</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|BrandwondSoort
 +
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem naam
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem begin datum
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|T - 90 dagen
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem status
+
|colspan="6"|Dieptegraad
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2e graad, oppervlakkig (code = '262587005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|<span id="eovd-1-1-interventie-02" title="Intern ID = eovd-1-1-interventie-02">Verpleegkundige interventie eovd-1-1-interventie-02</span>
+
|colspan="8"|DecubitusWond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="6"|DecubitusCategorie
 +
|style="background-color: white;"|Decubitus categorie 2 (code = '420324007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Interventie
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="8"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-02|Probleem: eovd-1-1-patientprobleem-02]]
+
|style="background-color: white;"|2 cm
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewenst zorgresultaat
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|kleden onafhankelijk
+
|style="background-color: white;"|0.5 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|3 /dag
+
|style="background-color: white;"|Wond is niet geïnfecteerd.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Patientprobleem
+
|colspan="8"|DecubitusWond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="41"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|<span id="eovd-1-1-patientprobleem-03" title="Intern ID = eovd-1-1-patientprobleem-03">Probleem eovd-1-1-patientprobleem-03</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|DecubitusCategorie
 +
|style="background-color: white;"|Decubitus categorie 1 (code = '421076008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem anatomische locatie
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|T - 20 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem lateraliteit
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem type
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem naam
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|3 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem begin datum
+
|colspan="6"|Wondbreedte
−
|style="background-color: white;"|T - 90 dagen
+
|style="background-color: white;"|1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem status
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|0.2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Verpleegkundige interventie
+
|colspan="8"|Huidaandoening
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|SoortAandoening
 +
|style="background-color: white;"|Intertrigo/smetten (code = '58759008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Interventie
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|T - 6 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-03|Probleem: eovd-1-1-patientprobleem-03]]
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Frequentie
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|1 /dag
+
|style="background-color: white;"|Smetten zonder natten of infectie, inmiddels genezen.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Medisch hulpmiddel
+
|colspan="8"|Wond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="13"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|WondSoort
 +
|style="background-color: white;"|Traumatische wond (code = '416462003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Product type
+
|colspan="6"|WondWeefsel
−
|style="background-color: white;"|schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|WondInfectie
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Nee
−
|colspan="7"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|WondVochtigheid
 +
|style="background-color: white;"|Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Product type
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|2 cm
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|4 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Interventie
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|0.1 cm
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-03|Probleem: eovd-1-1-patientprobleem-03]]
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|WondOntstaansdatum
 +
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewenst zorgresultaat
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|wondlengte < 1cm, wondbreedte < 1 cm
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Actie start datum tijd
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|T - 10 dagen
+
|style="background-color: white;"|oppervlakkige schaafwond na CVA, geen verband nodig
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Actie eind datum tijd
 
−
|style="background-color: white;"|T - 1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Interval
 
−
|style="background-color: white;"|4 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Uitvoerder
+
|colspan="8"|Wond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgverlener
+
|colspan="6"|WondSoort
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Chirurgische wond (code = '112633009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Patientprobleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="37"|
+
|colspan="6"|WondInfectie
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Nee
−
|colspan="9"|<span id="eovd-1-1-patientprobleem-04" title="Intern ID = eovd-1-1-patientprobleem-04">Probleem eovd-1-1-patientprobleem-04</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|WondVochtigheid
 +
|style="background-color: white;"|Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem type
+
|colspan="6"|WondRand
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ondermijning (code = '449752001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem naam
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|5 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem begin datum
+
|colspan="6"|Wondbreedte
−
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem status
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|4 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Toelichting
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|vastgesteld met DOS score
+
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Verpleegkundige interventie
+
|colspan="7"|Drain
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="28"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Interventie
+
|rowspan="6"|
−
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Indicatie
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-04|Probleem: eovd-1-1-patientprobleem-04]]
+
|style="background-color: white;"|wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|wonddrain
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 12 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Behandeldoel
+
|colspan="8"|Wond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewenst zorgresultaat
+
|colspan="6"|WondSoort
−
|style="background-color: white;"|vochtinname > 1,5 liter/dag
+
|style="background-color: white;"|Oncologische ulcer (code = '94579000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Instructie
+
|colspan="6"|WondWeefsel
−
|style="background-color: white;"|Graag er op toezien dat meneer > 1,5 liter per dag drinkt
+
|style="background-color: white;"|Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|colspan="6"|WondInfectie
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Nee
−
|colspan="7"|Verzorger
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="6"|Wondlengte
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1 cm
−
|colspan="6"|Contactpersoon
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="6"|Wondbreedte
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1 cm
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|Gerda
+
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Naamgebruik
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam partner
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|WondOntstaansdatum
 +
|style="background-color: white;"|T - 1 maand
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|XXX_Altenborg
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="9"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="32"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|FunctieHoren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|HoorFunctie
−
|style="background-color: white;"|+31662626262
+
|style="background-color: white;"|Verminderde gehoorfunctie (code = '15188001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HorenHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|rowspan="9"|
−
|style="background-color: white;"|Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="11"|Zorgresultaat
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Uitkomst van zorg
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Zorgresultaat
+
|colspan="3"|ProductID
−
|style="background-color: white;"|doel deels behaald: kan nog niet rug wassen
+
|style="background-color: white;"|012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="9"|Interventie
+
|colspan="3"|ProductType
 +
|style="background-color: white;"|Gehoorapparaat (code = '6012004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gehoorapparaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Verpleegkundige interventie
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|Zie [[#eovd-1-1-interventie-01|Verpleegkundige interventie: eovd-1-1-interventie-01]]
+
|style="background-color: white;"|Linkeroor (code = '89644007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Uitkomst van zorg
+
|colspan="7"|HorenHulpmiddel
 
|-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;;"
 
−
|colspan="8"|Zorgresultaat
 
−
|style="background-color: white;"|doel deels behaald, kan nog niet zelf veters strikken
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Interventie
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Verpleegkundige interventie
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Zie [[#eovd-1-1-interventie-02|Verpleegkundige interventie: eovd-1-1-interventie-02]]
+
|style="background-color: white;"|Gehoorapparaat
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="11"|Afspraken patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="81"|
+
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|Rechteroor (code = '25577004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="10"|Contact
+
|colspan="8"|FunctieZien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="55"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Contact type
+
|colspan="6"|VisueleFunctie
−
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|Verminderd gezichtsvermogen (code = '397540003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Contact met
+
|colspan="7"|ZienHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Zorgverlener
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Naamgegevens
+
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|bril (code = '50121007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|bril
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voornamen
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Joshua Pieter
+
|style="background-color: white;"|zonder bril bestaat verhoogd valrisico
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Ziektebeleving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Initialen
+
|rowspan="6"|
−
|style="background-color: white;"|J.P.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geslachtsnaam
+
|colspan="8"|Ziektebeleving
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ZiekteInzichtVanPatiënt
 +
|style="background-color: white;"|meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Achternaam
+
|colspan="6"|OmgaanMetZiekteprocesDoorPatiënt
−
|style="background-color: white;"|Helmond
+
|style="background-color: white;"|meneer wil niet praten over de toekomst.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Specialisme
+
|colspan="6"|OmgaanMetZiekteprocesDoorNaasten
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Contact met
+
|colspan="9"|Mentale status
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Zorgverlener
+
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgverlener identificatienummer
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|03686868 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Symptoom (code = '418799008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Initialen
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|F.
+
|style="background-color: white;"|T - 22 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Achternaam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Snijder
+
|style="background-color: white;"|sinds cva, verminderde alertheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Specialisme
+
|rowspan="6"|
−
|style="background-color: white;"|Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Locatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="6"|ProbleemType
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Klacht (code = '409586006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="8"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgaanbieder identificatienummer
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|T - 22 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Organisatie naam
+
|colspan="6"|ProbleemEindDatum
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Organisatie locatie
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|}<section end=eOvd-SOV-kwa-1.1-alle_zibs />
 +
<section begin=eOvd-SOV-kwa-1.2-minimaal />
 +
==Kwalificatie Overdracht 1.2 ==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Afdeling specialisme
+
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T + 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Contactgegevens
+
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="27"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Telefoonnummers
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="14"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Telefoonnummer
+
|colspan="5"|Naamgegevens
−
|style="background-color: white;"|+31182435770
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Email adressen
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Email adres
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|neurologie@ABZ.nl
+
|style="background-color: white;"|XXX_Zuidwijker
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Adresgegevens
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Straat
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|1002
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Huisnummer
+
|colspan="3"|Postcode
−
|style="background-color: white;"|10
+
|style="background-color: white;"|9999ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Postcode
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|9999PO
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Woonplaats
+
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|999910346 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Adres soort
+
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|27 jul 1954
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Organisatie type
+
|colspan="4"|Geslacht
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Begin datum tijd
+
|rowspan="10"|
−
|style="background-color: white;"|T + 5 dagen om 10:00 uur
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Eind datum tijd
+
|rowspan="8"|
−
|style="background-color: white;"|T + 5 dagen om 10:30 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Reden contact
+
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EindDatumTijd
 +
|style="background-color: white;"|T + 250 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Probleem
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|Zie [[#eovd-1-1-probleem-01|Probleem: eovd-1-1-probleem-01]]
+
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="10"|Contact
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="3"|OrganisatieNaam
 +
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="8"|Contact type
+
|colspan="3"|VerzekerdeNummer
−
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|12345678
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Contact met
+
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Zorgverlener
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgverlener identificatienummer
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|88131313 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|HomeCare
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Naamgegevens
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Initialen
+
|rowspan="4"|
−
|style="background-color: white;"|W.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geslachtsnaam
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Achternaam
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Bloem
+
|style="background-color: white;"|Moorman
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Specialisme
 
−
|style="background-color: white;"|Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Contactgegevens
+
|colspan="7"|Ontvangende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Email adressen
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Email adres
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|bloem@ergotherapie.nl
+
|style="background-color: white;"|St. Zonnehof
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="8"|Begin datum tijd
 
−
|style="background-color: white;"|T + 12 dagen om 15:15 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Reden contact
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Reden contact tekst
 
−
|style="background-color: white;"|Controle voortgang revalidatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="10"|Wensen en behoeften patient enof naasten
 
−
|style="background-color: white;"|meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen
 
 
|}
 
|}
−
=== Verpleegkundige context specificatie gezondheidstoestand===
+
=== Medische context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context specificatie gezondheidstoestand
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="8" width="30%"| Gegevenselement
+
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Zelfzorg
+
|colspan="7"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="103"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot drinken
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Drinken
 
−
|style="background-color: white;"|Hulp nodig (code = '16681000146102' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Drink beperkingen
 
−
|style="background-color: white;"|Bereiden (openen/uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot drinken
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Drinken
+
|rowspan="2"|
−
|style="background-color: white;"|Onafhankelijk (code = '19841000146104' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Drink beperkingen
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Vastpakken (code = '307071002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Köln
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot eten
+
|colspan="7"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eten
 
−
|style="background-color: white;"|Hulp nodig (code = '129033007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eet beperkingen
 
−
|style="background-color: white;"|Snijden/openen (code = '289078003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot eten
+
|colspan="6"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eten
+
|colspan="4"|ProbleemNaam
−
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
+
|style="background-color: white;"|delier (code = '2776000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eet beperkingen
+
|colspan="4"|ProbleemStatus
−
|style="background-color: white;"|Eetgerei hanteren (code = '289046006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|}
 +
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot mondverzorging
+
|colspan="6"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="10"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Verzorgen tanden
 
−
|style="background-color: white;"|Hulp nodig (code = '16671000146104' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Prothese
+
|colspan="5"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="4"|<span id="eovd-kwa-1-2-probleem-01" title="Intern ID = eovd-kwa-1-2-probleem-01">Probleem eovd-kwa-1-2-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|ProbleemNaam
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
−
|colspan="3"|Product type
 
−
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Product omschrijving
 
−
|style="background-color: white;"|Gebitsprothese bovenkaak
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Prothese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Product
+
|colspan="4"|<span id="eovd-kwa-1-2-interventie-01" title="Intern ID = eovd-kwa-1-2-interventie-01">VerpleegkundigeInterventie eovd-kwa-1-2-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="2"|Interventie
−
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Product omschrijving
 
−
|style="background-color: white;"|Gebitsprothese onderkaak
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot zich wassen
+
|colspan="6"|Zorgresultaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Zich wassen
 
−
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te wassen lichaamsdeel
 
−
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot zich wassen
+
|colspan="5"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zich wassen
+
|colspan="3"|Zorgresultaat
−
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|DOSS = 2
 +
|}<section end=eOvd-SOV-kwa-1.2-minimaal />
 +
<section begin=eOvd-SOV-tst-1.1-alle_zibs />
 +
==Test Overdracht 1.1==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Te wassen lichaamsdeel
+
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot zich kleden
+
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="75"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zich kleden
+
|rowspan="26"|
−
|style="background-color: white;"|Hulp nodig (code = '129039006' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te kleden lichaamsdeel
 
−
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot zich kleden
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zich kleden
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|Onafhankelijk (code = '129035000' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|Erik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Te kleden lichaamsdeel
+
|colspan="3"|Initialen
−
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|E.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot uiterlijke verzorging
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Uiterlijke verzorging
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Hulp nodig (code = '27941000146109' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|XXX_Altenborg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot toiletgang
+
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toiletgebruik
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|Onafhankelijk (code = '129062008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
+
|style="background-color: white;"|1000
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Vermogen tot zelfstandig medicatiegebruik
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zelfstandig medicatiegebruik
+
|colspan="3"|Woonplaats
−
|style="background-color: white;"|Hulp nodig (code = '27921000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Stitswerd
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Hulp bij toediening
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="3"|AdresSoort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Verpleegkundige interventie
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Interventie
 
−
|style="background-color: white;"|bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Behandeldoel
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewenst zorgresultaat
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|therapietrouw
+
|style="background-color: white;"|+31634567891
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Frequentie
 
−
|style="background-color: white;"|2 /d
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medisch hulpmiddel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Product
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Product type
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|evertaltenborg@hotmail.com
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product omschrijving
+
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|baxterrol
+
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Vermogen tot verpleegtechnische handelingen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|colspan="4"|Geboortedatum
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|14 aug 1964
−
|colspan="7"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Verpleegkundige interventie
+
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Interventie
+
|rowspan="8"|
−
|style="background-color: white;"|Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Behandeldoel
+
|colspan="4"|Verzekering
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewenst zorgresultaat
+
|colspan="2"|EindDatumTijd
−
|style="background-color: white;"|goede hygiene met betrekking tot stoma
+
|style="background-color: white;"|T + 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Actie start datum tijd
+
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|T - 6 dagen
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|IdentificatieNummer
 +
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Patient
+
|colspan="3"|OrganisatieNaam
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="3"|VerzekerdeNummer
−
|style="background-color: white;"|toezicht bij uitvoer, en instructie hygiënisch werken
+
|style="background-color: white;"|12345678
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Verrichten vpkhandeling
 
−
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Vermogen tot verpleegtechnische handelingen
+
|colspan="6"|<span id="eovd-1-1-contactpersoon-01" title="Intern ID = eovd-1-1-contactpersoon-01">Contactpersoon eovd-1-1-contactpersoon-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Verpleegkundige interventie
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Johanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Interventie
+
|colspan="3"|Initialen
−
|style="background-color: white;"|vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|J.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Actie start datum tijd
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|T - 1 dag
+
|style="background-color: white;"|Hanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Interval
+
|rowspan="2"|
−
|style="background-color: white;"|2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Verrichten vpkhandeling
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|Bakker
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Toelichting zelfzorg
 
−
|style="background-color: white;"|kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Mobiliteit
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="28"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Mobiliteit
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="26"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lopen
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|Hulp nodig (code = '16581000146103' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|+31645678912
 +
|-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="6"|Traplopen
+
|rowspan="2"|
−
|style="background-color: white;"|Volledig afhankelijk (code = '301589003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Houding veranderen
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|Onafhankelijk (code = '19821000146105' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|jbakker@123net.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Houding handhaven
+
|colspan="4"|Rol
−
|style="background-color: white;"|Onafhankelijk (code = '19811000146100' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Uitvoeren transfer
+
|colspan="4"|Relatie
−
|style="background-color: white;"|Hulp nodig (code = '714917003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medisch hulpmiddel
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Johannes
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Hans
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|rowspan="3"|
−
|style="background-color: white;"|rollator
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|colspan="2"|Voorvoegsels
−
|style="background-color: white;"|T - 1 jaar
+
|style="background-color: white;"|van
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Dijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Product
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|+31612121212
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="4"|Relatie
−
|style="background-color: white;"|rolstoel
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): achterneef
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|rowspan="34"|
−
|style="background-color: white;"|T - 1 maand
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|rowspan="21"|
−
|style="background-color: white;"|voor langere afstanden
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|lopen is stuk verbeterd, rechter been minder krachtig
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Voedingvocht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="127"|
+
|colspan="4"|OrganisatieNaam
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|AB-zkh
−
|colspan="8"|Voedingsadvies
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="4"|OrganisatieLocatie
 +
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Dieet type
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|suikervrij, diabetes dieet
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Consistentie
+
|rowspan="7"|
−
|style="background-color: white;"|dik vloeibaar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|eet naar eigen keuze minder vlees
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Voedingsadvies
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Dieet type
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|geen varkensvlees
+
|style="background-color: white;"|+31182435770
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Snaqscore
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailAdres
 +
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewichtsverlies score
+
|colspan="3"|Straat
−
|style="background-color: white;"|LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eetlust score
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Voedings score
+
|colspan="3"|Postcode
−
|style="background-color: white;"|GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
+
|style="background-color: white;"|9999PO
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Totaal score
+
|colspan="3"|Woonplaats
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Snaqscore datum tijd
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|T - 6 dagen om 17 uur
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Snaqrc score
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewichtsverlies score
+
|rowspan="7"|
−
|style="background-color: white;"|LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eetlust score
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
+
|style="background-color: white;"|Charlotte Maria
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Bmiscore
+
|colspan="3"|Initialen
−
|style="background-color: white;"|Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
+
|style="background-color: white;"|C. M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Hulp bij eten
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
+
|style="background-color: white;"|Lotte
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Totaal score
+
|rowspan="2"|
−
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Snaqrc score datum tijd
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|T - 6 dagen om 17 uur
+
|style="background-color: white;"|Bruinsma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="4"|Specialisme
−
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
+
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Snaq65score
+
|colspan="7"|Ontvangende organisatie
 
|-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="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewichtsverlies score
+
|rowspan="6"|
−
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Bovenarm omtrek score
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
+
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Eetlust score
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
+
|style="background-color: white;"|ThuiszorgOrg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Inspannings score
+
|colspan="4"|OrganisatieLocatie
−
|style="background-color: white;"|Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Totaal score
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|0
+
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Snaq65score datum tijd
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|T - 6 dagen om 17 uur
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 +
|}
 +
=== Algemene patiënten context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="10" | Algemene patiënten context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="9" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|rowspan="22"|
−
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Mustscore
+
|colspan="9"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|BurgerlijkeStaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Bmiscore
+
|rowspan="4"|
−
|style="background-color: white;"|BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|BurgerlijkeStaatRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Gewichtsverlies score
+
|rowspan="2"|
−
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ziekte score
+
|colspan="5"|BurgerlijkeStaat
−
|style="background-color: white;"|Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
+
|style="background-color: white;"|Gehuwd (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.2">HL7 MaritalStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Totaal score
+
|colspan="7"|Gezinssamenstelling
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Samenwonend met partner (code = '408821002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Mustscore datum tijd
+
|colspan="7"|AantalKinderen
−
|style="background-color: white;"|T - 12 dagen om 17 uur
+
|style="background-color: white;"|3
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Vochtbalans
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|AantalKinderenInwonend
 +
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Vocht totaal in
+
|colspan="7"|Zorgtaak
−
|style="background-color: white;"|1400 ml
+
|style="background-color: white;"|zorgt voor zijn vrouw die slecht ter been is
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Vocht totaal uit
+
|colspan="7"|Zorgtaak
−
|style="background-color: white;"|1000 ml
+
|style="background-color: white;"|zorgt voor de hond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Vochtbalans starttijd
+
|rowspan="3"|
−
|style="background-color: white;"|T - 6 dagen om 07 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Vochtbalans stoptijd
+
|colspan="6"|Geboortedatum
−
|style="background-color: white;"|T - 5 dagen om 07 uur
+
|style="background-color: white;"|T - 30 jaar
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Sonde systeem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|colspan="6"|Inwonend
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sonde
+
|colspan="8"|Kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="6"|Geboortedatum
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|T - 25 jaar
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Inwonend
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|kinderen wonen ver weg en kunnen niet helpen bij dagelijkse zorg aan echtgenote
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Juridische situatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|rowspan="5"|
−
|style="background-color: white;"|neus- maagsonde
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="9"|<span id="eovd-1-1-juridischesituatie-01" title="Intern ID = eovd-1-1-juridischesituatie-01">JuridischeSituatie eovd-1-1-juridischesituatie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|rowspan="3"|
−
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Anatomische locatie
+
|colspan="7"|Vertegenwoordiging
−
|style="background-color: white;"|neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lateraliteit
+
|colspan="7"|DatumAanvang
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Woonomgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener
+
|rowspan="5"|
−
|style="background-color: white;"|Zie [[#eovdv-1-1-behandelaar-02|Zorgverlener: eovdv-1-1-behandelaar-02]]
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="9"|Woonsituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Sonde lengte
+
|rowspan="3"|
−
|style="background-color: white;"|575 mm
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|wegens misselijkheid door chemotherapie
+
|style="background-color: white;"|woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Sonde systeem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|colspan="7"|WoningType
 +
|style="background-color: white;"|Appartement of flatwoning (code = 'FLATW' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.13.1">ZIB WoningType</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sonde
+
|colspan="10"|Levensovertuiging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="16"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Medisch hulpmiddel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Product
+
|colspan="9"|LevensovertuigingRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="7"|Levensovertuiging
−
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Geen geloof (code = 'GeenGeloof' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4">ZIB NL-CM-CS Algemeen</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|rowspan="7"|
−
|style="background-color: white;"|PEJ sonde
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|colspan="7"|WilsverklaringType
−
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|Verklaring donorschap (code = 'DO' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.14.1">ZIB WilsverklaringType</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="7"|WilsverklaringDatum
 +
|style="background-color: white;"|T - 4 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Product
+
|colspan="8"|Vertegenwoordiger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product type
+
|colspan="6"|Contactpersoon
−
|style="background-color: white;"|enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Zie [[#eovd-1-1-contactpersoon-01|Contactpersoon: eovd-1-1-contactpersoon-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Product omschrijving
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|enterale voedingspomp
+
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Begin datum
+
|rowspan="3"|
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Infuus
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="27"|
+
|colspan="7"|WilsverklaringType
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): Wil niet gevaccineerd worden
−
|colspan="7"|Infuuskatheter
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|colspan="7"|WilsverklaringDatum
 +
|style="background-color: white;"|T - 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="10"|Sociale omgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="61"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Product
+
|colspan="9"|ParticipatieInMaatschappij
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="7"|SociaalNetwerk
−
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|heeft veel contact met collega's en buren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="7"|Vrijetijdsbesteding
−
|style="background-color: white;"|centraal veneuze katheter
+
|style="background-color: white;"|gitaar spelen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|colspan="7"|Arbeidssituatie
−
|style="background-color: white;"|T - 20 dagen
+
|style="background-color: white;"|werkt als administratief medewerker bij gemeente
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|onder sleutelbeen links
+
|style="background-color: white;"|heeft tijdelijk contract
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Anatomische locatie
+
|rowspan="19"|
−
|style="background-color: white;"|structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lateraliteit
+
|rowspan="14"|
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Mantelzorger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener
+
|rowspan="12"|
−
|style="background-color: white;"|Zie [[#eovdv-1-1-behandelaar-02|Zorgverlener: eovdv-1-1-behandelaar-02]]
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|rowspan="10"|
−
|style="background-color: white;"|voor voeding
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Lumen of lijn
+
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Marriet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lijn status
+
|colspan="3"|Initialen
−
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
+
|style="background-color: white;"|M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lumen locatie
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Lumen of lijn
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lijn status
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
+
|style="background-color: white;"|Blauw
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lumen locatie
+
|colspan="4"|Rol
−
|style="background-color: white;"|Mediaal (code = '255561001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Buur (code = '19' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Lumen of lijn
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="7"|Aard
 +
|style="background-color: white;"|helpt met ondersteuning echtgenote als meneer er niet is
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lijn status
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
+
|style="background-color: white;"|zo vaak als nodig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lumen locatie
+
|colspan="7"|SoortHulp
−
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Mantelzorg (code = '386229000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Infuus
+
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Infuuskatheter
+
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="4"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|OrganisatieNaam
 +
|style="background-color: white;"|WijZorgen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="5"|OrganisatieType
−
|style="background-color: white;"|Perifeer intraveneus infuus
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|colspan="7"|Aard
−
|style="background-color: white;"|T - 15 dagen
+
|style="background-color: white;"|ondersteuning bij wassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Anatomische locatie
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|dagelijks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lateraliteit
+
|colspan="7"|SoortHulp
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|voor medicatie
+
|style="background-color: white;"|niet in het weekend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Lumen of lijn
+
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Lijn status
+
|rowspan="14"|
−
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Uitscheiding
+
|colspan="7"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="41"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Blaasfunctie
+
|colspan="6"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Urine continentie
+
|colspan="4"|Voornamen
−
|style="background-color: white;"|Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')
+
|style="background-color: white;"|Therese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Urostoma
+
|colspan="5"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Stoma
+
|colspan="3"|Achternaam
−
|style="background-color: white;"|Zie [[#eovd-1-1-stoma-02|Stoma: eovd-1-1-stoma-02]]
+
|style="background-color: white;"|Roep
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Incontinentiemateriaal
+
|colspan="6"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="5"|EmailAdressen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="3"|EmailAdres
−
|style="background-color: white;"|inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|thereseroep@zzp.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="7"|Aard
−
|style="background-color: white;"|inlegger
+
|style="background-color: white;"|ondersteuning bij wassen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Darmfunctie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="7"|Frequentie
 +
|style="background-color: white;"|dagelijks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Stoma
+
|colspan="7"|SoortHulp
−
|style="background-color: white;"|Zie [[#eovd-1-1-stoma-01|Stoma: eovd-1-1-stoma-01]]
+
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Defecatie consistentie
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
+
|style="background-color: white;"|alleen in het weekend
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Toelichting
+
|colspan="10"|Communicatie
−
|style="background-color: white;"|stoma na subtotale darmresectie wegens coloncarcinoom
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
−
|colspan="8"|<span id="eovd-1-1-stoma-01" title="Intern ID = eovd-1-1-stoma-01">Stoma eovd-1-1-stoma-01</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="14"|
 
|rowspan="14"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoma type
 
−
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Stoma materiaal
+
|colspan="9"|Taalvaardigheid
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|CommunicatieTaal
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="7"|TaalvaardigheidBegrijpen
 +
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="7"|TaalvaardigheidSpreken
−
|style="background-color: white;"|Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="7"|TaalvaardigheidLezen
−
|style="background-color: white;"|stomazak voor ileostoma
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Lateraliteit
 
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Aanleg datum
 
−
|style="background-color: white;"|T - 12 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|<span id="eovd-1-1-stoma-02" title="Intern ID = eovd-1-1-stoma-02">Stoma eovd-1-1-stoma-02</span>
+
|colspan="9"|Taalvaardigheid
 
|-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="6"|Stoma type
+
|colspan="7"|CommunicatieTaal
−
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="7"|TaalvaardigheidBegrijpen
−
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="7"|TaalvaardigheidSpreken
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Aanleg datum
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|T - 4 jaar
+
|style="background-color: white;"|opgegroeid in Zuid-Limburg
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="8" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Huid
+
|colspan="9"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="100"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Brandwond
+
|colspan="8"|<span id="eovdv-1-1-behandelaar-01" title="Intern ID = eovdv-1-1-behandelaar-01">Zorgverlener eovdv-1-1-behandelaar-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|rowspan="6"|
−
|style="background-color: white;"|T - 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Uitgebreidheid
+
|colspan="5"|Voornamen
−
|style="background-color: white;"|1 %
+
|style="background-color: white;"|Joshua Pieter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Brandwond soort
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|J. P.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|rowspan="2"|
−
|style="background-color: white;"|onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Dieptegraad
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|1e graad (code = '77140003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum laatste verbandwissel
 
−
|style="background-color: white;"|T - 1 dag
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Brandwond
+
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|colspan="5"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|T - 2 dagen
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Uitgebreidheid
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|1 %
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Brandwond soort
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|rowspan="16"|
−
|style="background-color: white;"|handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|<span id="eovdv-1-1-behandelaar-02" title="Intern ID = eovdv-1-1-behandelaar-02">Zorgverlener eovdv-1-1-behandelaar-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|rowspan="14"|
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Dieptegraad
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|2e graad, oppervlakkig (code = '262587005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
+
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Decubitus wond
+
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Decubitus categorie
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Decubitus categorie 2 (code = '420324007' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '2')
+
|style="background-color: white;"|G.
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|colspan="6"|Geslachtsnaam
−
|style="background-color: white;"|T - 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|rowspan="2"|
−
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spijkerman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum laatste verbandwissel
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|T - 1 dag
+
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondlengte
+
|rowspan="4"|
−
|style="background-color: white;"|2 cm
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondbreedte
+
|colspan="5"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|2 cm
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wonddiepte
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|0.5 cm
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|Wond is niet geïnfecteerd.
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Decubitus wond
+
|colspan="9"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovd-1-1-probleem-01" title="Intern ID = eovd-1-1-probleem-01">Probleem eovd-1-1-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Decubitus categorie
+
|rowspan="7"|
−
|style="background-color: white;"|Decubitus categorie 1 (code = '421076008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|T - 20 dagen
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum laatste verbandwissel
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|T - 1 dag
+
|style="background-color: white;"|T - 100 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondlengte
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|3 cm
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondbreedte
+
|colspan="6"|VerificatieStatus
−
|style="background-color: white;"|1 cm
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wonddiepte
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|0.2 cm
+
|style="background-color: white;"|niet bekend met neurologische klachten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Huidaandoening
+
|colspan="8"|<span id="eovd-1-1-probleem-02" title="Intern ID = eovd-1-1-probleem-02">Probleem eovd-1-1-probleem-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Soort aandoening
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|Intertrigo/smetten (code = '58759008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|T - 6 dagen
+
|style="background-color: white;"|neoplasma van colon (code = '126838000')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|T - 150 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovd-1-1-probleem-03" title="Intern ID = eovd-1-1-probleem-03">Probleem eovd-1-1-probleem-03</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Toelichting
+
|rowspan="7"|
−
|style="background-color: white;"|Smetten zonder natten of infectie, inmiddels genezen.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Huidaandoening
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="6"|ProbleemAnatomischeLocatie
 +
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Soort aandoening
+
|colspan="6"|ProbleemLateraliteit
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Inverse psoriasis
+
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ontstaans datum
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Oorzaak
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|inverse psoriasis (code = '238600001')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Probleem
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Zie [[#eovd-1-1-probleem-03|Probleem: eovd-1-1-probleem-03]]
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Voorgeschiedenis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|rowspan="7"|
−
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Wond
+
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond soort
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|Traumatische wond (code = '416462003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond weefsel
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
+
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond infectie
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|T - 12 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond vochtigheid
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Allergie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondlengte
+
|rowspan="37"|
−
|style="background-color: white;"|2 cm
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondbreedte
+
|rowspan="12"|
−
|style="background-color: white;"|4 cm
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wonddiepte
+
|colspan="6"|VeroorzakendeStof
−
|style="background-color: white;"|0.1 cm
+
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|AllergieCategorie
−
|style="background-color: white;"|knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond ontstaansdatum
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|T - 12 dagen
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum laatste verbandwissel
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|T - 1 dag
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|oppervlakkige schaafwond na CVA, geen verband nodig
+
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Wond
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond soort
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond infectie
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|WijzeVanBlootstelling
 +
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond vochtigheid
+
|rowspan="22"|
−
|style="background-color: white;"|Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond rand
+
|colspan="6"|VeroorzakendeStof
−
|style="background-color: white;"|Ondermijning (code = '449752001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|pollen (code = '256259004')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondlengte
+
|colspan="6"|AllergieCategorie
−
|style="background-color: white;"|5 cm
+
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondbreedte
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|1 cm
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wonddiepte
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|4 cm
+
|style="background-color: white;"|T - 500 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Drain
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="6"|LaatsteReactieDatumTijd
 +
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|SpecifiekeStof
 +
|style="background-color: white;"|graspollen (code = '256277009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|veelvuldig niezen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="5"|Ernst
−
|style="background-color: white;"|wonddrain
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum
+
|colspan="5"|ReactieTijdstip
−
|style="background-color: white;"|T - 12 dagen
+
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Wond
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond soort
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|Oncologische ulcer (code = '94579000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond weefsel
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
+
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond infectie
+
|colspan="5"|SpecifiekeStof
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondlengte
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|1 cm
+
|style="background-color: white;"|ernstige benauwdheid en koorts
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wondbreedte
+
|colspan="5"|Ernst
−
|style="background-color: white;"|1 cm
+
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wonddiepte
+
|colspan="5"|ReactieTijdstip
−
|style="background-color: white;"|2 cm
+
|style="background-color: white;"|T - 200 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Let op
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Anatomische locatie
+
|rowspan="10"|
−
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Lateraliteit
+
|colspan="6"|AlertNaam
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Wond ontstaansdatum
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|T - 1 maand
+
|style="background-color: white;"|T - 20 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum laatste verbandwissel
+
|colspan="6"|AlertType
−
|style="background-color: white;"|T - 1 dag
+
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Zintuigen
+
|colspan="8"|Alert
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="32"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Functie horen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|colspan="6"|AlertNaam
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): ernstige claustrofobie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Hoor functie
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|Verminderde gehoorfunctie (code = '15188001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Horen hulpmiddel
+
|colspan="9"|Vrijheidsbeperking
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="8"|VrijheidsbeperkendeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|Wilsbekwaam
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|JuridischeSituatie
 +
|style="background-color: white;"|Zie [[#eovd-1-1-juridischesituatie-01|JuridischeSituatie: eovd-1-1-juridischesituatie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product id
+
|colspan="6"|SoortInterventie
−
|style="background-color: white;"|012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
+
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="6"|RedenVanToepassen
−
|style="background-color: white;"|Gehoorapparaat (code = '6012004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="6"|Instemming
−
|style="background-color: white;"|Gehoorapparaat
+
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Anatomische locatie
+
|colspan="6"|Begin
−
|style="background-color: white;"|Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 50 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Horen hulpmiddel
+
|colspan="9"|Meetwaarden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="57"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Medisch hulpmiddel
+
|colspan="8"|Bloeddruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="6"|Meetmethode
−
|style="background-color: white;"|Gehoorapparaat
+
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Anatomische locatie
 
−
|style="background-color: white;"|Rechteroor (code = '25577004' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Functie zien
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|ManchetType
 +
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.15.1">ZIB ManchetType</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Visuele functie
+
|colspan="6"|MeetLocatie
−
|style="background-color: white;"|Verminderd gezichtsvermogen (code = '397540003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Zien hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|DiastolischEindpunt
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|SystolischeBloeddruk
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|170 mm[Hg]
−
|colspan="5"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|DiastolischeBloeddruk
 +
|style="background-color: white;"|90 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product type
+
|colspan="6"|GemiddeldeBloeddruk
−
|style="background-color: white;"|bril (code = '50121007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|110 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Product omschrijving
+
|colspan="6"|BloeddrukDatumTijd
−
|style="background-color: white;"|bril
+
|style="background-color: white;"|T - 20 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|zonder bril bestaat verhoogd valrisico
+
|style="background-color: white;"|meneer gebruikt medicatie
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Ziektebeleving
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|Houding
 +
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Ziektebeleving
+
|colspan="8"|Polsfrequentie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|PolsfrequentieWaarde
 +
|style="background-color: white;"|90
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Ziekte inzicht van patient
+
|colspan="6"|PolsfrequentieDatumTijd
−
|style="background-color: white;"|meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven
+
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Omgaan met ziekteproces door patient
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|meneer wil niet praten over de toekomst.
+
|style="background-color: white;"|is altijd sportief geweest
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Omgaan met ziekteproces door naasten
+
|colspan="6"|PolsRegelmatigheid
−
|style="background-color: white;"|echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is
+
|style="background-color: white;"|Polsslag regelmatig (code = '271636001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Mentale status
+
|colspan="8"|Lichaamstemperatuur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TemperatuurWaarde
 +
|style="background-color: white;"|36.8 Cel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TemperatuurDatumTijd
 +
|style="background-color: white;"|T - 4 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|voeten voelen heel koud aan
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|colspan="6"|TemperatuurType
 +
|style="background-color: white;"|Tympanische temperatuur (code = '415974002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Probleem
+
|colspan="8"|Ademhaling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Ademfrequentie
 +
|style="background-color: white;"|18 /min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|AdemhalingDatumTijd
 +
|style="background-color: white;"|T - 3 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="6"|Ritme
−
|style="background-color: white;"|Symptoom (code = '418799008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Abnormaal ademhalingsritme (code = '85617008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="6"|Diepte
−
|style="background-color: white;"|gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Normale ademhalingsdiepte (code = '301284009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|colspan="6"|AfwijkendAdemhalingspatroon
−
|style="background-color: white;"|T - 22 dagen
+
|style="background-color: white;"|Apneu (code = '1023001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|colspan="6"|ExtraZuurstofToediening
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Toelichting
 
|colspan="6"|Toelichting
−
|style="background-color: white;"|sinds cva, verminderde alertheid
+
|style="background-color: white;"|meneer lijkt angstig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Probleem
+
|colspan="7"|ToegediendeZuurstof
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem type
+
|colspan="5"|FlowRate
−
|style="background-color: white;"|Klacht (code = '409586006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 l/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem naam
+
|colspan="5"|FiO2
−
|style="background-color: white;"|toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|0.29 l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|ToedieningHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem begin datum
+
|rowspan="7"|
−
|style="background-color: white;"|T - 22 dagen
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem eind datum
+
|rowspan="5"|
−
|style="background-color: white;"|T - 5 dagen
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Probleem status
+
|rowspan="2"|
−
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')
 
−
|}<section end=eOvd-SOV-tst-1.1-alle_zibs />
 
−
<section begin=eOvd-SOV-tst-1.10b-AGBcodes />
 
−
==Test Overdracht 1.10b==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|colspan="2"|ProductType
−
|style="background-color: white;"|T + 10 dagen
+
|style="background-color: white;"|Neusbril (code = '336623009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Persoonsgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="24"|
+
|colspan="3"|ProductOmschrijving
 +
|style="background-color: white;"|neusbril
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="8"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|GewichtWaarde
 +
|style="background-color: white;"|74 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|M.
+
|style="background-color: white;"|meneer volgt afvaldieet
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|GewichtDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="6"|Kleding
−
|style="background-color: white;"|van
+
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|rowspan="4"|
−
|style="background-color: white;"|XXX_Hondius
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="6"|LengteWaarde
−
|style="background-color: white;"|999900079 (in identificerend systeem: BSN)
+
|style="background-color: white;"|170 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="6"|LengteDatumTijd
−
|style="background-color: white;"|18 sep 1963
+
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|zonder schoenen aan
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="9"|Pijnscore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="8"|PijnScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verzekering
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|PijnscoreWaarde
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="6"|PijnscoreDatumTijd
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="6"|PijnMeetmethode
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Trias
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|22345678
+
|style="background-color: white;"|Af en toe pijn, maar niet belemmerend bij het lopen
 +
|}
 +
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="11" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="10" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="11"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="121"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|<span id="eovd-1-1-patientprobleem-01" title="Intern ID = eovd-1-1-patientprobleem-01">Probleem eovd-1-1-patientprobleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="5"|
−
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="7"|ProbleemNaam
−
|style="background-color: white;"|EF-zkh
+
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="7"|ProbleemBeginDatum
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|T - 100 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="7"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|21616161616 (in identificerend systeem: 2.16.528.1.1007.5.1)
+
|style="background-color: white;"|meneer kan niet buigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="9"|<span id="eovd-1-1-interventie-01" title="Intern ID = eovd-1-1-interventie-01">VerpleegkundigeInterventie eovd-1-1-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="7"|Interventie
−
|style="background-color: white;"|Ronald
+
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Probleem
−
|style="background-color: white;"|Tuinman
+
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-01|Probleem: eovd-1-1-patientprobleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontvangende organisatie
+
|colspan="8"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|GewenstZorgresultaat
 +
|style="background-color: white;"|wassen onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="7"|ActieStartDatumTijd
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|T - 90 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|HomeCare
+
|style="background-color: white;"|1 /dag
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Behandelaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="7"|Instructie
 +
|style="background-color: white;"|let op: valrisico
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="8"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="6"|Zorgverlener
−
|style="background-color: white;"|03454545 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="16"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|K.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="9"|<span id="eovd-1-1-patientprobleem-02" title="Intern ID = eovd-1-1-patientprobleem-02">Probleem eovd-1-1-patientprobleem-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|ProbleemNaam
−
|style="background-color: white;"|Bronsgeest
+
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="7"|ProbleemBeginDatum
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T - 90 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Medische diagnose
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="9"|<span id="eovd-1-1-interventie-02" title="Intern ID = eovd-1-1-interventie-02">VerpleegkundigeInterventie eovd-1-1-interventie-02</span>
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="7"|Interventie
−
|style="background-color: white;"|ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|rowspan="2"|
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|}<section end=eOvd-SOV-tst-1.10b-AGBcodes />
 
−
<section begin=eOvd-SOV-tst-1.11b-URAzorgaanbieders />
 
−
==Test Overdracht 1.11b==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|colspan="6"|Probleem
−
|style="background-color: white;"|T + 10 dagen
+
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-02|Probleem: eovd-1-1-patientprobleem-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="8"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewenstZorgresultaat
 +
|style="background-color: white;"|kleden onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="24"|
+
|colspan="7"|Frequentie
 +
|style="background-color: white;"|3 /dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="41"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="9"|<span id="eovd-1-1-patientprobleem-03" title="Intern ID = eovd-1-1-patientprobleem-03">Probleem eovd-1-1-patientprobleem-03</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="7"|ProbleemAnatomischeLocatie
−
|style="background-color: white;"|M.
+
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="7"|ProbleemLateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="7"|ProbleemType
−
|style="background-color: white;"|van
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|ProbleemNaam
−
|style="background-color: white;"|XXX_Hondius
+
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="7"|ProbleemBeginDatum
−
|style="background-color: white;"|999900079 (in identificerend systeem: BSN)
+
|style="background-color: white;"|T - 90 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="7"|ProbleemStatus
−
|style="background-color: white;"|18 sep 1963
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="9"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="16"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verzekeraar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="7"|Interventie
 +
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Verzekering
+
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="6"|Probleem
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-03|Probleem: eovd-1-1-patientprobleem-03]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|1 /dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|rowspan="4"|
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|rowspan="2"|
−
|style="background-color: white;"|Trias
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="5"|ProductType
−
|style="background-color: white;"|22345678
+
|style="background-color: white;"|schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="8"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="5"|ProductType
−
|style="background-color: white;"|00123456 (in identificerend systeem: URA)
+
|style="background-color: white;"|huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|GH-zkh
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="9"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="14"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|Interventie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Amanda
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Probleem
−
|style="background-color: white;"|Kwikzilver
+
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-03|Probleem: eovd-1-1-patientprobleem-03]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontvangende organisatie
+
|colspan="8"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|GewenstZorgresultaat
 +
|style="background-color: white;"|wondlengte < 1cm, wondbreedte < 1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="7"|ActieStartDatumTijd
−
|style="background-color: white;"|01234567 (in identificerend systeem: URA)
+
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="7"|ActieEindDatumTijd
−
|style="background-color: white;"|WijkZorg
+
|style="background-color: white;"|T - 1 dag
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Medische context===
+
|colspan="7"|Interval
−
 
+
|style="background-color: white;"|4 uur
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="8"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|Zorgverlener
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="10"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="37"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|<span id="eovd-1-1-patientprobleem-04" title="Intern ID = eovd-1-1-patientprobleem-04">Probleem eovd-1-1-patientprobleem-04</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|rowspan="6"|
−
|style="background-color: white;"|03454545 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|ProbleemType
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="7"|ProbleemNaam
−
|style="background-color: white;"|K.
+
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="7"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|ProbleemStatus
−
|style="background-color: white;"|Bronsgeest
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|vastgesteld met DOS score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="9"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="28"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|Interventie
 +
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="8"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="6"|Probleem
−
|style="background-color: white;"|ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#eovd-1-1-patientprobleem-04|Probleem: eovd-1-1-patientprobleem-04]]
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="8"|Behandeldoel
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|}<section end=eOvd-SOV-tst-1.11b-URAzorgaanbieders />
+
|rowspan="2"|
−
<section begin=eOvd-SOV-tst-1.1b-alle_zibs />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
==Test Overdracht 1.1b==
+
|colspan="6"|GewenstZorgresultaat
−
 
+
|style="background-color: white;"|vochtinname > 1,5 liter/dag
−
=== Administratieve gegevens===
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
 
+
|colspan="7"|Instructie
−
{| class="wikitable" width="85%"
+
|style="background-color: white;"|Graag er op toezien dat meneer > 1,5 liter per dag drinkt
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
+
|colspan="8"|Uitvoerder
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|rowspan="18"|
−
|style="background-color: white;"|T + 1 dag
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="7"|Verzorger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="75"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="26"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 4.225: Regel 4.278:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Erik
+
|style="background-color: white;"|Gerda
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|E
+
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="4"|GeslachtsnaamPartner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|AchternaamPartner
 
|style="background-color: white;"|XXX_Altenborg
 
|style="background-color: white;"|XXX_Altenborg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|rowspan="2"|
−
|style="background-color: white;"|Knolweg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|1000
+
|style="background-color: white;"|+31662626262
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="4"|Relatie
−
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|Echtgenoot (code = 'HUSB' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="11"|Zorgresultaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|rowspan="5"|
−
|style="background-color: white;"|Stitswerd
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="8"|Zorgresultaat
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|doel deels behaald: kan nog niet rug wassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="9"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="7"|VerpleegkundigeInterventie
 +
|style="background-color: white;"|Zie [[#eovd-1-1-interventie-01|VerpleegkundigeInterventie: eovd-1-1-interventie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="10"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="8"|Zorgresultaat
−
|style="background-color: white;"|+31634567891
+
|style="background-color: white;"|doel deels behaald, kan nog niet zelf veters strikken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="9"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="7"|VerpleegkundigeInterventie
−
|style="background-color: white;"|evertaltenborg@hotmail.com
+
|style="background-color: white;"|Zie [[#eovd-1-1-interventie-02|VerpleegkundigeInterventie: eovd-1-1-interventie-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="11"|Afspraken patiënt
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|rowspan="81"|
−
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="10"|Contact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|rowspan="55"|
−
|style="background-color: white;"|14 aug 1964
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="8"|ContactType
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Verzekering
+
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="5"|Voornamen
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|Joshua Pieter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|J.P.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|rowspan="2"|
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Trias
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|12345678
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-1-1b-contactpersoon-01" title="Intern ID = eovd-1-1b-contactpersoon-01">Contactpersoon eovd-1-1b-contactpersoon-01</span>
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|Johanna
+
|style="background-color: white;"|03686868 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="5"|
−
|style="background-color: white;"|J
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Hanna
+
|style="background-color: white;"|F.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Bakker
+
|style="background-color: white;"|Snijder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="9"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="23"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="21"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|+31645678912
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|OrganisatieNaam
 +
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="6"|OrganisatieLocatie
−
|style="background-color: white;"|jbakker@123net.nl
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rol
+
|colspan="6"|AfdelingSpecialisme
−
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Relatie
 
−
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Contactpersoon
+
|colspan="7"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="6"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="4"|Telefoonnummer
−
|style="background-color: white;"|Johannes
+
|style="background-color: white;"|+31182435770
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Roepnaam
 
−
|style="background-color: white;"|Hans
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="6"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="4"|EmailAdres
−
|style="background-color: white;"|van
+
|style="background-color: white;"|neurologie@ABZ.nl
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|Dijk
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="7"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|Straat
 +
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="5"|Huisnummer
−
|style="background-color: white;"|+31612121212
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|colspan="5"|Postcode
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
+
|style="background-color: white;"|9999PO
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Sturende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="34"|
+
|colspan="5"|Woonplaats
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Stitswerd
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|colspan="5"|AdresSoort
 +
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="6"|OrganisatieType
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="8"|BeginDatumTijd
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|T + 5 dagen om 10:00 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="8"|EindDatumTijd
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|T + 5 dagen om 10:30 uur
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Afdeling specialisme
 
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="9"|RedenContact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-1-1-probleem-01|Probleem: eovd-1-1-probleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="10"|Contact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="23"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="8"|ContactType
−
|style="background-color: white;"|+31182435770
+
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="9"|ContactMet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="16"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Email adres
 
−
|style="background-color: white;"|neurologie@ABZ.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="8"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|88131313 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|rowspan="5"|
−
|style="background-color: white;"|10
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="5"|Initialen
−
|style="background-color: white;"|9999PO
+
|style="background-color: white;"|W.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|rowspan="2"|
−
|style="background-color: white;"|Stitswerd
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Bloem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="7"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="6"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="4"|EmailAdres
−
|style="background-color: white;"|Charlotte Maria
+
|style="background-color: white;"|bloem@ergotherapie.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="8"|BeginDatumTijd
−
|style="background-color: white;"|C. M.
+
|style="background-color: white;"|T + 12 dagen om 15:15 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|RedenContact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|rowspan="2"|
−
|style="background-color: white;"|Lotte
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="7"|RedenContactTekst
 +
|style="background-color: white;"|Controle voortgang revalidatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="10"|Wensen en behoeften patiënt en/of naasten
−
|style="background-color: white;"|Bruinsma
+
|style="background-color: white;"|meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontvangende organisatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|ThuiszorgOrg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie locatie
 
−
|style="background-color: white;"|Noord
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Afdeling specialisme
 
−
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|}
 
|}
−
=== Algemene patienten context===
+
=== Verpleegkundige context: specificatie gezondheidstoestand===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Algemene patienten context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context: specificatie gezondheidstoestand
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="5" width="30%"| Gegevenselement
+
|colspan="8" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Woonomgeving
+
|colspan="9"|Zelfzorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="103"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Woonsituatie
+
|colspan="8"|VermogenTotDrinken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Toelichting
+
|colspan="6"|Drinken
−
|style="background-color: white;"|woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig
+
|style="background-color: white;"|Hulp nodig (code = '16681000146102' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woning type
+
|colspan="6"|DrinkBeperkingen
−
|style="background-color: white;"|Appartement of flatwoning (code = 'FLATW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')
+
|style="background-color: white;"|Bereiden (openen/uitschenken) (code = '286506008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Levensovertuiging
+
|colspan="8"|VermogenTotDrinken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Wilsverklaring
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|Drinken
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Onafhankelijk (code = '19841000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|colspan="3"|Wilsverklaring type
 
−
|style="background-color: white;"|Verklaring donorschap (code = 'DO' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring datum
+
|colspan="6"|DrinkBeperkingen
−
|style="background-color: white;"|T - 4 jaar
+
|style="background-color: white;"|Vastpakken (code = '307071002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Vertegenwoordiger
+
|colspan="8"|VermogenTotEten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Contactpersoon
+
|colspan="6"|Eten
−
|style="background-color: white;"|Zie [[#eovd-1-1b-contactpersoon-01|Contactpersoon: eovd-1-1b-contactpersoon-01]]
+
|style="background-color: white;"|Hulp nodig (code = '129033007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Toelichting
+
|colspan="6"|EetBeperkingen
−
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
+
|style="background-color: white;"|Snijden/openen (code = '289078003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Wilsverklaring
+
|colspan="8"|VermogenTotEten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring type
+
|colspan="6"|Eten
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden
+
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetBeperkingen
 +
|style="background-color: white;"|Eetgerei hanteren (code = '289046006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotMondverzorging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wilsverklaring datum
+
|rowspan="18"|
−
|style="background-color: white;"|T - 1 jaar
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|}
+
|colspan="6"|VerzorgenTanden
−
=== Medische context===
+
|style="background-color: white;"|Hulp nodig (code = '16671000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="7"|Prothese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gebitsprothese bovenkaak
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Prothese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|rowspan="7"|
−
|style="background-color: white;"|Joshua Pieter
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="5"|
−
|style="background-color: white;"|J. P.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Helmond
+
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Gebitsprothese onderkaak
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorgaanbieder
+
|colspan="8"|VermogenTotZichWassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="6"|ZichWassen
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie locatie
+
|colspan="6"|TeWassenLichaamsdeel
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="8"|VermogenTotZichWassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="6"|ZichWassen
 +
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="6"|TeWassenLichaamsdeel
−
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|VermogenTotZichKleden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichKleden
 +
|style="background-color: white;"|Hulp nodig (code = '129039006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|TeKledenLichaamsdeel
−
|style="background-color: white;"|G.
+
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|VermogenTotZichKleden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|ZichKleden
−
|style="background-color: white;"|Spijkerman
+
|style="background-color: white;"|Onafhankelijk (code = '129035000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="6"|TeKledenLichaamsdeel
−
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorgaanbieder
+
|colspan="8"|VermogenTotUiterlijkeVerzorging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="6"|UiterlijkeVerzorging
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Hulp nodig (code = '27941000146109' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotToiletgang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|rowspan="2"|
−
|style="background-color: white;"|AB-zkh
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie locatie
+
|colspan="6"|Toiletgebruik
−
|style="background-color: white;"|Noord
+
|style="background-color: white;"|Onafhankelijk (code = '129062008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="8"|VermogenTotZelfstandigMedicatiegebruik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="6"|ZelfstandigMedicatiegebruik
 +
|style="background-color: white;"|Hulp nodig (code = '27921000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|<span id="eovd-1-1b-probleem-01" title="Intern ID = eovd-1-1b-probleem-01">Probleem eovd-1-1b-probleem-01</span>
+
|colspan="7"|HulpBijToediening
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|rowspan="12"|
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="4"|Interventie
−
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|rowspan="2"|
−
|style="background-color: white;"|T - 100 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="3"|GewenstZorgresultaat
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|therapietrouw
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verificatie status
+
|colspan="4"|Frequentie
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 /d
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toelichting
 
−
|style="background-color: white;"|niet bekend met neurologische klachten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="5"|MedischHulpmiddel
 
|-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;;" 
 +
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|rowspan="2"|
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="2"|ProductType
−
|style="background-color: white;"|neoplasma van colon (code = '126838000')
+
|style="background-color: white;"|medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="3"|ProductOmschrijving
−
|style="background-color: white;"|T - 150 dagen
+
|style="background-color: white;"|baxterrol
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|rowspan="15"|
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="7"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem anatomische locatie
+
|rowspan="10"|
−
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem lateraliteit
+
|colspan="4"|Interventie
−
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|rowspan="2"|
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="3"|GewenstZorgresultaat
−
|style="background-color: white;"|inverse psoriasis (code = '238600001')
+
|style="background-color: white;"|goede hygiene met betrekking tot stoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="4"|ActieStartDatumTijd
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|T - 6 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="5"|Uitvoerder
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorgeschiedenis
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|Patient
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="4"|Toelichting
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|toezicht bij uitvoer, en instructie hygiënisch werken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="6"|VerrichtenVPKHandeling
−
|style="background-color: white;"|diabetes mellitus (code = '73211009')
+
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|rowspan="9"|
−
|style="background-color: white;"|T - 12 jaar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Allergie
+
|colspan="7"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="37"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Allergie intolerantie
+
|colspan="6"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Veroorzakende stof
+
|colspan="4"|Interventie
−
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie categorie
+
|colspan="4"|ActieStartDatumTijd
−
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Allergie status
+
|colspan="4"|Interval
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|2 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum tijd
+
|colspan="6"|VerrichtenVPKHandeling
−
|style="background-color: white;"|T - 10 jaar
+
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Mate van kritiek zijn
+
|colspan="7"|Toelichting zelfzorg
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Mobiliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|rowspan="28"|
−
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="8"|Mobiliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="26"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lopen
 +
|style="background-color: white;"|Hulp nodig (code = '16581000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Traplopen
 +
|style="background-color: white;"|Volledig afhankelijk (code = '301589003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|colspan="6"|HoudingVeranderen
−
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Onafhankelijk (code = '19821000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|colspan="6"|HoudingHandhaven
−
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
+
|style="background-color: white;"|Onafhankelijk (code = '19811000146100' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Wijze van blootstelling
+
|colspan="6"|UitvoerenTransfer
−
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Hulp nodig (code = '714917003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Allergie intolerantie
+
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Veroorzakende stof
 
−
|style="background-color: white;"|pollen (code = '256259004')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Allergie categorie
 
−
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Allergie status
 
−
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Begin datum tijd
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Mate van kritiek zijn
 
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Laatste reactie datum tijd
 
−
|style="background-color: white;"|T - 99 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|rowspan="2"|
−
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specifieke stof
+
|colspan="3"|ProductType
−
|style="background-color: white;"|graspollen (code = '256277009')
+
|style="background-color: white;"|rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|veelvuldig niezen
+
|style="background-color: white;"|rollator
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Ernst
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie tijdstip
+
|rowspan="9"|
−
|style="background-color: white;"|T - 99 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Reactie
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|rowspan="2"|
−
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Symptoom
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specifieke stof
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104')
+
|style="background-color: white;"|rolstoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie beschrijving
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|ernstige benauwdheid en koorts
+
|style="background-color: white;"|T - 1 maand
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Ernst
+
|colspan="4"|Toelichting
−
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|voor langere afstanden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Reactie tijdstip
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|T - 200 dagen
+
|style="background-color: white;"|lopen is stuk verbeterd, rechter been minder krachtig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Let op
+
|colspan="9"|Voeding/vocht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="127"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Alert
+
|colspan="8"|Voedingsadvies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert naam
+
|colspan="6"|DieetType
−
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|suikervrij, diabetes dieet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin datum tijd
+
|colspan="6"|Consistentie
−
|style="background-color: white;"|T - 20 dagen
+
|style="background-color: white;"|dik vloeibaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert type
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem 'LOINC')
+
|style="background-color: white;"|eet naar eigen keuze minder vlees
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Alert
+
|colspan="8"|Voedingsadvies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Alert naam
+
|colspan="6"|DieetType
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
+
|style="background-color: white;"|geen varkensvlees
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Begin datum tijd
 
−
|style="background-color: white;"|T - 10 jaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Meetwaarden
+
|colspan="8"|SNAQScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="24"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Bloeddruk
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meetmethode
+
|colspan="6"|EetlustScore
−
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Manchet type
+
|colspan="6"|VoedingsScore
−
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.15.1')
+
|style="background-color: white;"|GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meet locatie
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Diastolisch eindpunt
+
|colspan="6"|SNAQScoreDatumTijd
−
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 6 dagen om 17 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SNAQrcScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Systolische bloeddruk
+
|rowspan="8"|
−
|style="background-color: white;"|170 mmhg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Diastolische bloeddruk
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|90 mmhg
+
|style="background-color: white;"|LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gemiddelde bloeddruk
+
|colspan="6"|EetlustScore
−
|style="background-color: white;"|110 mmhg
+
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Bloeddruk datum tijd
+
|colspan="6"|BMIScore
−
|style="background-color: white;"|T - 20 dagen om 14:45 uur
+
|style="background-color: white;"|Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="6"|HulpBijEten
−
|style="background-color: white;"|meneer gebruikt medicatie
+
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Houding
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichaamsgewicht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|SNAQrcScoreDatumTijd
 +
|style="background-color: white;"|T - 6 dagen om 17 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gewicht waarde
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|74 kg
+
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SNAQ65+Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|rowspan="8"|
−
|style="background-color: white;"|meneer volgt afvaldieet
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gewicht datum tijd
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|T - 5 dagen om 14:30 uur
+
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Kleding
+
|colspan="6"|BovenarmOmtrekScore
−
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
+
|style="background-color: white;"|Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichaamslengte
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="6"|EetlustScore
 +
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lengte waarde
+
|colspan="6"|InspanningsScore
−
|style="background-color: white;"|170 cm
+
|style="background-color: white;"|Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Lengte datum tijd
+
|colspan="6"|TotaalScore
−
|style="background-color: white;"|T - 5 dagen om 14:30 uur
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="6"|SNAQ65+ScoreDatumTijd
−
|style="background-color: white;"|zonder schoenen aan
+
|style="background-color: white;"|T - 6 dagen om 17 uur
−
|}
 
−
=== Verpleegkundige context zorgplan===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context zorgplan
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="8" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="9"|Afspraken patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="81"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Contact
+
|colspan="8"|MUSTScore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="55"|
+
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BMIScore
 +
|style="background-color: white;"|BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contact type
+
|colspan="6"|GewichtsverliesScore
−
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Contact met
+
|colspan="6"|ZiekteScore
 +
|style="background-color: white;"|Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|TotaalScore
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|2
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="6"|MUSTScoreDatumTijd
 +
|style="background-color: white;"|T - 12 dagen om 17 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Vochtbalans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|VochtTotaalIn
−
|style="background-color: white;"|Joshua Pieter
+
|style="background-color: white;"|1400 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|VochtTotaalUit
−
|style="background-color: white;"|J.P.
+
|style="background-color: white;"|1000 ml
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|VochtbalansStarttijd
 +
|style="background-color: white;"|T - 6 dagen om 07 uur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|VochtbalansStoptijd
−
|style="background-color: white;"|Helmond
+
|style="background-color: white;"|T - 5 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SondeSysteem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|rowspan="15"|
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Contact met
+
|colspan="7"|Sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|03686868 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="3"|ProductType
−
|style="background-color: white;"|F.
+
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|neus- maagsonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Snijder
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Locatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="4"|Lateraliteit
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Zie [[#eovdv-1-1-behandelaar-02|Zorgverlener: eovdv-1-1-behandelaar-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="6"|SondeLengte
−
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|575 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|wegens misselijkheid door chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SondeSysteem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|rowspan="17"|
−
|style="background-color: white;"|Noord
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|rowspan="8"|
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="3"|ProductType
−
|style="background-color: white;"|+31182435770
+
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|PEJ sonde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|neurologie@ABZ.nl
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="7"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|rowspan="2"|
−
|style="background-color: white;"|Knolweg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="4"|ProductType
−
|style="background-color: white;"|10
+
|style="background-color: white;"|enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="5"|ProductOmschrijving
−
|style="background-color: white;"|9999PO
+
|style="background-color: white;"|enterale voedingspomp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="5"|BeginDatum
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|rowspan="27"|
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|rowspan="12"|
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|rowspan="10"|
−
|style="background-color: white;"|T + 5 dagen om 10:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eind datum tijd
 
−
|style="background-color: white;"|T + 5 dagen om 10:30 uur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reden contact
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Probleem
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Zie [[#eovd-1-1b-probleem-01|Probleem: eovd-1-1b-probleem-01]]
+
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Contact
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|centraal veneuze katheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contact type
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|T - 20 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Contact met
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|colspan="4"|Toelichting
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|onder sleutelbeen links
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="4"|Lateraliteit
−
|style="background-color: white;"|88131313 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Zie [[#eovdv-1-1-behandelaar-02|Zorgverlener: eovdv-1-1-behandelaar-02]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|W.
+
|style="background-color: white;"|voor voeding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="5"|LijnStatus
−
|style="background-color: white;"|Bloem
+
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="5"|LumenLocatie
−
|style="background-color: white;"|Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="5"|LumenLocatie
 +
|style="background-color: white;"|Mediaal (code = '255561001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="7"|LumenOfLijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="5"|LijnStatus
−
|style="background-color: white;"|bloem@ergotherapie.nl
+
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="5"|LumenLocatie
−
|style="background-color: white;"|T + 12 dagen om 15:15 uur
+
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Reden contact
+
|colspan="8"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Reden contact tekst
+
|rowspan="10"|
−
|style="background-color: white;"|Controle voortgang revalidatie
 
−
|}
 
−
=== Verpleegkundige context specificatie gezondheidstoestand===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verpleegkundige context specificatie gezondheidstoestand
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Voedingvocht
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Voedingsadvies
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Dieet type
+
|colspan="3"|ProductType
−
|style="background-color: white;"|suikervrij, diabetes dieet
+
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Consistentie
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|dik vloeibaar
+
|style="background-color: white;"|Perifeer intraveneus infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toelichting
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|eet naar eigen keuze minder vlees
+
|style="background-color: white;"|T - 15 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voedingsadvies
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Dieet type
+
|colspan="4"|Lateraliteit
−
|style="background-color: white;"|geen varkensvlees
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|}<section end=eOvd-SOV-tst-1.1b-alle_zibs />
 
−
<section begin=eOvd-SOV-tst-1.2b-naam_adres_contact />
 
−
==Test Overdracht 1.2b==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|T + 1 dag
+
|style="background-color: white;"|voor medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="101"|
+
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="9"|Uitscheiding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="51"|
+
|rowspan="41"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|Blaasfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="13"|
 
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|UrineContinentie
−
|style="background-color: white;"|Claire
+
|style="background-color: white;"|Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Urostoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="2"|
−
|style="background-color: white;"|C
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="5"|Stoma
−
|style="background-color: white;"|Françoise
+
|style="background-color: white;"|Zie [[#eovd-1-1-stoma-02|Stoma: eovd-1-1-stoma-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Incontinentiemateriaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Naamgebruik
+
|rowspan="5"|
−
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="3"|ProductType
−
|style="background-color: white;"|van
+
|style="background-color: white;"|inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|Clinteren
+
|style="background-color: white;"|inlegger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam partner
+
|colspan="8"|Darmfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Stoma
 +
|style="background-color: white;"|Zie [[#eovd-1-1-stoma-01|Stoma: eovd-1-1-stoma-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels partner
+
|colspan="6"|DefecatieConsistentie
−
|style="background-color: white;"|van de
+
|style="background-color: white;"|Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Put
+
|style="background-color: white;"|stoma na subtotale darmresectie wegens coloncarcinoom
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="8"|<span id="eovd-1-1-stoma-01" title="Intern ID = eovd-1-1-stoma-01">Stoma eovd-1-1-stoma-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|StomaType
−
|style="background-color: white;"|Cremstraat
+
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|StomaMateriaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|rowspan="7"|
−
|style="background-color: white;"|7
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummerletter
+
|rowspan="5"|
−
|style="background-color: white;"|G
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummertoevoeging
+
|rowspan="2"|
−
|style="background-color: white;"|I
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanduiding bij nummer
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
+
|style="background-color: white;"|Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="4"|ProductOmschrijving
−
|style="background-color: white;"|1240AB
+
|style="background-color: white;"|stomazak voor ileostoma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|Finsterwolderhamrink
+
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Land
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Additionele informatie
+
|colspan="6"|AanlegDatum
−
|style="background-color: white;"|tijdelijk adres
+
|style="background-color: white;"|T - 12 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="8"|<span id="eovd-1-1-stoma-02" title="Intern ID = eovd-1-1-stoma-02">Stoma eovd-1-1-stoma-02</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|StomaType
−
|style="background-color: white;"|Magnolialaan
+
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|1
+
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|4100AA
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|AanlegDatum
−
|style="background-color: white;"|Ruurlo
+
|style="background-color: white;"|T - 4 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Huid
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|rowspan="100"|
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="8"|Brandwond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Uitgebreidheid
 +
|style="background-color: white;"|1 %
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BrandwondSoort
 +
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|colspan="6"|AnatomischeLocatie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|Dieptegraad
−
|style="background-color: white;"|+31612121212
+
|style="background-color: white;"|1e graad (code = '77140003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|+31709131313
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="8"|Brandwond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|claire@vanclinteren.nl
+
|style="background-color: white;"|T - 2 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Uitgebreidheid
 +
|style="background-color: white;"|1 %
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="6"|BrandwondSoort
−
|style="background-color: white;"|clinteren@planeet.nl
+
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|999999072 (in identificerend systeem: BSN)
+
|style="background-color: white;"|handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|1 jul 1950
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="6"|Dieptegraad
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|2e graad, oppervlakkig (code = '262587005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="8"|DecubitusWond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verzekeraar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="6"|DecubitusCategorie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Decubitus categorie 2 (code = '420324007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '2')
−
|colspan="4"|Verzekering
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|T + 250 dagen
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="6"|Wondbreedte
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|Trias
+
|style="background-color: white;"|0.5 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|12345678
+
|style="background-color: white;"|Wond is niet geïnfecteerd.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Contactpersoon
+
|colspan="8"|DecubitusWond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="36"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|DecubitusCategorie
 +
|style="background-color: white;"|Decubitus categorie 1 (code = '421076008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|Hendrike
+
|style="background-color: white;"|T - 20 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|H
+
|style="background-color: white;"|stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|Riek
+
|style="background-color: white;"|T - 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Naamgebruik
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|3 cm
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|Smit
+
|style="background-color: white;"|0.2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam partner
+
|colspan="8"|Huidaandoening
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|colspan="6"|SoortAandoening
−
|style="background-color: white;"|Timmerman
+
|style="background-color: white;"|Intertrigo/smetten (code = '58759008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Smetten zonder natten of infectie, inmiddels genezen.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|Huidaandoening
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|SoortAandoening
 +
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): Inverse psoriasis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|OntstaansDatum
−
|style="background-color: white;"|+31645678912
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="7"|Oorzaak
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="5"|Probleem
−
|style="background-color: white;"|jbakker@123net.nl
+
|style="background-color: white;"|Zie [[#eovd-1-1-probleem-03|Probleem: eovd-1-1-probleem-03]]
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Adresgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Vincent van Goghplantsoen
+
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Wond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|rowspan="13"|
−
|style="background-color: white;"|1
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummerletter
+
|colspan="6"|WondSoort
−
|style="background-color: white;"|C
+
|style="background-color: white;"|Traumatische wond (code = '416462003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummertoevoeging
+
|colspan="6"|WondWeefsel
−
|style="background-color: white;"|II
+
|style="background-color: white;"|Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanduiding bij nummer
+
|colspan="6"|WondInfectie
−
|style="background-color: white;"|Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="6"|WondVochtigheid
−
|style="background-color: white;"|9999AA
+
|style="background-color: white;"|Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|Hoogmade
+
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Land
+
|colspan="6"|Wondbreedte
−
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
+
|style="background-color: white;"|4 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|0.1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rol
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
+
|style="background-color: white;"|knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rol
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Wettelijke vertegenwoordiger (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|colspan="6"|WondOntstaansdatum
−
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
+
|style="background-color: white;"|T - 12 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Relatie
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): buurvrouw
+
|style="background-color: white;"|T - 1 dag
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Sturende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="65"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|oppervlakkige schaafwond na CVA, geen verband nodig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="8"|Wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="32"|
+
|colspan="6"|WondSoort
 +
|style="background-color: white;"|Chirurgische wond (code = '112633009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="6"|WondInfectie
−
|style="background-color: white;"|06343434 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="6"|WondVochtigheid
−
|style="background-color: white;"|CD-zkh
+
|style="background-color: white;"|Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="6"|WondRand
−
|style="background-color: white;"|Zuid
+
|style="background-color: white;"|Ondermijning (code = '449752001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|Medisch specialisten, longziekten (code = '0322' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|5 cm
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|colspan="6"|Wondbreedte
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|1 cm
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|4 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|+31182435770
+
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="7"|Drain
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|rowspan="6"|
−
|style="background-color: white;"|+311182435000
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="3"|ProductType
−
|style="background-color: white;"|longziekten@cdz.nl
+
|style="background-color: white;"|wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|wonddrain
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="4"|BeginDatum
−
|style="background-color: white;"|info@cdz.nl
+
|style="background-color: white;"|T - 12 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="8"|Wond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="6"|WondSoort
−
|style="background-color: white;"|Raapweg
+
|style="background-color: white;"|Oncologische ulcer (code = '94579000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="6"|WondWeefsel
−
|style="background-color: white;"|3
+
|style="background-color: white;"|Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummerletter
+
|colspan="6"|WondInfectie
−
|style="background-color: white;"|D
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummertoevoeging
+
|colspan="6"|Wondlengte
−
|style="background-color: white;"|II
+
|style="background-color: white;"|1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanduiding bij nummer
+
|colspan="6"|Wondbreedte
−
|style="background-color: white;"|Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
+
|style="background-color: white;"|1 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="6"|Wonddiepte
−
|style="background-color: white;"|9999PQ
+
|style="background-color: white;"|2 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|AnatomischeLocatie
−
|style="background-color: white;"|Bolsward
+
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Land
+
|colspan="6"|Lateraliteit
−
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Additionele informatie
+
|colspan="6"|WondOntstaansdatum
−
|style="background-color: white;"|tijdelijk adres
+
|style="background-color: white;"|T - 1 maand
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="6"|DatumLaatsteVerbandwissel
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|T - 1 dag
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="9"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="30"|
+
|rowspan="32"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="8"|FunctieHoren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|HoorFunctie
−
|style="background-color: white;"|Charlotte Maria
+
|style="background-color: white;"|Verminderde gehoorfunctie (code = '15188001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HorenHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="9"|
−
|style="background-color: white;"|C.M.
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|rowspan="7"|
−
|style="background-color: white;"|Lotte
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="3"|ProductID
−
|style="background-color: white;"|van
+
|style="background-color: white;"|012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="3"|ProductType
−
|style="background-color: white;"|Ieperen
+
|style="background-color: white;"|Gehoorapparaat (code = '6012004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam partner
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gehoorapparaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels partner
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|de
+
|style="background-color: white;"|Linkeroor (code = '89644007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HorenHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|rowspan="5"|
−
|style="background-color: white;"|Smet
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Gespecialiseerd verpleegkundige, transfer (code = '9108' in codeSystem 'Vektis AGB-medische specialismen')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gehoorapparaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|+31687654321
+
|style="background-color: white;"|Rechteroor (code = '25577004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="8"|FunctieZien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="6"|VisueleFunctie
−
|style="background-color: white;"|+31182435770
+
|style="background-color: white;"|Verminderd gezichtsvermogen (code = '397540003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="7"|ZienHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|rowspan="5"|
−
|style="background-color: white;"|transfervpk@cdz.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="5"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="3"|ProductType
−
|style="background-color: white;"|info@cdz.nl
+
|style="background-color: white;"|bril (code = '50121007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Ontvangende organisatie
+
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|bril
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|zonder bril bestaat verhoogd valrisico
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="9"|Ziektebeleving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Ziektebeleving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="4"|
−
|style="background-color: white;"|75565656 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="6"|ZiekteInzichtVanPatiënt
−
|style="background-color: white;"|WijkverplegingOrg
+
|style="background-color: white;"|meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie locatie
+
|colspan="6"|OmgaanMetZiekteprocesDoorPatiënt
−
|style="background-color: white;"|Zuid
+
|style="background-color: white;"|meneer wil niet praten over de toekomst.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="6"|OmgaanMetZiekteprocesDoorNaasten
−
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="9"|Mentale status
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="38"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="36"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|04232323 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Symptoom (code = '418799008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Elizabeth
+
|style="background-color: white;"|T - 22 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|M.
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="6"|Toelichting
−
|style="background-color: white;"|Beth
+
|style="background-color: white;"|sinds cva, verminderde alertheid
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|van
+
|style="background-color: white;"|Klacht (code = '409586006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|Dooremaal
+
|style="background-color: white;"|toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam partner
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 22 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels partner
+
|colspan="6"|ProbleemEindDatum
−
|style="background-color: white;"|ter
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Balkt
+
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|}<section end=eOvd-SOV-tst-1.1-alle_zibs />
 +
<section begin=eOvd-SOV-tst-1.5-zwangerschap />
 +
==Test Overdracht 1.5==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|Fysiotherapeuten, fysiotherapie (code = '0401' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T + 2 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="31"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="18"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Telefoonnummer
 
−
|style="background-color: white;"|+31665656565
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="3"|Initialen
−
|style="background-color: white;"|+31201212121
+
|style="background-color: white;"|M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="2"|Voorvoegsels
−
|style="background-color: white;"|beth@fysio.nl
+
|style="background-color: white;"|van de
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Achternaam
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|XXX_Quigleys
−
|colspan="2"|Email adres
 
−
|style="background-color: white;"|info@fysio.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorgaanbieder
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="3"|Straat
−
|style="background-color: white;"|04121212 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|FysioOrg
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie locatie
+
|colspan="3"|Postcode
−
|style="background-color: white;"|West
+
|style="background-color: white;"|9999ZA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999900912 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|5 nov 1963
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|rowspan="3"|
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="2"|EindDatumTijd
−
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T + 250 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|T - 30 dagen
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verificatie status
+
|colspan="3"|OrganisatieNaam
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Toelichting
+
|colspan="3"|VerzekerdeNummer
−
|style="background-color: white;"|niet bekend met neurologische klachten
+
|style="background-color: white;"|12345678
−
|}
 
−
=== Verpleegkundige context zorgplan===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context zorgplan
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="8" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="9"|Afspraken patient
+
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="73"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Contact
+
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="71"|
+
|colspan="4"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Contact type
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
+
|style="background-color: white;"|HomeCare
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Contact met
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="33"|
+
|colspan="4"|OrganisatieType
 +
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgverlener
 
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="31"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|01454545 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Nicolaas
+
|style="background-color: white;"|Bart
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="2"|
−
|style="background-color: white;"|N.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Roepnaam
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Klaas
+
|style="background-color: white;"|Moorman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Naamgebruik
+
|colspan="4"|Specialisme
−
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="7"|Ontvangende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="7"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|van
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|Pinxteren
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam partner
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels partner
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|de
+
|style="background-color: white;"|06121212 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam partner
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|Mol
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|colspan="4"|OrganisatieType
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="7"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="11"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Telefoonnummer
 
−
|style="background-color: white;"|+31689898989
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="4"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|+31203232323
+
|style="background-color: white;"|03171717 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="3"|Initialen
−
|style="background-color: white;"|klaas@huisartspraktijk.nl
+
|style="background-color: white;"|K.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|info@huisartspraktijk.nl
+
|style="background-color: white;"|Oosterhout
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Locatie
+
|colspan="7"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="33"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="6"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProbleemType
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="31"|
+
|colspan="4"|ProbleemNaam
 +
|style="background-color: white;"|zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ProbleemBeginDatum
−
|style="background-color: white;"|01565656 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|ProbleemStatus
−
|style="background-color: white;"|Huisartspraktijk de Huisarts
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Afdeling specialisme
+
|colspan="4"|VerificatieStatus
−
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Contactgegevens
+
|colspan="7"|Pijnscore
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Telefoonnummers
+
|colspan="6"|PijnScore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|PijnscoreWaarde
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="4"|PijnscoreDatumTijd
−
|style="background-color: white;"|+31203232323
+
|style="background-color: white;"|T - 1 dag om 12:30 uur
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Telefoonnummers
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|PijnMeetmethode
 +
|style="background-color: white;"|VAS10 (code = 'VAS10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Telefoonnummer
+
|colspan="4"|AnatomischeLocatie
−
|style="background-color: white;"|+31203232000
+
|style="background-color: white;"|structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')
 +
|}
 +
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="7"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|rowspan="14"|
−
|style="background-color: white;"|info@huisartspraktijk.nl
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Email adressen
+
|colspan="5"|<span id="eovd-1-5-probleem-01" title="Intern ID = eovd-1-5-probleem-01">Probleem eovd-1-5-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Email adres
+
|colspan="3"|ProbleemAnatomischeLocatie
−
|style="background-color: white;"|assistente@huisartspraktijk.nl
+
|style="background-color: white;"|structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Adresgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="3"|ProbleemNaam
 +
|style="background-color: white;"|pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="3"|ProbleemBeginDatum
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="3"|ProbleemStatus
−
|style="background-color: white;"|100
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummerletter
+
|colspan="3"|Toelichting
−
|style="background-color: white;"|a
+
|style="background-color: white;"|bij lopen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="eovd-1-5-interventie-01" title="Intern ID = eovd-1-5-interventie-01">VerpleegkundigeInterventie eovd-1-5-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummertoevoeging
+
|rowspan="5"|
−
|style="background-color: white;"|III
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanduiding bij nummer
+
|colspan="3"|Interventie
−
|style="background-color: white;"|Bij (code = 'by' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
+
|style="background-color: white;"|afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|rowspan="2"|
−
|style="background-color: white;"|4000KK
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="2"|Probleem
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|Zie [[#eovd-1-5-probleem-01|Probleem: eovd-1-5-probleem-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgresultaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Land
+
|rowspan="7"|
−
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Additionele informatie
+
|rowspan="5"|
−
|style="background-color: white;"|bedrijfsgebouw "De Stits"
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="4"|Zorgresultaat
−
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|zie pijnscore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|rowspan="2"|
−
|style="background-color: white;"|Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Begin datum tijd
+
|colspan="3"|VerpleegkundigeInterventie
−
|style="background-color: white;"|T + 5 dagen
+
|style="background-color: white;"|Zie [[#eovd-1-5-interventie-01|VerpleegkundigeInterventie: eovd-1-5-interventie-01]]
−
|}<section end=eOvd-SOV-tst-1.2b-naam_adres_contact />
+
|}
−
<section begin=eOvd-SOV-tst-1.3b-betaler />
+
=== Verpleegkundige context: specificatie gezondheidstoestand===
−
==Test Overdracht 1.3b==
 
−
 
 
−
=== Administratieve gegevens===
 
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verpleegkundige context: specificatie gezondheidstoestand
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="30%"| Gegevenselement
+
|colspan="4" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum overplaatsing
 
−
|style="background-color: white;"|T + 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="5"|Voortplanting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="50"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="4"|Zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="8"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|Zwanger
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="2"|ATermeDatum
−
|style="background-color: white;"|M
+
|style="background-color: white;"|T + 120 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|DatumLaatsteMenstruatie
 +
|style="background-color: white;"|T - 170 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|160 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Graviditeit
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Pariteit
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|Mevrouw is vaak misselijk in de ochtend.
 +
|}<section end=eOvd-SOV-tst-1.5-zwangerschap />
 +
<section begin=eOvd-SOV-tst-1.6-interventie-ggz />
 +
==Test Overdracht 1.6==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="30"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|M.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|XXX_Ven
+
|style="background-color: white;"|XXX_Arcken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 6.000: Regel 6.084:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
−
|style="background-color: white;"|1002
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
−
|style="background-color: white;"|9999ZZ
+
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|Stitswerd
 
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|999900018 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999900043 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
Regel 6.018: Regel 6.102:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="10"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Betaler persoon
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Betaler naam
 
−
|style="background-color: white;"|J. Rijk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Bankgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bank naam
 
−
|style="background-color: white;"|ING
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bankcode
 
−
|style="background-color: white;"|INGBNL2A
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rekeningnummer
 
−
|style="background-color: white;"|NL98INGB0003856625
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Bankgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bank naam
 
−
|style="background-color: white;"|Triodos
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bankcode
 
−
|style="background-color: white;"|TRIONL2U
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rekeningnummer
 
−
|style="background-color: white;"|NL98TRIO0254712320
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Betaler
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verzekeraar
 
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Verzekering
 
|colspan="4"|Verzekering
Regel 6.069: Regel 6.116:
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="2"|EindDatumTijd
 
|style="background-color: white;"|T + 250 dagen
 
|style="background-color: white;"|T + 250 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verzekering
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|IdentificatieNummer
 +
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Begin datum tijd
+
|colspan="3"|OrganisatieNaam
−
|style="background-color: white;"|T + 25 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eind datum tijd
 
−
|style="background-color: white;"|T + 390 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verzekeringssoort
 
−
|style="background-color: white;"|Aanvullend verzekerd (code = 'A' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie nummer
 
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
 
|style="background-color: white;"|Trias
 
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="3"|VerzekerdeNummer
 
|style="background-color: white;"|12345678
 
|style="background-color: white;"|12345678
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 6.105: Regel 6.139:
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|EF-zkh
+
|style="background-color: white;"|HomeCare
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgverlener
 
|colspan="6"|Zorgverlener
Regel 6.140: Regel 6.174:
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|75727272 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|HomeCare
+
|style="background-color: white;"|St. Geestelijk Welzijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Geestelijke Gezondheidszorg (code = 'G5' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|}
 
|}
−
=== Medische context===
+
=== Algemene patiënten context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patiënten context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="30%"| Gegevenselement
+
|colspan="4" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="5"|Juridische situatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="4"|<span id="eovd-1-6-juridischesituatie-01" title="Intern ID = eovd-1-6-juridischesituatie-01">JuridischeSituatie eovd-1-6-juridischesituatie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="2"|JuridischeStatus
−
|style="background-color: white;"|03454545 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Rechterlijke machtiging (code = 'RM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|DatumAanvang
 +
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="2"|DatumEinde
−
|style="background-color: white;"|K.
+
|style="background-color: white;"|T + 3 maanden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="4"|JuridischeSituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|Vertegenwoordiging
−
|style="background-color: white;"|Bronsgeest
+
|style="background-color: white;"|Mentorschap (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="2"|DatumAanvang
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|T - 6 maanden
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|}
−
|colspan="7"|Medische diagnose
+
=== Medische context===
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem type
 
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem naam
 
−
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem begin datum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toelichting
 
−
|style="background-color: white;"|niet bekend met neurologische klachten
 
−
|}<section end=eOvd-SOV-tst-1.3b-betaler />
 
−
<section begin=eOvd-SOV-tst-1.4b-woningtype_other />
 
−
==Test Overdracht 1.4b==
 
−
 
 
−
=== Administratieve gegevens===
 
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="30%"| Gegevenselement
 
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|rowspan="12"|
−
|style="background-color: white;"|T + 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="30"|
+
|rowspan="10"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|colspan="4"|ZorgverlenerIdentificatienummer
 +
|style="background-color: white;"|01171717 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|M
+
|style="background-color: white;"|K.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels
 +
|style="background-color: white;"|van
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|XXX_Birkholz
+
|style="background-color: white;"|Eindhoven
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Huisartspraktijk (code = '0100' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="6"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="4"|ProbleemType
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="4"|ProbleemNaam
−
|style="background-color: white;"|1003
+
|style="background-color: white;"|niet-organische psychose (code = '191525009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|colspan="4"|ProbleemBeginDatum
−
|style="background-color: white;"|9999ZA
+
|style="background-color: white;"|T - 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="4"|ProbleemStatus
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="4"|VerificatieStatus
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999900031 (in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|18 sep 1963
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="7"|Vrijheidsbeperking
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="6"|VrijheidsbeperkendeInterventie
 
|-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"|Verzekering
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="4"|Wilsbekwaam
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="4"|WilsbekwaamToelichting
−
|style="background-color: white;"|T + 250 dagen
+
|style="background-color: white;"|wegens psychose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="4"|JuridischeSituatie
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Zie [[#eovd-1-6-juridischesituatie-01|JuridischeSituatie: eovd-1-6-juridischesituatie-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="4"|SoortInterventie
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|geslotendeurprocedure (code = '225210009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="4"|RedenVanToepassen
−
|style="background-color: white;"|Trias
+
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="4"|Instemming
−
|style="background-color: white;"|12345678
+
|style="background-color: white;"|Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Sturende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|colspan="4"|Begin
 +
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="6"|VrijheidsbeperkendeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|Wilsbekwaam
−
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|WilsbekwaamToelichting
−
|style="background-color: white;"|EF-zkh
+
|style="background-color: white;"|wegens psychose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|JuridischeSituatie
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Zie [[#eovd-1-6-juridischesituatie-01|JuridischeSituatie: eovd-1-6-juridischesituatie-01]]
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="4"|SoortInterventie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|separeren in extra beveiligde kamer (code = '124041000146108' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="4"|RedenVanToepassen
 +
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="4"|Instemming
−
|style="background-color: white;"|Bart
+
|style="background-color: white;"|Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Begin
 +
|style="background-color: white;"|T + 1 dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|Einde
−
|style="background-color: white;"|Moorman
+
|style="background-color: white;"|T + 3 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontvangende organisatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|HomeCare
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|}
 
|}
−
=== Algemene patienten context===
+
=== Verpleegkundige context: zorgplan===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context: zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="4" width="30%"| Gegevenselement
+
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Woonomgeving
+
|colspan="7"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Woonsituatie
+
|colspan="6"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|<span id="eovd-1-6-probleem-01" title="Intern ID = eovd-1-6-probleem-01">Probleem eovd-1-6-probleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toelichting
+
|colspan="3"|ProbleemNaam
−
|style="background-color: white;"|woont tijdelijk in hotel
+
|style="background-color: white;"|fysieke agressie (code = '248004009' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Woning type
+
|colspan="3"|ProbleemBeginDatum
−
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): hotel
+
|style="background-color: white;"|T - 5 dagen
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Behandelaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="3"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="5"|<span id="eovd-1-6-interventie-01" title="Intern ID = eovd-1-6-interventie-01">VerpleegkundigeInterventie eovd-1-6-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="3"|Interventie
−
|style="background-color: white;"|03454545 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|rustige en geruststellende houding aannemen (code = '225980008' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="2"|Probleem
−
|style="background-color: white;"|K.
+
|style="background-color: white;"|Zie [[#eovd-1-6-probleem-01|Probleem: eovd-1-6-probleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|GewenstZorgresultaat
−
|style="background-color: white;"|Bronsgeest
+
|style="background-color: white;"|Veilige omgeving is gerealiseerd voor patient/ naasten; duur VBI beperken
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="7"|Zorgresultaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="6"|UitkomstVanZorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="4"|Zorgresultaat
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|doel is behaald
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|rowspan="2"|
−
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="3"|VerpleegkundigeInterventie
−
|style="background-color: white;"|T - 30 dagen
+
|style="background-color: white;"|Zie [[#eovd-1-6-interventie-01|VerpleegkundigeInterventie: eovd-1-6-interventie-01]]
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=eOvd-SOV-tst-1.6-interventie-ggz />
−
|colspan="4"|Probleem status
+
<section begin=eOvd-SOV-tst-1.7-interventie-wzd />
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
==Test Overdracht 1.7==
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toelichting
 
−
|style="background-color: white;"|niet bekend met neurologische klachten
 
−
|}<section end=eOvd-SOV-tst-1.4b-woningtype_other />
 
−
<section begin=eOvd-SOV-tst-1.5-zwangerschap />
 
−
==Test Overdracht 1.5==
 
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 6.458: Regel 6.421:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Datum overplaatsing
 
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|T + 2 dagen
+
|style="background-color: white;"|T + 5 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="31"|
+
|rowspan="30"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|M
+
|style="background-color: white;"|M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|van de
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|XXX_Quigleys
+
|style="background-color: white;"|XXX_Schouten-Baak
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 6.493: Regel 6.453:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
−
|style="background-color: white;"|1000
+
|style="background-color: white;"|1001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
−
|style="background-color: white;"|9999ZA
+
|style="background-color: white;"|9999XX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
 
|style="background-color: white;"|Stitswerd
 
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|999900912 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999900055 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|5 nov 1963
+
|style="background-color: white;"|18 sep 1963
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
Regel 6.525: Regel 6.485:
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="2"|EindDatumTijd
 
|style="background-color: white;"|T + 250 dagen
 
|style="background-color: white;"|T + 250 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="3"|OrganisatieNaam
 
|style="background-color: white;"|Trias
 
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="3"|VerzekerdeNummer
 
|style="background-color: white;"|12345678
 
|style="background-color: white;"|12345678
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sturende organisatie
 
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgaanbieder
 
|colspan="6"|Zorgaanbieder
Regel 6.548: Regel 6.508:
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
 
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
 
|style="background-color: white;"|HomeCare
 
|style="background-color: white;"|HomeCare
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgverlener
 
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 6.574: Regel 6.534:
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
 
|style="background-color: white;"|Moorman
 
|style="background-color: white;"|Moorman
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Ontvangende organisatie
 
|colspan="7"|Ontvangende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgaanbieder
 
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|06121212 (in identificerend systeem: URA)
+
|style="background-color: white;"|47707070 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|AB-zkh
+
|style="background-color: white;"|St. Zonnehof
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Afdeling specialisme
 
−
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Verpleeghuis (code = 'R5' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|}
 
|}
−
=== Medische context===
+
=== Algemene patiënten context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patiënten context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="30%"| Gegevenselement
+
|colspan="4" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="5"|Juridische situatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="4"|<span id="eovd-1-7-juridischesituatie-01" title="Intern ID = eovd-1-7-juridischesituatie-01">JuridischeSituatie eovd-1-7-juridischesituatie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="2"|JuridischeStatus
−
|style="background-color: white;"|03171717 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Besluit tot opname en verblijf (code = 'OPM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|DatumAanvang
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|JuridischeSituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vertegenwoordiging
 +
|style="background-color: white;"|Zaakwaarneming (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|DatumAanvang
 +
|style="background-color: white;"|T - 6 maanden
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Behandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgverlenerIdentificatienummer
 +
|style="background-color: white;"|01171717 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
Regel 6.627: Regel 6.614:
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels
 +
|style="background-color: white;"|van
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|Oosterhout
+
|style="background-color: white;"|Eindhoven
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Specialisme
 
|colspan="4"|Specialisme
−
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Huisartspraktijk (code = '0100' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Medische diagnose
 
|colspan="7"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Probleem
 
|colspan="6"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="4"|ProbleemType
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="4"|ProbleemNaam
−
|style="background-color: white;"|zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|delier (code = '2776000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="4"|ProbleemBeginDatum
 
|style="background-color: white;"|T - 10 dagen
 
|style="background-color: white;"|T - 10 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="4"|ProbleemStatus
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Pijnscore
+
|colspan="7"|Vrijheidsbeperking
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Pijn score
+
|colspan="6"|VrijheidsbeperkendeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Pijnscore waarde
+
|colspan="4"|Wilsbekwaam
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Pijnscore datum tijd
+
|colspan="4"|WilsbekwaamToelichting
−
|style="background-color: white;"|T - 1 dag om 12:30 uur
+
|style="background-color: white;"|Kan eigen situatie niet beoordelen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|JuridischeSituatie
 +
|style="background-color: white;"|Zie [[#eovd-1-7-juridischesituatie-01|JuridischeSituatie: eovd-1-7-juridischesituatie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|SoortInterventie
 +
|style="background-color: white;"|constante supervisie met camera (code = '121411000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|RedenVanToepassen
 +
|style="background-color: white;"|afwenden van crisissituatie (code = '121491000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Instemming
 +
|style="background-color: white;"|Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Begin
 +
|style="background-color: white;"|T - 4 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VrijheidsbeperkendeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Wilsbekwaam
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|WilsbekwaamToelichting
 +
|style="background-color: white;"|Kan zich niet orienteren
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|JuridischeSituatie
 +
|style="background-color: white;"|Zie [[#eovd-1-7-juridischesituatie-01|JuridischeSituatie: eovd-1-7-juridischesituatie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|SoortInterventie
 +
|style="background-color: white;"|constante supervisie met elektronisch traceringsmiddel (code = '121451000146100' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|RedenVanToepassen
 +
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Pijn meetmethode
+
|colspan="4"|Instemming
−
|style="background-color: white;"|VAS10 (code = 'VAS10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
+
|style="background-color: white;"|Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Anatomische locatie
+
|colspan="4"|Begin
−
|style="background-color: white;"|structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|T - 4 dagen
 
|}
 
|}
−
=== Verpleegkundige context zorgplan===
+
=== Verpleegkundige context: zorgplan===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context: zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="30%"| Gegevenselement
 
|colspan="6" width="30%"| Gegevenselement
Regel 6.687: Regel 6.708:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Actuele patientproblemen
+
|colspan="7"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patientprobleem
+
|colspan="6"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1-5-probleem-01" title="Intern ID = eovd-1-5-probleem-01">Probleem eovd-1-5-probleem-01</span>
+
|colspan="5"|<span id="eovd-1-7-probleem-01" title="Intern ID = eovd-1-7-probleem-01">Probleem eovd-1-7-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem anatomische locatie
+
|colspan="3"|ProbleemNaam
−
|style="background-color: white;"|structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="3"|ProbleemBeginDatum
−
|style="background-color: white;"|pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|T - 5 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem begin datum
 
−
|style="background-color: white;"|T - 10 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Toelichting
+
|colspan="3"|ProbleemStatus
−
|style="background-color: white;"|bij lopen
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1-5-interventie-01" title="Intern ID = eovd-1-5-interventie-01">Verpleegkundige interventie eovd-1-5-interventie-01</span>
+
|colspan="5"|<span id="eovd-1-7-interventie-01" title="Intern ID = eovd-1-7-interventie-01">VerpleegkundigeInterventie eovd-1-7-interventie-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Interventie
 
|colspan="3"|Interventie
−
|style="background-color: white;"|afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Indicatie
 
|colspan="4"|Indicatie
Regel 6.726: Regel 6.741:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem
 
|colspan="2"|Probleem
−
|style="background-color: white;"|Zie [[#eovd-1-5-probleem-01|Probleem: eovd-1-5-probleem-01]]
+
|style="background-color: white;"|Zie [[#eovd-1-7-probleem-01|Probleem: eovd-1-7-probleem-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgresultaat
+
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|GewenstZorgresultaat
 +
|style="background-color: white;"|DOSS < 3
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgresultaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Uitkomst van zorg
+
|colspan="6"|UitkomstVanZorg
 
|-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="4"|Zorgresultaat
 
|colspan="4"|Zorgresultaat
−
|style="background-color: white;"|zie pijnscore
+
|style="background-color: white;"|DOSS = 2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Interventie
 
|colspan="5"|Interventie
Regel 6.743: Regel 6.765:
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verpleegkundige interventie
+
|colspan="3"|VerpleegkundigeInterventie
−
|style="background-color: white;"|Zie [[#eovd-1-5-interventie-01|Verpleegkundige interventie: eovd-1-5-interventie-01]]
+
|style="background-color: white;"|Zie [[#eovd-1-7-interventie-01|VerpleegkundigeInterventie: eovd-1-7-interventie-01]]
−
|}
+
|}<section end=eOvd-SOV-tst-1.7-interventie-wzd />
−
=== Verpleegkundige context specificatie gezondheidstoestand===
+
<section begin=eOvd-SOV-tst-1.8-uitscheiding />
−
 
+
==Test Overdracht 1.8==
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verpleegkundige context specificatie gezondheidstoestand
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Voortplanting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwanger
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Aterme datum
 
−
|style="background-color: white;"|T + 120 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum laatste menstruatie
 
−
|style="background-color: white;"|T - 170 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|160 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Pariteit
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Toelichting
 
−
|style="background-color: white;"|Mevrouw is vaak misselijk in de ochtend.
 
−
|}<section end=eOvd-SOV-tst-1.5-zwangerschap />
 
−
<section begin=eOvd-SOV-tst-1.6-interventie-ggz />
 
−
==Test Overdracht 1.6==
 
  
 
=== Administratieve gegevens===
 
=== Administratieve gegevens===
Regel 6.797: Regel 6.781:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Datum overplaatsing
 
|colspan="6"|Datum overplaatsing
−
|style="background-color: white;"|T + 1 dag
+
|style="background-color: white;"|T + 2 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Persoonsgegevens
 
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="30"|
+
|rowspan="29"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Patient
 
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 6.812: Regel 6.796:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
−
|style="background-color: white;"|M
+
|style="background-color: white;"|M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 6.819: Regel 6.803:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|XXX_Arcken
+
|style="background-color: white;"|XXX_Koutrik
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 6.829: Regel 6.813:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
−
|style="background-color: white;"|1000
+
|style="background-color: white;"|1002
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
−
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
−
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|STITSWERD
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|999900043 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999900067 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
 
|style="background-color: white;"|18 sep 1963
 
|style="background-color: white;"|18 sep 1963
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
Regel 6.861: Regel 6.842:
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="2"|EindDatumTijd
−
|style="background-color: white;"|T + 250 dagen
+
|style="background-color: white;"|T + 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="3"|OrganisatieNaam
 
|style="background-color: white;"|Trias
 
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="3"|VerzekerdeNummer
 
|style="background-color: white;"|12345678
 
|style="background-color: white;"|12345678
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Sturende organisatie
 
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgaanbieder
 
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|EF-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|HomeCare
+
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Zorgverlener
 
|colspan="6"|Zorgverlener
Regel 6.919: Regel 6.903:
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|75727272 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|47707070 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|St. Geestelijk Welzijn
+
|style="background-color: white;"|St. Zonnehof
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Geestelijke Gezondheidszorg (code = 'G5' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Verpleeghuis (code = 'R5' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 
|}
 
|}
−
=== Algemene patienten context===
+
=== Medische context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="4" width="30%"| Gegevenselement
+
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Juridische situatie
+
|colspan="7"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|<span id="eovd-1-6-juridischesituatie-01" title="Intern ID = eovd-1-6-juridischesituatie-01">Juridische situatie eovd-1-6-juridischesituatie-01</span>
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Juridische status
+
|colspan="4"|ZorgverlenerIdentificatienummer
−
|style="background-color: white;"|Rechterlijke machtiging (code = 'RM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
+
|style="background-color: white;"|03848484 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum aanvang
+
|rowspan="5"|
−
|style="background-color: white;"|T - 3 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum einde
+
|colspan="3"|Initialen
−
|style="background-color: white;"|T + 3 maanden
+
|style="background-color: white;"|P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Juridische situatie
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Vertegenwoordiging
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Mentorschap (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
+
|style="background-color: white;"|Boomsma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProbleemNaam
 +
|style="background-color: white;"|fistel tussen blaas en sigmoïd (code = '197861003')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum aanvang
+
|colspan="4"|ProbleemStatus
−
|style="background-color: white;"|T - 6 maanden
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|}
 
|}
−
=== Medische context===
+
=== Verpleegkundige context: zorgplan===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context: zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="30%"| Gegevenselement
 
|colspan="6" width="30%"| Gegevenselement
Regel 6.973: Regel 6.972:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="7"|Actuele patiëntproblemen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="6"|Patiëntprobleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="11"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|01171717 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="5"|<span id="eovd-1.8-patientprobleem-01" title="Intern ID = eovd-1.8-patientprobleem-01">Probleem eovd-1.8-patientprobleem-01</span>
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|K.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="3"|ProbleemNaam
−
|style="background-color: white;"|van
+
|style="background-color: white;"|incontinentie voor feces (code = '72042002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="3"|ProbleemStatus
−
|style="background-color: white;"|Eindhoven
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|VerpleegkundigeInterventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|rowspan="5"|
−
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Medische diagnose
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="3"|Interventie
 +
|style="background-color: white;"|zorg bij fecale incontinentie (code = '386223004' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="2"|Probleem
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Zie [[#eovd-1.8-patientprobleem-01|Probleem: eovd-1.8-patientprobleem-01]]
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="4"|Probleem naam
+
=== Verpleegkundige context: specificatie gezondheidstoestand===
−
|style="background-color: white;"|niet-organische psychose (code = '191525009' in codeSystem 'SNOMED CT')
+
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context: specificatie gezondheidstoestand
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="7" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Uitscheiding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|rowspan="26"|
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Vrijheidsbeperking
+
|colspan="7"|Blaasfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Vrijheidsbeperkende interventie
+
|colspan="6"|UrineKatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam
+
|rowspan="6"|
−
|style="background-color: white;"|Nee
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam toelichting
+
|rowspan="2"|
−
|style="background-color: white;"|wegens psychose
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Juridische situatie
+
|colspan="2"|ProductType
−
|style="background-color: white;"|Zie [[#eovd-1-6-juridischesituatie-01|Juridische situatie: eovd-1-6-juridischesituatie-01]]
+
|style="background-color: white;"|Verblijfskatheter (code = '23973005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Soort interventie
+
|colspan="3"|ProductOmschrijving
−
|style="background-color: white;"|geslotendeurprocedure (code = '225210009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Verblijfskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Reden van toepassen
+
|colspan="3"|BeginDatum
−
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Darmfunctie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Instemming
+
|rowspan="13"|
−
|style="background-color: white;"|Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin
+
|colspan="5"|FecesContinentie
−
|style="background-color: white;"|T + 1 dag
+
|style="background-color: white;"|Incontinent (code = '72042002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vrijheidsbeperkende interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="5"|Frequentie
 +
|style="background-color: white;"|2 per dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam
+
|colspan="5"|DefecatieConsistentie
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Zachte stukjes met gehavende randen (code = 'Type 6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam toelichting
+
|colspan="5"|DefecatieKleur
−
|style="background-color: white;"|wegens psychose
+
|style="background-color: white;"|Grijswit (code = '267056008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Incontinentiemateriaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Juridische situatie
+
|rowspan="7"|
−
|style="background-color: white;"|Zie [[#eovd-1-6-juridischesituatie-01|Juridische situatie: eovd-1-6-juridischesituatie-01]]
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MedischHulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Soort interventie
+
|rowspan="5"|
−
|style="background-color: white;"|separeren in extra beveiligde kamer (code = '124041000146108' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Reden van toepassen
+
|rowspan="2"|
−
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Instemming
+
|colspan="2"|ProductType
−
|style="background-color: white;"|Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
+
|style="background-color: white;"|opvangzak voor fecesincontinentie (code = '469627000' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin
+
|colspan="3"|ProductOmschrijving
−
|style="background-color: white;"|T + 1 dag
+
|style="background-color: white;"|opvangzak voor fecesincontinentie
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}<section end=eOvd-SOV-tst-1.8-uitscheiding />
−
|colspan="4"|Einde
+
<section begin=eOvd-SOV-val-1.1-alle_zibs />
−
|style="background-color: white;"|T + 3 dagen
+
==Validatie Overdracht 1.1==
−
|}
+
 
−
=== Verpleegkundige context zorgplan===
+
=== Administratieve gegevens===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="6" width="30%"| Gegevenselement
 
|colspan="6" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 2 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Actuele patientproblemen
+
|colspan="7"|Persoonsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="89"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patientprobleem
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="30"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1-6-probleem-01" title="Intern ID = eovd-1-6-probleem-01">Probleem eovd-1-6-probleem-01</span>
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|fysieke agressie (code = '248004009' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|Rihanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem begin datum
+
|colspan="3"|Initialen
−
|style="background-color: white;"|T - 5 dagen
+
|style="background-color: white;"|R.
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1-6-interventie-01" title="Intern ID = eovd-1-6-interventie-01">Verpleegkundige interventie eovd-1-6-interventie-01</span>
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Interventie
+
|colspan="2"|Voorvoegsels
−
|style="background-color: white;"|rustige en geruststellende houding aannemen (code = '225980008' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|van
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Achternaam
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|XXX_Zelst
−
|colspan="2"|Probleem
 
−
|style="background-color: white;"|Zie [[#eovd-1-6-probleem-01|Probleem: eovd-1-6-probleem-01]]
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Behandeldoel
+
|colspan="4"|GeslachtsnaamPartner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Gewenst zorgresultaat
+
|colspan="2"|AchternaamPartner
−
|style="background-color: white;"|Veilige omgeving is gerealiseerd voor patient/ naasten; duur VBI beperken
+
|style="background-color: white;"|Asaroğlu
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgresultaat
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Uitkomst van zorg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgresultaat
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|doel is behaald
+
|style="background-color: white;"|1003
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999ZA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verpleegkundige interventie
+
|colspan="3"|Woonplaats
−
|style="background-color: white;"|Zie [[#eovd-1-6-interventie-01|Verpleegkundige interventie: eovd-1-6-interventie-01]]
+
|style="background-color: white;"|Stitswerd
−
|}<section end=eOvd-SOV-tst-1.6-interventie-ggz />
 
−
<section begin=eOvd-SOV-tst-1.7-interventie-wzd />
 
−
==Test Overdracht 1.7==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|T + 5 dagen
+
|style="background-color: white;"|Officieel adres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="30"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|Telefoonnummer
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|+316-99990108
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|M
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|XXX_Schouten-Baak
+
|style="background-color: white;"|rzelst195407@gmail.com
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Adresgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999910371 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|29 jul 1954
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="4"|Geslacht
−
|style="background-color: white;"|1001
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="3"|Postcode
 
−
|style="background-color: white;"|9999XX
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Woonplaats
 
−
|style="background-color: white;"|Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adres soort
 
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999900055 (in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|18 sep 1963
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="6"|Betaler
 
|colspan="6"|Betaler
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
Regel 7.230: Regel 7.184:
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="2"|EindDatumTijd
−
|style="background-color: white;"|T + 250 dagen
+
|style="background-color: white;"|T + 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|colspan="2"|Verzekeringssoort
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="3"|IdentificatieNummer
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|9665 (in identificerend systeem: UZOVI)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="3"|OrganisatieNaam
 
|style="background-color: white;"|Trias
 
|style="background-color: white;"|Trias
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="3"|VerzekerdeNummer
−
|style="background-color: white;"|12345678
+
|style="background-color: white;"|12345679
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="6"|<span id="eovd-1-1-contactpersoon-01" title="Intern ID = eovd-1-1-contactpersoon-01">Contactpersoon eovd-1-1-contactpersoon-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="25"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Helena
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|H
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Lenie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|rowspan="2"|
−
|style="background-color: white;"|HomeCare
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Slager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|Bart
+
|style="background-color: white;"|+316-99990009
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="4"|EmailAdressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|Moorman
+
|style="background-color: white;"|lenie@123net.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontvangende organisatie
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Zorgaanbieder
+
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1003
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|AdditioneleInformatie
 +
|style="background-color: white;"|ingang via achtertuin
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|47707070 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="4"|Rol
−
|style="background-color: white;"|St. Zonnehof
+
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="4"|Relatie
−
|style="background-color: white;"|Verpleeghuis (code = 'R5' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|Schoondochter (code = 'DAUINLAW' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>')
−
|}
 
−
=== Algemene patienten context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Juridische situatie
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|<span id="eovd-1-7-juridischesituatie-01" title="Intern ID = eovd-1-7-juridischesituatie-01">Juridische situatie eovd-1-7-juridischesituatie-01</span>
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Juridische status
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|Besluit tot opname en verblijf (code = 'OPM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
+
|style="background-color: white;"|Pleun
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum aanvang
 
−
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Juridische situatie
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Vertegenwoordiging
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Zaakwaarneming (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
+
|style="background-color: white;"|Bloemist
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum aanvang
+
|rowspan="4"|
−
|style="background-color: white;"|T - 6 maanden
 
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="2"|Telefoonnummer
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|+316-99990008
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|01171717 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="3"|Straat
−
|style="background-color: white;"|K.
+
|style="background-color: white;"|Knolweg
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1003
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|van
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="4"|Rol
−
|style="background-color: white;"|Eindhoven
+
|style="background-color: white;"|Buur (code = '19' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="4"|Relatie
−
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): Rechter buurman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="7"|Sturende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="34"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="21"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem type
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="4"|OrganisatieNaam
−
|style="background-color: white;"|delier (code = '2776000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem begin datum
+
|colspan="4"|OrganisatieLocatie
−
|style="background-color: white;"|T - 10 dagen
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="4"|AfdelingSpecialisme
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Vrijheidsbeperking
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Vrijheidsbeperkende interventie
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam
+
|colspan="2"|Telefoonnummer
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|+31182435770
 +
|-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="4"|Wilsbekwaam toelichting
+
|rowspan="2"|
−
|style="background-color: white;"|Kan eigen situatie niet beoordelen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Juridische situatie
+
|colspan="2"|EmailAdres
−
|style="background-color: white;"|Zie [[#eovd-1-7-juridischesituatie-01|Juridische situatie: eovd-1-7-juridischesituatie-01]]
+
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Soort interventie
+
|rowspan="6"|
−
|style="background-color: white;"|constante supervisie met camera (code = '121411000146104' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Reden van toepassen
+
|colspan="3"|Straat
−
|style="background-color: white;"|afwenden van crisissituatie (code = '121491000146107' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Knolweg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Instemming
+
|colspan="3"|Huisnummer
−
|style="background-color: white;"|Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
+
|style="background-color: white;"|10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin
+
|colspan="3"|Postcode
−
|style="background-color: white;"|T - 4 dagen
+
|style="background-color: white;"|9999PO
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vrijheidsbeperkende interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam
+
|colspan="3"|AdresSoort
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Wilsbekwaam toelichting
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|Kan zich niet orienteren
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Juridische situatie
+
|rowspan="10"|
−
|style="background-color: white;"|Zie [[#eovd-1-7-juridischesituatie-01|Juridische situatie: eovd-1-7-juridischesituatie-01]]
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Soort interventie
+
|rowspan="7"|
−
|style="background-color: white;"|constante supervisie met elektronisch traceringsmiddel (code = '121451000146100' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Reden van toepassen
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Charlotte Maria
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Instemming
+
|colspan="3"|Initialen
−
|style="background-color: white;"|Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
+
|style="background-color: white;"|C. M.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Begin
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|T - 4 dagen
+
|style="background-color: white;"|Lotte
−
|}
 
−
=== Verpleegkundige context zorgplan===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Actuele patientproblemen
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="2"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patientprobleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="eovd-1-7-probleem-01" title="Intern ID = eovd-1-7-probleem-01">Probleem eovd-1-7-probleem-01</span>
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bruinsma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="4"|Specialisme
−
|style="background-color: white;"|acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontvangende organisatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem begin datum
+
|rowspan="8"|
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem status
 
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1-7-interventie-01" title="Intern ID = eovd-1-7-interventie-01">Verpleegkundige interventie eovd-1-7-interventie-01</span>
+
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Interventie
+
|colspan="4"|ZorgaanbiederIdentificatienummer
−
|style="background-color: white;"|omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|OrganisatieNaam
 +
|style="background-color: white;"|ThuiszorgOrg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem
+
|colspan="4"|OrganisatieLocatie
−
|style="background-color: white;"|Zie [[#eovd-1-7-probleem-01|Probleem: eovd-1-7-probleem-01]]
+
|style="background-color: white;"|Noord
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|AfdelingSpecialisme
 +
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Gewenst zorgresultaat
+
|colspan="4"|OrganisatieType
−
|style="background-color: white;"|DOSS < 3
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 +
|}
 +
=== Algemene patiënten context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="10" | Algemene patiënten context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="9" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Zorgresultaat
+
|colspan="10"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Uitkomst van zorg
+
|colspan="9"|Gezinssituatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|BurgerlijkeStaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgresultaat
+
|rowspan="4"|
−
|style="background-color: white;"|DOSS = 2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Interventie
+
|colspan="7"|BurgerlijkeStaatRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verpleegkundige interventie
+
|colspan="5"|BurgerlijkeStaat
−
|style="background-color: white;"|Zie [[#eovd-1-7-interventie-01|Verpleegkundige interventie: eovd-1-7-interventie-01]]
+
|style="background-color: white;"|Gehuwd (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.2">HL7 MaritalStatus</span>')
−
|}<section end=eOvd-SOV-tst-1.7-interventie-wzd />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
<section begin=eOvd-SOV-tst-1.8-uitscheiding />
+
|colspan="7"|Gezinssamenstelling
−
==Test Overdracht 1.8==
+
|style="background-color: white;"|Alleenwonend (code = '105529008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
 
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Administratieve gegevens===
+
|colspan="7"|Zorgtaak
−
 
+
|style="background-color: white;"|zorgt voor zijn kat
−
{| class="wikitable" width="85%"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens
+
|colspan="10"|Juridische situatie
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|rowspan="5"|
−
|style="background-color: white;"|T + 2 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="9"|<span id="eovd-val-1-1-juridischesituatie-01" title="Intern ID = eovd-val-1-1-juridischesituatie-01">JuridischeSituatie eovd-val-1-1-juridischesituatie-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Vertegenwoordiging
 +
|style="background-color: white;"|Bewindvoering (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="29"|
+
|colspan="7"|DatumAanvang
 +
|style="background-color: white;"|T - 1 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="10"|Woonomgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="9"|Woonsituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="7"|WoningType
 +
|style="background-color: white;"|Aanleunwoning (code = 'AANLW' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.13.1">ZIB WoningType</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Levensovertuiging
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|rowspan="12"|
−
|style="background-color: white;"|M.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Geslachtsnaam
+
|colspan="9"|LevensovertuigingRC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|Levensovertuiging
−
|style="background-color: white;"|XXX_Koutrik
+
|style="background-color: white;"|Protestant (code = '309885004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Adresgegevens
+
|colspan="9"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Straat
+
|colspan="7"|WilsverklaringType
−
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.14.1">ZIB WilsverklaringType</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Huisnummer
+
|colspan="7"|WilsverklaringDatum
−
|style="background-color: white;"|1002
+
|style="background-color: white;"|T - 4 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Vertegenwoordiger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Postcode
+
|rowspan="2"|
−
|style="background-color: white;"|9999ZZ
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Woonplaats
+
|colspan="6"|Contactpersoon
−
|style="background-color: white;"|STITSWERD
+
|style="background-color: white;"|Zie [[#eovd-1-1-contactpersoon-01|Contactpersoon: eovd-1-1-contactpersoon-01]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Adres soort
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee.
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999900067 (in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|18 sep 1963
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betaler
+
|colspan="10"|Sociale omgeving
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="39"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="9"|ParticipatieInMaatschappij
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="4"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verzekering
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="7"|SociaalNetwerk
 +
|style="background-color: white;"|heeft veel contact met buren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="7"|Vrijetijdsbesteding
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|viool spelen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="7"|Arbeidssituatie
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Gepensioneerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|rowspan="19"|
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Trias
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verzekerde nummer
 
−
|style="background-color: white;"|12345678
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Sturende organisatie
+
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Mantelzorger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="12"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|EF-zkh
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Afdeling specialisme
 
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie type
 
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
−
|style="background-color: white;"|Bart
+
|style="background-color: white;"|Marriet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|M.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geslachtsnaam
 
|colspan="4"|Geslachtsnaam
Regel 7.638: Regel 7.562:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
−
|style="background-color: white;"|Moorman
+
|style="background-color: white;"|Blauw
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontvangende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="4"|Rol
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Buur (code = '19' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>')
−
|colspan="6"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="7"|Aard
 +
|style="background-color: white;"|helpt met ondersteuning echtgenoot als mevrouw er niet is
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|47707070 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|zo vaak als nodig
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="7"|SoortHulp
−
|style="background-color: white;"|St. Zonnehof
+
|style="background-color: white;"|Mantelzorg (code = '386229000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|HulpVanAnderen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|rowspan="12"|
−
|style="background-color: white;"|Verpleeghuis (code = 'R5' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Behandelaar
+
|colspan="8"|Hulpverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="5"|OrganisatieNaam
−
|style="background-color: white;"|03848484 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|WijZorgen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|OrganisatieLocatie
 +
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="5"|OrganisatieType
−
|style="background-color: white;"|P.
+
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="7"|Aard
 +
|style="background-color: white;"|ondersteuning bij wassen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="7"|Frequentie
−
|style="background-color: white;"|Boomsma
+
|style="background-color: white;"|dagelijks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|SoortHulp
 +
|style="background-color: white;"|Professionele thuiszorg (code = '60689008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Toelichting
 +
|style="background-color: white;"|niet in het weekend
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="10"|Communicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Taalvaardigheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|CommunicatieTaal
 +
|style="background-color: white;"|Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|TaalvaardigheidBegrijpen
 +
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|TaalvaardigheidSpreken
 +
|style="background-color: white;"|Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|TaalvaardigheidLezen
 +
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Medische diagnose
+
|colspan="9"|Taalvaardigheid
 
|-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;;" 
 
−
|colspan="6"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="7"|CommunicatieTaal
 +
|style="background-color: white;"|Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|TaalvaardigheidBegrijpen
 +
|style="background-color: white;"|Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="7"|TaalvaardigheidSpreken
−
|style="background-color: white;"|fistel tussen blaas en sigmoïd (code = '197861003')
+
|style="background-color: white;"|Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="7"|Toelichting
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|opgegroeid in Zuid-Limburg
 
|}
 
|}
−
=== Verpleegkundige context zorgplan===
+
=== Medische context===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Medische context
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="30%"| Gegevenselement
+
|colspan="8" width="30%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Actuele patientproblemen
+
|colspan="9"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patientprobleem
+
|colspan="8"|<span id="eovd-val-1-1-behandelaar-01" title="Intern ID = eovd-val-1-1-behandelaar-01">Zorgverlener eovd-val-1-1-behandelaar-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|<span id="eovd-1.8-patientprobleem-01" title="Intern ID = eovd-1.8-patientprobleem-01">Probleem eovd-1.8-patientprobleem-01</span>
+
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="5"|Voornamen
−
|style="background-color: white;"|incontinentie voor feces (code = '72042002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
+
|style="background-color: white;"|Joshua Pieter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem status
+
|colspan="5"|Initialen
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|J. P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verpleegkundige interventie
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Achternaam
 +
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Interventie
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|zorg bij fecale incontinentie (code = '386223004' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Indicatie
+
|colspan="7"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|OrganisatieNaam
 +
|style="background-color: white;"|AB-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem
+
|colspan="5"|OrganisatieLocatie
−
|style="background-color: white;"|Zie [[#eovd-1.8-patientprobleem-01|Probleem: eovd-1.8-patientprobleem-01]]
+
|style="background-color: white;"|Noord
−
|}
 
−
=== Verpleegkundige context specificatie gezondheidstoestand===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Uitscheiding
+
|colspan="9"|Behandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="26"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Blaasfunctie
+
|colspan="8"|<span id="eovd-val-1-1-behandelaar-02" title="Intern ID = eovd-val-1-1-behandelaar-02">Zorgverlener eovd-val-1-1-behandelaar-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|ZorgverlenerIdentificatienummer
 +
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Urine katheter
+
|colspan="7"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="5"|Initialen
 +
|style="background-color: white;"|G.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Product
+
|colspan="6"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Product type
+
|colspan="4"|Achternaam
−
|style="background-color: white;"|Verblijfskatheter (code = '23973005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spijkerman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product omschrijving
+
|colspan="6"|Specialisme
−
|style="background-color: white;"|Verblijfskatheter
+
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|OrganisatieNaam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|OrganisatieLocatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Medische diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Begin datum
+
|rowspan="21"|
−
|style="background-color: white;"|T - 5 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Darmfunctie
+
|colspan="8"|<span id="eovd-val-1-1-probleem-01" title="Intern ID = eovd-val-1-1-probleem-01">Probleem eovd-val-1-1-probleem-01</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Feces continentie
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|Incontinent (code = '72042002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Frequentie
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|2 per dag
+
|style="background-color: white;"|cardiovasculair letsel (code = '282728007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Defecatie consistentie
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Zachte stukjes met gehavende randen (code = 'Type 6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
+
|style="background-color: white;"|T - 100 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Defecatie kleur
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|Grijswit (code = '267056008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Incontinentiemateriaal
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="6"|VerificatieStatus
 +
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Medisch hulpmiddel
+
|colspan="8"|<span id="eovd-val-1-1-probleem-02" title="Intern ID = eovd-val-1-1-probleem-02">Probleem eovd-val-1-1-probleem-02</span>
 
|-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;;" 
 
−
|colspan="4"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|ProbleemType
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Product type
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|opvangzak voor fecesincontinentie (code = '469627000' in codeSystem 'SNOMED Clinical Terms')
+
|style="background-color: white;"|benigne neoplasma van colon (code = '92065004')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Product omschrijving
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|opvangzak voor fecesincontinentie
+
|style="background-color: white;"|T - 150 dagen
−
|}<section end=eOvd-SOV-tst-1.8-uitscheiding />
 
−
<section begin=eOvd-SOV-tst-1.9b-AGBcodes />
 
−
==Test Overdracht 1.9b==
 
−
 
 
−
=== Administratieve gegevens===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum overplaatsing
+
|colspan="6"|ProbleemStatus
−
|style="background-color: white;"|T + 10 dagen
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Persoonsgegevens
+
|colspan="8"|<span id="eovd-val-1-1-probleem-03" title="Intern ID = eovd-val-1-1-probleem-03">Probleem eovd-val-1-1-probleem-03</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="24"|
+
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|ProbleemLateraliteit
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="6"|ProbleemType
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|M.
+
|style="background-color: white;"|gecompliceerde fractuur van enkel (code = '48187004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Voorgeschiedenis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsels
+
|rowspan="7"|
−
|style="background-color: white;"|van
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|rowspan="5"|
−
|style="background-color: white;"|XXX_Hondius
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="6"|ProbleemType
−
|style="background-color: white;"|999900079 (in identificerend systeem: BSN)
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="6"|ProbleemNaam
−
|style="background-color: white;"|18 sep 1963
+
|style="background-color: white;"|diabetes mellitus (code = '73211009')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="6"|ProbleemBeginDatum
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|T - 12 jaar
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Betaler
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verzekeraar
+
|colspan="9"|Allergie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="37"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Verzekering
+
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eind datum tijd
+
|colspan="6"|VeroorzakendeStof
−
|style="background-color: white;"|T + 1 jaar
+
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verzekeringssoort
+
|colspan="6"|AllergieCategorie
−
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
+
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Identificatie nummer
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|9664 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Organisatie naam
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|Trias
+
|style="background-color: white;"|T - 10 jaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verzekerde nummer
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|22345678
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Sturende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="15"|
+
|colspan="6"|Toelichting
 +
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|EF-zkh
+
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie type
+
|colspan="5"|WijzeVanBlootstelling
−
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
+
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgverlener
+
|colspan="8"|AllergieIntolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="6"|VeroorzakendeStof
−
|style="background-color: white;"|91343434 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|pollen (code = '256259004')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|AllergieCategorie
 +
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Voornamen
+
|colspan="6"|AllergieStatus
−
|style="background-color: white;"|Veerle
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="6"|BeginDatumTijd
 +
|style="background-color: white;"|T - 500 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="6"|MateVanKritiekZijn
−
|style="background-color: white;"|Henneman
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontvangende organisatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="6"|LaatsteReactieDatumTijd
 +
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="5"|SpecifiekeStof
−
|style="background-color: white;"|HomeCare
+
|style="background-color: white;"|graspollen (code = '256277009')
−
|}
 
−
=== Medische context===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="30%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Behandelaar
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="5"|ReactieBeschrijving
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|veelvuldig niezen
−
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="5"|Ernst
 +
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgverlener identificatienummer
+
|colspan="5"|ReactieTijdstip
−
|style="background-color: white;"|03454545 (in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|T - 99 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="7"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|Symptoom
 +
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Initialen
+
|colspan="5"|Symptoom
−
|style="background-color: white;"|K.
+
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|SpecifiekeStof
 +
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="5"|ReactieBeschrijving
−
|style="background-color: white;"|Bronsgeest
+
|style="background-color: white;"|ernstige benauwdheid en koorts
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Specialisme
+
|colspan="5"|Ernst
−
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
+
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Medische diagnose
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|ReactieTijdstip
 +
|style="background-color: white;"|T - 200 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Let op
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Alert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AlertNaam
 +
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BeginDatumTijd
 +
|style="background-color: white;"|T - 20 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AlertType
 +
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Probleem
+
|colspan="8"|Alert
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem naam
+
|colspan="6"|AlertNaam
−
|style="background-color: white;"|ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): ernstige claustrofobie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Probleem status
+
|colspan="6"|BeginDatumTijd
−
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|T - 10 jaar
−
|}<section end=eOvd-SOV-tst-1.9b-AGBcodes />
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Vrijheidsbeperking
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VrijheidsbeperkendeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wilsbekwaam
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|JuridischeSituatie
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-juridischesituatie-01|JuridischeSituatie: eovd-val-1-1-juridischesituatie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SoortInterventie
 +
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|RedenVanToepassen
 +
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Instemming
 +
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Begin
 +
|style="background-color: white;"|T - 50 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Meetwaarden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="57"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Bloeddruk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Meetmethode
 +
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ManchetType
 +
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.15.1">ZIB ManchetType</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MeetLocatie
 +
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DiastolischEindpunt
 +
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SystolischeBloeddruk
 +
|style="background-color: white;"|170 mm[Hg]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DiastolischeBloeddruk
 +
|style="background-color: white;"|90 mm[Hg]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GemiddeldeBloeddruk
 +
|style="background-color: white;"|110 mm[Hg]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BloeddrukDatumTijd
 +
|style="background-color: white;"|T - 20 dagen om 14:45 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|mevrouw gebruikt medicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Houding
 +
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Polsfrequentie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PolsfrequentieWaarde
 +
|style="background-color: white;"|90
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PolsfrequentieDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|is altijd sportief geweest
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PolsRegelmatigheid
 +
|style="background-color: white;"|Polsslag regelmatig (code = '271636001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Lichaamstemperatuur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TemperatuurWaarde
 +
|style="background-color: white;"|36.8 Cel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TemperatuurDatumTijd
 +
|style="background-color: white;"|T - 4 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|voeten voelen heel koud aan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TemperatuurType
 +
|style="background-color: white;"|Tympanische temperatuur (code = '415974002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Ademhaling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Ademfrequentie
 +
|style="background-color: white;"|18 /min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AdemhalingDatumTijd
 +
|style="background-color: white;"|T - 3 dagen om 14:45 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Ritme
 +
|style="background-color: white;"|Abnormaal ademhalingsritme (code = '85617008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Diepte
 +
|style="background-color: white;"|Normale ademhalingsdiepte (code = '301284009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AfwijkendAdemhalingspatroon
 +
|style="background-color: white;"|Apneu (code = '1023001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ExtraZuurstofToediening
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|mevrouw lijkt angstig
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|ToegediendeZuurstof
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|FlowRate
 +
|style="background-color: white;"|2 l/min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|FiO2
 +
|style="background-color: white;"|0.29 l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|ToedieningHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|ProductType
 +
|style="background-color: white;"|Neusbril (code = '336623009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductOmschrijving
 +
|style="background-color: white;"|neusbril
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Lichaamsgewicht
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtWaarde
 +
|style="background-color: white;"|74 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|mevrouw volgt afvaldieet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Kleding
 +
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Lichaamslengte
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|LengteWaarde
 +
|style="background-color: white;"|170 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|LengteDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:30 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|zonder schoenen aan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Pijnscore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|PijnScore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PijnscoreWaarde
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PijnscoreDatumTijd
 +
|style="background-color: white;"|T - 5 dagen om 14:45 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|PijnMeetmethode
 +
|style="background-color: white;"|NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Af en toe pijn, maar niet belemmerend bij het lopen
 +
|}
 +
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="8" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Actuele patiëntproblemen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="41"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Patiëntprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|<span id="eovd-val-1-1-patientprobleem-01" title="Intern ID = eovd-val-1-1-patientprobleem-01">Probleem eovd-val-1-1-patientprobleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemNaam
 +
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 100 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|mevrouw kan niet buigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|<span id="eovd-val-1-1-interventie-01" title="Intern ID = eovd-val-1-1-interventie-01">VerpleegkundigeInterventie eovd-val-1-1-interventie-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Interventie
 +
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-patientprobleem-01|Probleem: eovd-val-1-1-patientprobleem-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|GewenstZorgresultaat
 +
|style="background-color: white;"|wassen onafhankelijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ActieStartDatumTijd
 +
|style="background-color: white;"|T - 90 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Frequentie
 +
|style="background-color: white;"|1 /dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Instructie
 +
|style="background-color: white;"|let op: valrisico
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Patiëntprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|<span id="eovd-val-1-1-patientprobleem-02" title="Intern ID = eovd-val-1-1-patientprobleem-02">Probleem eovd-val-1-1-patientprobleem-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemNaam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 90 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|<span id="eovd-val-1-1-interventie-02" title="Intern ID = eovd-val-1-1-interventie-02">VerpleegkundigeInterventie eovd-val-1-1-interventie-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Interventie
 +
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-patientprobleem-02|Probleem: eovd-val-1-1-patientprobleem-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|GewenstZorgresultaat
 +
|style="background-color: white;"|kleden onafhankelijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Frequentie
 +
|style="background-color: white;"|3 /dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Zorgresultaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|UitkomstVanZorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Zorgresultaat
 +
|style="background-color: white;"|doel deels behaald: kan nog niet rug wassen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|VerpleegkundigeInterventie
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-interventie-01|VerpleegkundigeInterventie: eovd-val-1-1-interventie-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|UitkomstVanZorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Zorgresultaat
 +
|style="background-color: white;"|doel deels behaald, kan nog niet zelf veters strikken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|VerpleegkundigeInterventie
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-interventie-02|VerpleegkundigeInterventie: eovd-val-1-1-interventie-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Afspraken patiënt
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="81"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Contact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="55"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ContactType
 +
|style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|ContactMet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-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;"|Joshua Pieter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|J.P.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Helmond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|ContactMet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgverlenerIdentificatienummer
 +
|style="background-color: white;"|03686868 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|F.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Snijder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Locatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgaanbiederIdentificatienummer
 +
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieNaam
 +
|style="background-color: white;"|AB-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieLocatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AfdelingSpecialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31182435770
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|EmailAdressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailAdres
 +
|style="background-color: white;"|neurologie@ABZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-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;"|10
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999PO
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort
 +
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieType
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BeginDatumTijd
 +
|style="background-color: white;"|T + 5 dagen om 10:00 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EindDatumTijd
 +
|style="background-color: white;"|T + 5 dagen om 10:30 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|RedenContact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Probleem
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-probleem-01|Probleem: eovd-val-1-1-probleem-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Contact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ContactType
 +
|style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|ContactMet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ZorgverlenerIdentificatienummer
 +
|style="background-color: white;"|88131313 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|W.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bloem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|EmailAdressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailAdres
 +
|style="background-color: white;"|bloem@ergotherapie.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BeginDatumTijd
 +
|style="background-color: white;"|T + 12 dagen om 15:15 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|RedenContact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|RedenContactTekst
 +
|style="background-color: white;"|Controle voortgang revalidatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="8"|Wensen en behoeften patiënt en/of naasten
 +
|style="background-color: white;"|mevrouw wil zo snel mogelijk weer zelfstandig kunnen functioneren en haar kat kunnen verzorgen
 +
|}
 +
=== Verpleegkundige context: specificatie gezondheidstoestand===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="9" | Verpleegkundige context: specificatie gezondheidstoestand
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="8" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Zelfzorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="103"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotDrinken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Drinken
 +
|style="background-color: white;"|Hulp nodig (code = '16681000146102' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DrinkBeperkingen
 +
|style="background-color: white;"|Bereiden (openen/uitschenken) (code = '286506008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotDrinken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Drinken
 +
|style="background-color: white;"|Onafhankelijk (code = '19841000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DrinkBeperkingen
 +
|style="background-color: white;"|Vastpakken (code = '307071002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotEten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eten
 +
|style="background-color: white;"|Hulp nodig (code = '129033007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetBeperkingen
 +
|style="background-color: white;"|Snijden/openen (code = '289078003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotEten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eten
 +
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetBeperkingen
 +
|style="background-color: white;"|Eetgerei hanteren (code = '289046006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotMondverzorging
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VerzorgenTanden
 +
|style="background-color: white;"|Hulp nodig (code = '16671000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Prothese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gebitsprothese bovenkaak
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Prothese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Gebitsprothese (code = '27606000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gebitsprothese onderkaak
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZichWassen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichWassen
 +
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TeWassenLichaamsdeel
 +
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZichWassen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichWassen
 +
|style="background-color: white;"|Hulp nodig (code = '16621000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TeWassenLichaamsdeel
 +
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZichKleden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichKleden
 +
|style="background-color: white;"|Hulp nodig (code = '129039006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TeKledenLichaamsdeel
 +
|style="background-color: white;"|Onderlichaam (code = '362875007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZichKleden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZichKleden
 +
|style="background-color: white;"|Onafhankelijk (code = '129035000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TeKledenLichaamsdeel
 +
|style="background-color: white;"|Bovenlichaam (code = '362874006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotUiterlijkeVerzorging
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|UiterlijkeVerzorging
 +
|style="background-color: white;"|Hulp nodig (code = '27941000146109' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotToiletgang
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toiletgebruik
 +
|style="background-color: white;"|Onafhankelijk (code = '129062008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotZelfstandigMedicatiegebruik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZelfstandigMedicatiegebruik
 +
|style="background-color: white;"|Hulp nodig (code = '27921000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HulpBijToediening
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|GewenstZorgresultaat
 +
|style="background-color: white;"|therapietrouw
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Frequentie
 +
|style="background-color: white;"|2 /d
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|ProductType
 +
|style="background-color: white;"|medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductOmschrijving
 +
|style="background-color: white;"|baxterrol
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|GewenstZorgresultaat
 +
|style="background-color: white;"|goede hygiene met betrekking tot stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ActieStartDatumTijd
 +
|style="background-color: white;"|T - 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Patient
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toelichting
 +
|style="background-color: white;"|toezicht bij uitvoer, en instructie hygiënisch werken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VerrichtenVPKHandeling
 +
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|VermogenTotVerpleegtechnischeHandelingen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|VerpleegkundigeInterventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ActieStartDatumTijd
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interval
 +
|style="background-color: white;"|2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VerrichtenVPKHandeling
 +
|style="background-color: white;"|Hulp nodig (code = '27931000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Toelichting zelfzorg
 +
|style="background-color: white;"|kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Mobiliteit
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="28"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Mobiliteit
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="26"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lopen
 +
|style="background-color: white;"|Hulp nodig (code = '16581000146103' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Traplopen
 +
|style="background-color: white;"|Volledig afhankelijk (code = '301589003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|HoudingVeranderen
 +
|style="background-color: white;"|Onafhankelijk (code = '19821000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|HoudingHandhaven
 +
|style="background-color: white;"|Onafhankelijk (code = '19811000146100' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|UitvoerenTransfer
 +
|style="background-color: white;"|Hulp nodig (code = '714917003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|rollator
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 1 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|rolstoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 1 maand
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toelichting
 +
|style="background-color: white;"|voor langere afstanden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|lopen is stuk verbeterd, rechter been minder krachtig
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Voeding/vocht
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="127"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Voedingsadvies
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DieetType
 +
|style="background-color: white;"|suikervrij, diabetes dieet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Consistentie
 +
|style="background-color: white;"|dik vloeibaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|eet naar eigen keuze minder vlees
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Voedingsadvies
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DieetType
 +
|style="background-color: white;"|geen varkensvlees
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SNAQScore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetlustScore
 +
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VoedingsScore
 +
|style="background-color: white;"|GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TotaalScore
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SNAQScoreDatumTijd
 +
|style="background-color: white;"|T - 6 dagen om 17 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SNAQrcScore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetlustScore
 +
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BMIScore
 +
|style="background-color: white;"|Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|HulpBijEten
 +
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TotaalScore
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SNAQrcScoreDatumTijd
 +
|style="background-color: white;"|T - 6 dagen om 17 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SNAQ65+Score
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BovenarmOmtrekScore
 +
|style="background-color: white;"|Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|EetlustScore
 +
|style="background-color: white;"|Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|InspanningsScore
 +
|style="background-color: white;"|Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TotaalScore
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SNAQ65+ScoreDatumTijd
 +
|style="background-color: white;"|T - 6 dagen om 17 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|geen verminderde eetlust ondanks chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|MUSTScore
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BMIScore
 +
|style="background-color: white;"|BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|GewichtsverliesScore
 +
|style="background-color: white;"|LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZiekteScore
 +
|style="background-color: white;"|Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|TotaalScore
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|MUSTScoreDatumTijd
 +
|style="background-color: white;"|T - 12 dagen om 17 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Vochtbalans
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VochtTotaalIn
 +
|style="background-color: white;"|1400 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VochtTotaalUit
 +
|style="background-color: white;"|1000 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VochtbalansStarttijd
 +
|style="background-color: white;"|T - 6 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VochtbalansStoptijd
 +
|style="background-color: white;"|T - 5 dagen om 07 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SondeSysteem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|neus- maagsonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-behandelaar-02|Zorgverlener: eovd-val-1-1-behandelaar-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SondeLengte
 +
|style="background-color: white;"|575 mm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|wegens misselijkheid door chemotherapie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|SondeSysteem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|PEJ sonde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductType
 +
|style="background-color: white;"|enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ProductOmschrijving
 +
|style="background-color: white;"|enterale voedingspomp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|BeginDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="27"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|centraal veneuze katheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 20 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toelichting
 +
|style="background-color: white;"|onder sleutelbeen links
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverlener
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-behandelaar-02|Zorgverlener: eovd-val-1-1-behandelaar-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|voor voeding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LumenLocatie
 +
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LumenLocatie
 +
|style="background-color: white;"|Mediaal (code = '255561001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LumenLocatie
 +
|style="background-color: white;"|Distaal (code = '46053002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Infuuskatheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Perifeer intraveneus infuus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 15 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|voor medicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|LumenOfLijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|LijnStatus
 +
|style="background-color: white;"|Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Uitscheiding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="41"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Blaasfunctie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|UrineContinentie
 +
|style="background-color: white;"|Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Urostoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-stoma-02|Stoma: eovd-val-1-1-stoma-02]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Incontinentiemateriaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|inlegger
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Darmfunctie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Stoma
 +
|style="background-color: white;"|Zie [[#eovd-val-1-1-stoma-01|Stoma: eovd-val-1-1-stoma-01]]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DefecatieConsistentie
 +
|style="background-color: white;"|Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|stoma na subtotale darmresectie wegens coloncarcinoom
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovd-val-1-1-stoma-01" title="Intern ID = eovd-val-1-1-stoma-01">Stoma eovd-val-1-1-stoma-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|StomaType
 +
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|StomaMateriaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|stomazak voor ileostoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AanlegDatum
 +
|style="background-color: white;"|T - 12 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|<span id="eovd-val-1-1-stoma-02" title="Intern ID = eovd-val-1-1-stoma-02">Stoma eovd-val-1-1-stoma-02</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|StomaType
 +
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AanlegDatum
 +
|style="background-color: white;"|T - 4 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Huid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="91"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Brandwond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Uitgebreidheid
 +
|style="background-color: white;"|1 %
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BrandwondSoort
 +
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Dieptegraad
 +
|style="background-color: white;"|1e graad (code = '77140003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Mevrouw kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Brandwond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Uitgebreidheid
 +
|style="background-color: white;"|1 %
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|BrandwondSoort
 +
|style="background-color: white;"|Thermische brandwond (code = '105594005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Dieptegraad
 +
|style="background-color: white;"|2e graad, oppervlakkig (code = '262587005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|DecubitusWond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DecubitusCategorie
 +
|style="background-color: white;"|Decubitus categorie 2 (code = '420324007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 2 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondlengte
 +
|style="background-color: white;"|2 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|2 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|0.5 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Wond is niet geïnfecteerd.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|DecubitusWond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DecubitusCategorie
 +
|style="background-color: white;"|Decubitus categorie 1 (code = '421076008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span> (ordinal = '1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 20 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondlengte
 +
|style="background-color: white;"|3 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|1 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|0.2 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Huidaandoening
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|SoortAandoening
 +
|style="background-color: white;"|Intertrigo/smetten (code = '58759008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OntstaansDatum
 +
|style="background-color: white;"|T - 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Rechts (code = '24028007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|Smetten zonder natten of infectie, inmiddels genezen.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondSoort
 +
|style="background-color: white;"|Traumatische wond (code = '416462003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondWeefsel
 +
|style="background-color: white;"|Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondInfectie
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondVochtigheid
 +
|style="background-color: white;"|Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondlengte
 +
|style="background-color: white;"|2 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|4 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|0.1 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondOntstaansdatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|oppervlakkige schaafwond na CVA, geen verband nodig
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondSoort
 +
|style="background-color: white;"|Chirurgische wond (code = '112633009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondInfectie
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondVochtigheid
 +
|style="background-color: white;"|Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondRand
 +
|style="background-color: white;"|Ondermijning (code = '449752001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondlengte
 +
|style="background-color: white;"|5 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|1 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|4 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Drain
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|wonddrain
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|BeginDatum
 +
|style="background-color: white;"|T - 12 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondSoort
 +
|style="background-color: white;"|Oncologische ulcer (code = '94579000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondWeefsel
 +
|style="background-color: white;"|Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondInfectie
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondlengte
 +
|style="background-color: white;"|1 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wondbreedte
 +
|style="background-color: white;"|1 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Wonddiepte
 +
|style="background-color: white;"|2 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|AnatomischeLocatie
 +
|style="background-color: white;"|buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|WondOntstaansdatum
 +
|style="background-color: white;"|T - 1 maand
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|DatumLaatsteVerbandwissel
 +
|style="background-color: white;"|T - 1 dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Zintuigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|FunctieHoren
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|HoorFunctie
 +
|style="background-color: white;"|Verminderde gehoorfunctie (code = '15188001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HorenHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductID
 +
|style="background-color: white;"|012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|Gehoorapparaat (code = '6012004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gehoorapparaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|Linkeroor (code = '89644007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|HorenHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|Gehoorapparaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|AnatomischeLocatie
 +
|style="background-color: white;"|Rechteroor (code = '25577004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|FunctieZien
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|VisueleFunctie
 +
|style="background-color: white;"|Verminderd gezichtsvermogen (code = '397540003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|ZienHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|MedischHulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|ProductType
 +
|style="background-color: white;"|bril (code = '50121007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProductOmschrijving
 +
|style="background-color: white;"|bril
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|zonder bril bestaat verhoogd valrisico
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Ziektebeleving
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Ziektebeleving
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ZiekteInzichtVanPatiënt
 +
|style="background-color: white;"|mevrouw kan niet overzien wat de ziekte betekent in het dagelijkse leven
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OmgaanMetZiekteprocesDoorPatiënt
 +
|style="background-color: white;"|mevrouw wil niet praten over de toekomst.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|OmgaanMetZiekteprocesDoorNaasten
 +
|style="background-color: white;"|echtgenoot maakt zich zorgen of hij de zorg voor mevrouw wel aan kan, omdat hij zelf ook slecht ter been is
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="9"|Mentale status
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemType
 +
|style="background-color: white;"|Symptoom (code = '418799008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 22 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Toelichting
 +
|style="background-color: white;"|sinds cva, verminderde alertheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemType
 +
|style="background-color: white;"|Klacht (code = '409586006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemNaam
 +
|style="background-color: white;"|toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemBeginDatum
 +
|style="background-color: white;"|T - 22 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemEindDatum
 +
|style="background-color: white;"|T - 5 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|ProbleemStatus
 +
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|}<section end=eOvd-SOV-val-1.1-alle_zibs />
 +
<section begin=eOvd-SOV-val-1.2-minimaal />
 +
==Validatie Overdracht 1.2 ==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum overplaatsing
 +
|style="background-color: white;"|T + 6 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="27"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX-Aansluittest-B
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1000
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|999990019 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|2 feb 1950
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EindDatumTijd
 +
|style="background-color: white;"|T + 250 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|IdentificatieNummer
 +
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|OrganisatieNaam
 +
|style="background-color: white;"|Trias
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|VerzekerdeNummer
 +
|style="background-color: white;"|12345687
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieNaam
 +
|style="background-color: white;"|HomeCare
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Moorman
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontvangende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|OrganisatieNaam
 +
|style="background-color: white;"|St. Zonnehof
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Behandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Curaçao
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProbleemNaam
 +
|style="background-color: white;"|toxisch delier (code = '231439009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|}
 +
=== Verpleegkundige context: zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verpleegkundige context: zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Actuele patiëntproblemen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Patiëntprobleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="eovd-val-1-2-probleem-01" title="Intern ID = eovd-val-1-2-probleem-01">Probleem eovd-val-1-2-probleem-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|ProbleemNaam
 +
|style="background-color: white;"|acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|ProbleemStatus
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|<span id="eovd-val-1-2-interventie-01" title="Intern ID = eovd-val-1-2-interventie-01">VerpleegkundigeInterventie eovd-val-1-2-interventie-01</span>
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interventie
 +
|style="background-color: white;"|omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgresultaat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|UitkomstVanZorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgresultaat
 +
|style="background-color: white;"|DOSS = 2
 +
|}<section end=eOvd-SOV-val-1.2-minimaal />

Huidige versie van 16 feb 2026 om 17:39

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Dit is een tijdelijke pagina met wijzigingen voor issue EOVDR-832. De gepubliceerde versie vind je hier.

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Inhoud

1 Addenda voor inhoudelijke gegevens

1.1 Kwalificatie Overdracht 1.1

1.1.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Voornamen Julius
Initialen J.
Geslachtsnaam
Achternaam XXX_Zonnenberg
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats Stitswerd
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990109
EmailAdressen
EmailAdres juliuszonnenberg1954@gmail.com
Identificatienummer 999910358 (in identificerend systeem: BSN)
Geboortedatum 28 jul 1954
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9665 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345679
Contactpersoon eovd-1-1-contactpersoon-01
Naamgegevens
Voornamen Helena
Initialen H.
Roepnaam Lenie
Geslachtsnaam
Achternaam Slager
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990009
EmailAdressen
EmailAdres lenie@123net.nl
Adresgegevens
Straat Knolweg
Huisnummer 1003
AdditioneleInformatie ingang via achtertuin
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT')
Relatie Kleindochter (code = 'GRNDDAU' in codeSystem 'HL7 RoleCode')
Contactpersoon
Naamgegevens
Voornamen Pleun
Geslachtsnaam
Achternaam Bloemist
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990008
Adresgegevens
Straat Knolweg
Huisnummer 1003
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Rol Buur (code = '19' in codeSystem 'Vektis Rolcode COD472-VEKT')
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor')
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Charlotte Maria
Initialen C. M.
Roepnaam Lotte
Geslachtsnaam
Achternaam Bruinsma
Specialisme Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75131313 (in identificerend systeem: AGB-Z)
OrganisatieNaam ThuiszorgOrg
OrganisatieLocatie Noord
AfdelingSpecialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.1.2 Algemene patiënten context

Algemene patiënten context
Gegevenselement Waarde
Gezinssituatie
Gezinssituatie
BurgerlijkeStaat
BurgerlijkeStaatRC
BurgerlijkeStaat Gehuwd (code = 'M' in codeSystem 'HL7 MaritalStatus')
Gezinssamenstelling Alleenwonend (code = '105529008' in codeSystem 'SNOMED CT')
Zorgtaak zorgt voor zijn kat
Juridische situatie
JuridischeSituatie eovd-kwa-1-1-juridischesituatie-01
Vertegenwoordiging Bewindvoering (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
DatumAanvang T - 1 jaar
Woonomgeving
Woonsituatie
WoningType Aanleunwoning (code = 'AANLW' in codeSystem 'ZIB WoningType')
Levensovertuiging
LevensovertuigingRC
Levensovertuiging Protestant (code = '309885004' in codeSystem 'SNOMED CT')
Wilsverklaring
WilsverklaringType Niet reanimeren verklaring (code = 'NR' in codeSystem 'ZIB WilsverklaringType')
WilsverklaringDatum T - 4 jaar
Vertegenwoordiger
Contactpersoon Zie Contactpersoon: eovd-1-1-contactpersoon-01
Toelichting wilsverklaring bevindt zich in de portemonnee.
Sociale omgeving
ParticipatieInMaatschappij
SociaalNetwerk heeft veel contact met buren
Vrijetijdsbesteding viool spelen
Arbeidssituatie Gepensioneerd
HulpVanAnderen
Hulpverlener
Mantelzorger
Contactpersoon
Naamgegevens
Voornamen Marriet
Initialen M.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam Blauw
Rol Buur (code = '19' in codeSystem 'Vektis Rolcode COD472-VEKT')
Aard helpt met ondersteuning echtgenote als meneer er niet is
Frequentie zo vaak als nodig
SoortHulp Mantelzorg (code = '386229000' in codeSystem 'SNOMED CT')
HulpVanAnderen
Hulpverlener
Zorgaanbieder
OrganisatieNaam WijZorgen
OrganisatieLocatie Stitswerd
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Aard ondersteuning bij wassen
Frequentie dagelijks
SoortHulp Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
Toelichting niet in het weekend
Communicatie
Taalvaardigheid
CommunicatieTaal Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidLezen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
Taalvaardigheid
CommunicatieTaal Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting opgegroeid in Zuid-Limburg

1.1.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener eovdv-kwa-1-1-behandelaar-01
Naamgegevens
Voornamen Joshua Pieter
Initialen J. P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Behandelaar
Zorgverlener eovdv-kwa-1-1-behandelaar-02
ZorgverlenerIdentificatienummer 03898989 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen G.
Geslachtsnaam
Achternaam Spijkerman
Specialisme Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Medische diagnose
Probleem eovd-kwa-1-1-probleem-01
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem eovd-kwa-1-1-probleem-02
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam neoplasma van colon (code = '126838000')
ProbleemBeginDatum T - 150 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem eovd-kwa-1-1-probleem-03
ProbleemLateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam polsfractuur (code = '31641000146105' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam diabetes mellitus (code = '73211009')
ProbleemBeginDatum T - 12 jaar
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Allergie
AllergieIntolerantie
VeroorzakendeStof nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
AllergieCategorie Stof of product (code = '419199007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 10 jaar
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
Toelichting opgemerkt bij het dragen van nikkel bevattende sieraden.
Reactie
Symptoom Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
ReactieBeschrijving last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
WijzeVanBlootstelling intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
AllergieIntolerantie
VeroorzakendeStof pollen (code = '256259004')
AllergieCategorie Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 500 dagen
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
LaatsteReactieDatumTijd T - 99 dagen
Reactie
Symptoom Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
SpecifiekeStof graspollen (code = '256277009')
ReactieBeschrijving veelvuldig niezen
Ernst Matig (code = '6736007' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 99 dagen
Reactie
Symptoom Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
Symptoom Koorts (code = '386661006' in codeSystem 'SNOMED CT')
SpecifiekeStof pollen van paprikaplant (code = '110181000146104')
ReactieBeschrijving ernstige benauwdheid en koorts
Ernst Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 200 dagen
Let op
Alert
AlertNaam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
BeginDatumTijd T - 20 dagen
AlertType waarschuwing (code = '74018-3' in codeSystem 'LOINC')
Alert
AlertNaam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
BeginDatumTijd T - 10 jaar
Vrijheidsbeperking
VrijheidsbeperkendeInterventie
Wilsbekwaam Ja
JuridischeSituatie Zie JuridischeSituatie: eovd-kwa-1-1-juridischesituatie-01
SoortInterventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
RedenVanToepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen
Meetwaarden
Bloeddruk
Meetmethode Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
ManchetType Standaard (code = 'STD' in codeSystem 'ZIB ManchetType')
MeetLocatie Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')
DiastolischEindpunt Fase V (code = '255272007' in codeSystem 'SNOMED CT')
SystolischeBloeddruk 170 mm[Hg]
DiastolischeBloeddruk 90 mm[Hg]
GemiddeldeBloeddruk 110 mm[Hg]
BloeddrukDatumTijd T - 20 dagen om 14:45 uur
Toelichting meneer gebruikt medicatie
Houding Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')
Polsfrequentie
PolsfrequentieWaarde 90
PolsfrequentieDatumTijd T - 5 dagen om 14:45 uur
Toelichting is altijd sportief geweest
PolsRegelmatigheid Polsslag regelmatig (code = '271636001' in codeSystem 'SNOMED CT')
Lichaamstemperatuur
TemperatuurWaarde 36.8 Cel
TemperatuurDatumTijd T - 4 dagen om 07 uur
Toelichting voeten voelen heel koud aan
TemperatuurType Tympanische temperatuur (code = '415974002' in codeSystem 'SNOMED CT')
Ademhaling
Ademfrequentie 18 /min
AdemhalingDatumTijd T - 3 dagen om 14:45 uur
Ritme Abnormaal ademhalingsritme (code = '85617008' in codeSystem 'SNOMED CT')
Diepte Normale ademhalingsdiepte (code = '301284009' in codeSystem 'SNOMED CT')
AfwijkendAdemhalingspatroon Apneu (code = '1023001' in codeSystem 'SNOMED CT')
ExtraZuurstofToediening Ja
Toelichting meneer lijkt angstig
ToegediendeZuurstof
FlowRate 2 l/min
FiO2 0.29 l
ToedieningHulpmiddel
MedischHulpmiddel
Product
ProductType Neusbril (code = '336623009' in codeSystem 'SNOMED CT')
ProductOmschrijving neusbril
Lichaamsgewicht
GewichtWaarde 74 kg
Toelichting meneer volgt afvaldieet
GewichtDatumTijd T - 5 dagen om 14:30 uur
Kleding Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem 'ZIB ContextKleding')
Lichaamslengte
LengteWaarde 170 cm
LengteDatumTijd T - 5 dagen om 14:30 uur
Toelichting zonder schoenen aan
Pijnscore
PijnScore
PijnscoreWaarde 2
PijnscoreDatumTijd T - 5 dagen om 14:45 uur
PijnMeetmethode NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
AnatomischeLocatie gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting Af en toe pijn, maar niet belemmerend bij het lopen

1.1.4 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-kwa-1-1-patientprobleem-01
ProbleemNaam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting meneer kan niet buigen
VerpleegkundigeInterventie eovd-kwa-1-1-interventie-01
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-kwa-1-1-patientprobleem-01
Behandeldoel
GewenstZorgresultaat wassen onafhankelijk
ActieStartDatumTijd T - 90 dagen
Frequentie 1 /dag
Instructie let op: valrisico
Uitvoerder
Zorgverlener Ja
Patiëntprobleem
Probleem eovd-kwa-1-1-patientprobleem-02
ProbleemNaam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 90 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-kwa-1-1-interventie-02
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-kwa-1-1-patientprobleem-02
Behandeldoel
GewenstZorgresultaat kleden onafhankelijk
Frequentie 3 /dag
Patiëntprobleem
Probleem eovd-kwa-1-1-patientprobleem-04
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting vastgesteld met DOS score
VerpleegkundigeInterventie
Interventie bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-kwa-1-1-patientprobleem-04
Behandeldoel
GewenstZorgresultaat vochtinname > 1,5 liter/dag
Instructie Graag er op toezien dat meneer > 1,5 liter per dag drinkt
Uitvoerder
Verzorger
Contactpersoon
Naamgegevens
Voornamen Gerda
Naamgebruik Geslachtsnaam partner (code = 'NL2' in codeSystem 'ZIB Naamgebruik')
GeslachtsnaamPartner
AchternaamPartner XXX_Altenborg
Contactgegevens
Telefoonnummers
Telefoonnummer +31662626262
Relatie Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')
Zorgresultaat
UitkomstVanZorg
Zorgresultaat doel deels behaald: kan nog niet rug wassen
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-kwa-1-1-interventie-01
UitkomstVanZorg
Zorgresultaat doel deels behaald, kan nog niet zelf veters strikken
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-kwa-1-1-interventie-02
Afspraken patiënt
Contact
ContactType Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
Naamgegevens
Voornamen Joshua Pieter
Initialen J.P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 03686868 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen F.
Geslachtsnaam
Achternaam Snijder
Specialisme Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Locatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
BeginDatumTijd T + 5 dagen om 10:00 uur
EindDatumTijd T + 5 dagen om 10:30 uur
RedenContact
Probleem Zie Probleem: eovd-kwa-1-1-probleem-01
Contact
ContactType Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 88131313 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen W.
Geslachtsnaam
Achternaam Bloem
Specialisme Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
EmailAdressen
EmailAdres bloem@ergotherapie.nl
BeginDatumTijd T + 12 dagen om 15:15 uur
RedenContact
RedenContactTekst Controle voortgang revalidatie
Wensen en behoeften patiënt en/of naasten meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen

1.1.5 Verpleegkundige context: specificatie gezondheidstoestand

Verpleegkundige context: specificatie gezondheidstoestand
Gegevenselement Waarde
Zelfzorg
VermogenTotDrinken
Drinken Hulp nodig (code = '16681000146102' in codeSystem 'SNOMED CT
DrinkBeperkingen Bereiden (openen/uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
VermogenTotDrinken
Drinken Onafhankelijk (code = '19841000146104' in codeSystem 'SNOMED CT
DrinkBeperkingen Vastpakken (code = '307071002' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Hulp nodig (code = '129033007' in codeSystem 'SNOMED CT (ordinal = '1')
EetBeperkingen Snijden/openen (code = '289078003' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
EetBeperkingen Eetgerei hanteren (code = '289046006' in codeSystem 'SNOMED CT')
VermogenTotMondverzorging
VerzorgenTanden Hulp nodig (code = '16671000146104' in codeSystem 'SNOMED CT')
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese bovenkaak
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese onderkaak
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Hulp nodig (code = '129039006' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Onafhankelijk (code = '129035000' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotUiterlijkeVerzorging
UiterlijkeVerzorging Hulp nodig (code = '27941000146109' in codeSystem 'SNOMED CT
VermogenTotToiletgang
Toiletgebruik Onafhankelijk (code = '129062008' in codeSystem 'SNOMED CT (ordinal = '0')
VermogenTotZelfstandigMedicatiegebruik
ZelfstandigMedicatiegebruik Hulp nodig (code = '27921000146103' in codeSystem 'SNOMED CT')
HulpBijToediening
VerpleegkundigeInterventie
Interventie bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat therapietrouw
Frequentie 2 /d
MedischHulpmiddel
Product
ProductType medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving baxterrol
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat goede hygiene met betrekking tot stoma
ActieStartDatumTijd T - 6 dagen
Uitvoerder
Patient Ja
Toelichting toezicht bij uitvoer, en instructie hygiënisch werken
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
ActieStartDatumTijd T - 1 dag
Interval 2 dagen
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
Toelichting zelfzorg kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.
Mobiliteit
Mobiliteit
Lopen Hulp nodig (code = '16581000146103' in codeSystem 'SNOMED CT
Traplopen Volledig afhankelijk (code = '301589003' in codeSystem 'SNOMED CT
HoudingVeranderen Onafhankelijk (code = '19821000146105' in codeSystem 'SNOMED CT
HoudingHandhaven Onafhankelijk (code = '19811000146100' in codeSystem 'SNOMED CT
UitvoerenTransfer Hulp nodig (code = '714917003' in codeSystem 'SNOMED CT
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rollator
BeginDatum T - 1 jaar
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rolstoel
BeginDatum T - 1 maand
Toelichting voor langere afstanden
Toelichting lopen is stuk verbeterd, rechter been minder krachtig
Voeding/vocht
Voedingsadvies
DieetType suikervrij, diabetes dieet
Consistentie dik vloeibaar
Toelichting eet naar eigen keuze minder vlees
Voedingsadvies
DieetType geen varkensvlees
SNAQScore
GewichtsverliesScore LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
VoedingsScore GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
TotaalScore 2
SNAQScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQrcScore
GewichtsverliesScore LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
BMIScore Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
HulpBijEten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
TotaalScore 2
SNAQrcScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQ65+Score
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
BovenarmOmtrekScore Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
InspanningsScore Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
TotaalScore 0
SNAQ65+ScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
MUSTScore
BMIScore BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
ZiekteScore Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
TotaalScore 2
MUSTScoreDatumTijd T - 12 dagen om 17 uur
Vochtbalans
VochtTotaalIn 1400 ml
VochtTotaalUit 1000 ml
VochtbalansStarttijd T - 6 dagen om 07 uur
VochtbalansStoptijd T - 5 dagen om 07 uur
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
ProductOmschrijving neus- maagsonde
BeginDatum T - 5 dagen
AnatomischeLocatie neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovdv-kwa-1-1-behandelaar-02
SondeLengte 575 mm
Toelichting wegens misselijkheid door chemotherapie
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
ProductOmschrijving PEJ sonde
BeginDatum T - 5 dagen
MedischHulpmiddel
Product
ProductType enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving enterale voedingspomp
BeginDatum T - 5 dagen
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
ProductOmschrijving centraal veneuze katheter
BeginDatum T - 20 dagen
Toelichting onder sleutelbeen links
AnatomischeLocatie structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovdv-kwa-1-1-behandelaar-02
Toelichting voor voeding
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Mediaal (code = '255561001' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
ProductOmschrijving Perifeer intraveneus infuus
BeginDatum T - 15 dagen
AnatomischeLocatie onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting voor medicatie
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
Uitscheiding
Blaasfunctie
UrineContinentie Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem 'SNOMED CT (ordinal = '1')
Urostoma
Stoma Zie Stoma: eovd-kwa-1-1-stoma-02
Incontinentiemateriaal
MedischHulpmiddel
Product
ProductType inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving inlegger
Darmfunctie
Stoma Zie Stoma: eovd-kwa-1-1-stoma-01
DefecatieConsistentie Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
Toelichting stoma na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-kwa-1-1-stoma-01
StomaType eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
StomaMateriaal
MedischHulpmiddel
Product
ProductType Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving stomazak voor ileostoma
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 12 dagen
Toelichting na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-kwa-1-1-stoma-02
StomaType urostoma (code = '281601009' in codeSystem 'SNOMED CT')
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 4 jaar
Huid
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 1e graad (code = '77140003' in codeSystem 'SNOMED CT
Toelichting Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
DatumLaatsteVerbandwissel T - 1 dag
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 2e graad, oppervlakkig (code = '262587005' in codeSystem 'SNOMED CT
DecubitusWond
DecubitusCategorie Decubitus categorie 2 (code = '420324007' in codeSystem 'SNOMED CT (ordinal = '2')
OntstaansDatum T - 2 dagen
AnatomischeLocatie hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 2 cm
Wondbreedte 2 cm
Wonddiepte 0.5 cm
Toelichting Wond is niet geïnfecteerd.
DecubitusWond
DecubitusCategorie Decubitus categorie 1 (code = '421076008' in codeSystem 'SNOMED CT (ordinal = '1')
OntstaansDatum T - 20 dagen
AnatomischeLocatie stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 3 cm
Wondbreedte 1 cm
Wonddiepte 0.2 cm
Huidaandoening
SoortAandoening Intertrigo/smetten (code = '58759008' in codeSystem 'SNOMED CT')
OntstaansDatum T - 6 dagen
AnatomischeLocatie lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Toelichting Smetten zonder natten of infectie, inmiddels genezen.
Wond
WondSoort Traumatische wond (code = '416462003' in codeSystem 'SNOMED CT')
WondWeefsel Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
WondInfectie Nee
WondVochtigheid Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
Wondlengte 2 cm
Wondbreedte 4 cm
Wonddiepte 0.1 cm
AnatomischeLocatie knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 5 dagen
DatumLaatsteVerbandwissel T - 1 dag
Toelichting oppervlakkige schaafwond na CVA, geen verband nodig
Wond
WondSoort Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
WondInfectie Nee
WondVochtigheid Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
WondRand Ondermijning (code = '449752001' in codeSystem 'SNOMED CT')
Wondlengte 5 cm
Wondbreedte 1 cm
Wonddiepte 4 cm
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Drain
MedischHulpmiddel
Product
ProductType wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving wonddrain
BeginDatum T - 12 dagen
Wond
WondSoort Oncologische ulcer (code = '94579000' in codeSystem 'SNOMED CT')
WondWeefsel Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
WondInfectie Nee
Wondlengte 1 cm
Wondbreedte 1 cm
Wonddiepte 2 cm
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 1 maand
DatumLaatsteVerbandwissel T - 1 dag
Zintuigen
FunctieHoren
HoorFunctie Verminderde gehoorfunctie (code = '15188001' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
Product
ProductID 012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
ProductType Gehoorapparaat (code = '6012004' in codeSystem 'SNOMED CT')
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Rechteroor (code = '25577004' in codeSystem 'SNOMED CT')
FunctieZien
VisueleFunctie Verminderd gezichtsvermogen (code = '397540003' in codeSystem 'SNOMED CT')
ZienHulpmiddel
MedischHulpmiddel
Product
ProductType bril (code = '50121007' in codeSystem 'SNOMED CT')
ProductOmschrijving bril
Toelichting zonder bril bestaat verhoogd valrisico
Ziektebeleving
Ziektebeleving
ZiekteInzichtVanPatiënt meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven
OmgaanMetZiekteprocesDoorPatiënt meneer wil niet praten over de toekomst.
OmgaanMetZiekteprocesDoorNaasten echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is
Mentale status
Probleem
ProbleemType Symptoom (code = '418799008' in codeSystem 'SNOMED CT')
ProbleemNaam gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting sinds cva, verminderde alertheid
Probleem
ProbleemType Klacht (code = '409586006' in codeSystem 'SNOMED CT')
ProbleemNaam toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemEindDatum T - 5 dagen
ProbleemStatus Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')

1.2 Kwalificatie Overdracht 1.2

1.2.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 5 dagen
Persoonsgegevens
Patient
Naamgegevens
Geslachtsnaam
Achternaam XXX_Zuidwijker
Adresgegevens
Huisnummer 1002
Postcode 9999ZZ
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999910346 (in identificerend systeem: BSN)
Geboortedatum 27 jul 1954
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Sturende organisatie
Zorgaanbieder
OrganisatieNaam HomeCare
Zorgverlener
Naamgegevens
Geslachtsnaam
Achternaam Moorman
Ontvangende organisatie
Zorgaanbieder
OrganisatieNaam St. Zonnehof

1.2.2 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
Naamgegevens
Geslachtsnaam
Achternaam Köln
Medische diagnose
Probleem
ProbleemNaam delier (code = '2776000' in codeSystem 'SNOMED CT')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.2.3 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-kwa-1-2-probleem-01
ProbleemNaam acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-kwa-1-2-interventie-01
Interventie omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
Zorgresultaat
UitkomstVanZorg
Zorgresultaat DOSS = 2

1.3 Test Overdracht 1.1

1.3.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Voornamen Erik
Initialen E.
Geslachtsnaam
Achternaam XXX_Altenborg
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats Stitswerd
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer +31634567891
EmailAdressen
EmailAdres evertaltenborg@hotmail.com
Identificatienummer 999911612 (in identificerend systeem: BSN)
Geboortedatum 14 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Contactpersoon eovd-1-1-contactpersoon-01
Naamgegevens
Voornamen Johanna
Initialen J.
Roepnaam Hanna
Geslachtsnaam
Achternaam Bakker
Contactgegevens
Telefoonnummers
Telefoonnummer +31645678912
EmailAdressen
EmailAdres jbakker@123net.nl
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT')
Relatie Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
Contactpersoon
Naamgegevens
Voornamen Johannes
Roepnaam Hans
Geslachtsnaam
Voorvoegsels van
Achternaam Dijk
Contactgegevens
Telefoonnummers
Telefoonnummer +31612121212
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Charlotte Maria
Initialen C. M.
Roepnaam Lotte
Geslachtsnaam
Achternaam Bruinsma
Specialisme Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75131313 (in identificerend systeem: AGB-Z)
OrganisatieNaam ThuiszorgOrg
OrganisatieLocatie Noord
AfdelingSpecialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.3.2 Algemene patiënten context

Algemene patiënten context
Gegevenselement Waarde
Gezinssituatie
Gezinssituatie
BurgerlijkeStaat
BurgerlijkeStaatRC
BurgerlijkeStaat Gehuwd (code = 'M' in codeSystem 'HL7 MaritalStatus')
Gezinssamenstelling Samenwonend met partner (code = '408821002' in codeSystem 'SNOMED CT')
AantalKinderen 3
AantalKinderenInwonend 0
Zorgtaak zorgt voor zijn vrouw die slecht ter been is
Zorgtaak zorgt voor de hond
Kind
Geboortedatum T - 30 jaar
Inwonend Nee
Kind
Geboortedatum T - 25 jaar
Inwonend Nee
Toelichting kinderen wonen ver weg en kunnen niet helpen bij dagelijkse zorg aan echtgenote
Juridische situatie
JuridischeSituatie eovd-1-1-juridischesituatie-01
Vertegenwoordiging Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
DatumAanvang T - 1 jaar
Woonomgeving
Woonsituatie
Toelichting woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig
WoningType Appartement of flatwoning (code = 'FLATW' in codeSystem 'ZIB WoningType')
Levensovertuiging
LevensovertuigingRC
Levensovertuiging Geen geloof (code = 'GeenGeloof' in codeSystem 'ZIB NL-CM-CS Algemeen')
Wilsverklaring
WilsverklaringType Verklaring donorschap (code = 'DO' in codeSystem 'ZIB WilsverklaringType')
WilsverklaringDatum T - 4 jaar
Vertegenwoordiger
Contactpersoon Zie Contactpersoon: eovd-1-1-contactpersoon-01
Toelichting wilsverklaring bevindt zich in de portemonnee.
Wilsverklaring
WilsverklaringType Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden
WilsverklaringDatum T - 1 jaar
Sociale omgeving
ParticipatieInMaatschappij
SociaalNetwerk heeft veel contact met collega's en buren
Vrijetijdsbesteding gitaar spelen
Arbeidssituatie werkt als administratief medewerker bij gemeente
Toelichting heeft tijdelijk contract
HulpVanAnderen
Hulpverlener
Mantelzorger
Contactpersoon
Naamgegevens
Voornamen Marriet
Initialen M.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam Blauw
Rol Buur (code = '19' in codeSystem 'Vektis Rolcode COD472-VEKT')
Aard helpt met ondersteuning echtgenote als meneer er niet is
Frequentie zo vaak als nodig
SoortHulp Mantelzorg (code = '386229000' in codeSystem 'SNOMED CT')
HulpVanAnderen
Hulpverlener
Zorgaanbieder
OrganisatieNaam WijZorgen
OrganisatieLocatie Stitswerd
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Aard ondersteuning bij wassen
Frequentie dagelijks
SoortHulp Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
Toelichting niet in het weekend
HulpVanAnderen
Hulpverlener
Zorgverlener
Naamgegevens
Voornamen Therese
Geslachtsnaam
Achternaam Roep
Contactgegevens
EmailAdressen
EmailAdres thereseroep@zzp.nl
Aard ondersteuning bij wassen
Frequentie dagelijks
SoortHulp Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
Toelichting alleen in het weekend
Communicatie
Taalvaardigheid
CommunicatieTaal Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidLezen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
Taalvaardigheid
CommunicatieTaal Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting opgegroeid in Zuid-Limburg

1.3.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener eovdv-1-1-behandelaar-01
Naamgegevens
Voornamen Joshua Pieter
Initialen J. P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Behandelaar
Zorgverlener eovdv-1-1-behandelaar-02
ZorgverlenerIdentificatienummer 03898989 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen G.
Geslachtsnaam
Achternaam Spijkerman
Specialisme Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Medische diagnose
Probleem eovd-1-1-probleem-01
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem eovd-1-1-probleem-02
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam neoplasma van colon (code = '126838000')
ProbleemBeginDatum T - 150 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem eovd-1-1-probleem-03
ProbleemAnatomischeLocatie oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
ProbleemLateraliteit Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam inverse psoriasis (code = '238600001')
ProbleemBeginDatum T - 10 jaar
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam diabetes mellitus (code = '73211009')
ProbleemBeginDatum T - 12 jaar
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Allergie
AllergieIntolerantie
VeroorzakendeStof nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
AllergieCategorie Stof of product (code = '419199007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 10 jaar
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
Toelichting opgemerkt bij het dragen van nikkel bevattende sieraden.
Reactie
Symptoom Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
ReactieBeschrijving last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
WijzeVanBlootstelling intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
AllergieIntolerantie
VeroorzakendeStof pollen (code = '256259004')
AllergieCategorie Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 500 dagen
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
LaatsteReactieDatumTijd T - 99 dagen
Reactie
Symptoom Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
SpecifiekeStof graspollen (code = '256277009')
ReactieBeschrijving veelvuldig niezen
Ernst Matig (code = '6736007' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 99 dagen
Reactie
Symptoom Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
Symptoom Koorts (code = '386661006' in codeSystem 'SNOMED CT')
SpecifiekeStof pollen van paprikaplant (code = '110181000146104')
ReactieBeschrijving ernstige benauwdheid en koorts
Ernst Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 200 dagen
Let op
Alert
AlertNaam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
BeginDatumTijd T - 20 dagen
AlertType waarschuwing (code = '74018-3' in codeSystem 'LOINC')
Alert
AlertNaam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
BeginDatumTijd T - 10 jaar
Vrijheidsbeperking
VrijheidsbeperkendeInterventie
Wilsbekwaam Ja
JuridischeSituatie Zie JuridischeSituatie: eovd-1-1-juridischesituatie-01
SoortInterventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
RedenVanToepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen
Meetwaarden
Bloeddruk
Meetmethode Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
ManchetType Standaard (code = 'STD' in codeSystem 'ZIB ManchetType')
MeetLocatie Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')
DiastolischEindpunt Fase V (code = '255272007' in codeSystem 'SNOMED CT')
SystolischeBloeddruk 170 mm[Hg]
DiastolischeBloeddruk 90 mm[Hg]
GemiddeldeBloeddruk 110 mm[Hg]
BloeddrukDatumTijd T - 20 dagen om 14:45 uur
Toelichting meneer gebruikt medicatie
Houding Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')
Polsfrequentie
PolsfrequentieWaarde 90
PolsfrequentieDatumTijd T - 5 dagen om 14:45 uur
Toelichting is altijd sportief geweest
PolsRegelmatigheid Polsslag regelmatig (code = '271636001' in codeSystem 'SNOMED CT')
Lichaamstemperatuur
TemperatuurWaarde 36.8 Cel
TemperatuurDatumTijd T - 4 dagen om 07 uur
Toelichting voeten voelen heel koud aan
TemperatuurType Tympanische temperatuur (code = '415974002' in codeSystem 'SNOMED CT')
Ademhaling
Ademfrequentie 18 /min
AdemhalingDatumTijd T - 3 dagen om 14:45 uur
Ritme Abnormaal ademhalingsritme (code = '85617008' in codeSystem 'SNOMED CT')
Diepte Normale ademhalingsdiepte (code = '301284009' in codeSystem 'SNOMED CT')
AfwijkendAdemhalingspatroon Apneu (code = '1023001' in codeSystem 'SNOMED CT')
ExtraZuurstofToediening Ja
Toelichting meneer lijkt angstig
ToegediendeZuurstof
FlowRate 2 l/min
FiO2 0.29 l
ToedieningHulpmiddel
MedischHulpmiddel
Product
ProductType Neusbril (code = '336623009' in codeSystem 'SNOMED CT')
ProductOmschrijving neusbril
Lichaamsgewicht
GewichtWaarde 74 kg
Toelichting meneer volgt afvaldieet
GewichtDatumTijd T - 5 dagen om 14:30 uur
Kleding Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem 'ZIB ContextKleding')
Lichaamslengte
LengteWaarde 170 cm
LengteDatumTijd T - 5 dagen om 14:30 uur
Toelichting zonder schoenen aan
Pijnscore
PijnScore
PijnscoreWaarde 2
PijnscoreDatumTijd T - 5 dagen om 14:45 uur
PijnMeetmethode NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
AnatomischeLocatie gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting Af en toe pijn, maar niet belemmerend bij het lopen

1.3.4 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-1-1-patientprobleem-01
ProbleemNaam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting meneer kan niet buigen
VerpleegkundigeInterventie eovd-1-1-interventie-01
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-1-patientprobleem-01
Behandeldoel
GewenstZorgresultaat wassen onafhankelijk
ActieStartDatumTijd T - 90 dagen
Frequentie 1 /dag
Instructie let op: valrisico
Uitvoerder
Zorgverlener Ja
Patiëntprobleem
Probleem eovd-1-1-patientprobleem-02
ProbleemNaam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 90 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-1-1-interventie-02
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-1-patientprobleem-02
Behandeldoel
GewenstZorgresultaat kleden onafhankelijk
Frequentie 3 /dag
Patiëntprobleem
Probleem eovd-1-1-patientprobleem-03
ProbleemAnatomischeLocatie hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
ProbleemLateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 90 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie
Interventie aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-1-patientprobleem-03
Frequentie 1 /dag
MedischHulpmiddel
Product
ProductType schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')
MedischHulpmiddel
Product
ProductType huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')
VerpleegkundigeInterventie
Interventie wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-1-patientprobleem-03
Behandeldoel
GewenstZorgresultaat wondlengte < 1cm, wondbreedte < 1 cm
ActieStartDatumTijd T - 10 dagen
ActieEindDatumTijd T - 1 dag
Interval 4 uur
Uitvoerder
Zorgverlener Ja
Patiëntprobleem
Probleem eovd-1-1-patientprobleem-04
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting vastgesteld met DOS score
VerpleegkundigeInterventie
Interventie bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-1-patientprobleem-04
Behandeldoel
GewenstZorgresultaat vochtinname > 1,5 liter/dag
Instructie Graag er op toezien dat meneer > 1,5 liter per dag drinkt
Uitvoerder
Verzorger
Contactpersoon
Naamgegevens
Voornamen Gerda
Naamgebruik Geslachtsnaam partner (code = 'NL2' in codeSystem 'ZIB Naamgebruik')
GeslachtsnaamPartner
AchternaamPartner XXX_Altenborg
Contactgegevens
Telefoonnummers
Telefoonnummer +31662626262
Relatie Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')
Zorgresultaat
UitkomstVanZorg
Zorgresultaat doel deels behaald: kan nog niet rug wassen
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-1-1-interventie-01
UitkomstVanZorg
Zorgresultaat doel deels behaald, kan nog niet zelf veters strikken
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-1-1-interventie-02
Afspraken patiënt
Contact
ContactType Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
Naamgegevens
Voornamen Joshua Pieter
Initialen J.P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 03686868 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen F.
Geslachtsnaam
Achternaam Snijder
Specialisme Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Locatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
BeginDatumTijd T + 5 dagen om 10:00 uur
EindDatumTijd T + 5 dagen om 10:30 uur
RedenContact
Probleem Zie Probleem: eovd-1-1-probleem-01
Contact
ContactType Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 88131313 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen W.
Geslachtsnaam
Achternaam Bloem
Specialisme Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
EmailAdressen
EmailAdres bloem@ergotherapie.nl
BeginDatumTijd T + 12 dagen om 15:15 uur
RedenContact
RedenContactTekst Controle voortgang revalidatie
Wensen en behoeften patiënt en/of naasten meneer wil zo snel mogelijk weer zelfstandig kunnen functioneren en zijn vrouw kunnen verzorgen

1.3.5 Verpleegkundige context: specificatie gezondheidstoestand

Verpleegkundige context: specificatie gezondheidstoestand
Gegevenselement Waarde
Zelfzorg
VermogenTotDrinken
Drinken Hulp nodig (code = '16681000146102' in codeSystem 'SNOMED CT
DrinkBeperkingen Bereiden (openen/uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
VermogenTotDrinken
Drinken Onafhankelijk (code = '19841000146104' in codeSystem 'SNOMED CT
DrinkBeperkingen Vastpakken (code = '307071002' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Hulp nodig (code = '129033007' in codeSystem 'SNOMED CT (ordinal = '1')
EetBeperkingen Snijden/openen (code = '289078003' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
EetBeperkingen Eetgerei hanteren (code = '289046006' in codeSystem 'SNOMED CT')
VermogenTotMondverzorging
VerzorgenTanden Hulp nodig (code = '16671000146104' in codeSystem 'SNOMED CT')
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese bovenkaak
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese onderkaak
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Hulp nodig (code = '129039006' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Onafhankelijk (code = '129035000' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotUiterlijkeVerzorging
UiterlijkeVerzorging Hulp nodig (code = '27941000146109' in codeSystem 'SNOMED CT
VermogenTotToiletgang
Toiletgebruik Onafhankelijk (code = '129062008' in codeSystem 'SNOMED CT (ordinal = '0')
VermogenTotZelfstandigMedicatiegebruik
ZelfstandigMedicatiegebruik Hulp nodig (code = '27921000146103' in codeSystem 'SNOMED CT')
HulpBijToediening
VerpleegkundigeInterventie
Interventie bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat therapietrouw
Frequentie 2 /d
MedischHulpmiddel
Product
ProductType medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving baxterrol
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat goede hygiene met betrekking tot stoma
ActieStartDatumTijd T - 6 dagen
Uitvoerder
Patient Ja
Toelichting toezicht bij uitvoer, en instructie hygiënisch werken
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
ActieStartDatumTijd T - 1 dag
Interval 2 dagen
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
Toelichting zelfzorg kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp. Ileostoma instructies gestart.
Mobiliteit
Mobiliteit
Lopen Hulp nodig (code = '16581000146103' in codeSystem 'SNOMED CT
Traplopen Volledig afhankelijk (code = '301589003' in codeSystem 'SNOMED CT
HoudingVeranderen Onafhankelijk (code = '19821000146105' in codeSystem 'SNOMED CT
HoudingHandhaven Onafhankelijk (code = '19811000146100' in codeSystem 'SNOMED CT
UitvoerenTransfer Hulp nodig (code = '714917003' in codeSystem 'SNOMED CT
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rollator
BeginDatum T - 1 jaar
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rolstoel
BeginDatum T - 1 maand
Toelichting voor langere afstanden
Toelichting lopen is stuk verbeterd, rechter been minder krachtig
Voeding/vocht
Voedingsadvies
DieetType suikervrij, diabetes dieet
Consistentie dik vloeibaar
Toelichting eet naar eigen keuze minder vlees
Voedingsadvies
DieetType geen varkensvlees
SNAQScore
GewichtsverliesScore LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
VoedingsScore GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
TotaalScore 2
SNAQScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQrcScore
GewichtsverliesScore LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
BMIScore Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
HulpBijEten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
TotaalScore 2
SNAQrcScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQ65+Score
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
BovenarmOmtrekScore Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
InspanningsScore Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
TotaalScore 0
SNAQ65+ScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
MUSTScore
BMIScore BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
ZiekteScore Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
TotaalScore 2
MUSTScoreDatumTijd T - 12 dagen om 17 uur
Vochtbalans
VochtTotaalIn 1400 ml
VochtTotaalUit 1000 ml
VochtbalansStarttijd T - 6 dagen om 07 uur
VochtbalansStoptijd T - 5 dagen om 07 uur
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
ProductOmschrijving neus- maagsonde
BeginDatum T - 5 dagen
AnatomischeLocatie neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovdv-1-1-behandelaar-02
SondeLengte 575 mm
Toelichting wegens misselijkheid door chemotherapie
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
ProductOmschrijving PEJ sonde
BeginDatum T - 5 dagen
MedischHulpmiddel
Product
ProductType enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving enterale voedingspomp
BeginDatum T - 5 dagen
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
ProductOmschrijving centraal veneuze katheter
BeginDatum T - 20 dagen
Toelichting onder sleutelbeen links
AnatomischeLocatie structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovdv-1-1-behandelaar-02
Toelichting voor voeding
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Mediaal (code = '255561001' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
ProductOmschrijving Perifeer intraveneus infuus
BeginDatum T - 15 dagen
AnatomischeLocatie onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting voor medicatie
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
Uitscheiding
Blaasfunctie
UrineContinentie Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem 'SNOMED CT (ordinal = '1')
Urostoma
Stoma Zie Stoma: eovd-1-1-stoma-02
Incontinentiemateriaal
MedischHulpmiddel
Product
ProductType inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving inlegger
Darmfunctie
Stoma Zie Stoma: eovd-1-1-stoma-01
DefecatieConsistentie Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
Toelichting stoma na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-1-1-stoma-01
StomaType eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
StomaMateriaal
MedischHulpmiddel
Product
ProductType Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving stomazak voor ileostoma
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 12 dagen
Toelichting na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-1-1-stoma-02
StomaType urostoma (code = '281601009' in codeSystem 'SNOMED CT')
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 4 jaar
Huid
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 1e graad (code = '77140003' in codeSystem 'SNOMED CT
Toelichting Meneer kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
DatumLaatsteVerbandwissel T - 1 dag
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 2e graad, oppervlakkig (code = '262587005' in codeSystem 'SNOMED CT
DecubitusWond
DecubitusCategorie Decubitus categorie 2 (code = '420324007' in codeSystem 'SNOMED CT (ordinal = '2')
OntstaansDatum T - 2 dagen
AnatomischeLocatie hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 2 cm
Wondbreedte 2 cm
Wonddiepte 0.5 cm
Toelichting Wond is niet geïnfecteerd.
DecubitusWond
DecubitusCategorie Decubitus categorie 1 (code = '421076008' in codeSystem 'SNOMED CT (ordinal = '1')
OntstaansDatum T - 20 dagen
AnatomischeLocatie stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 3 cm
Wondbreedte 1 cm
Wonddiepte 0.2 cm
Huidaandoening
SoortAandoening Intertrigo/smetten (code = '58759008' in codeSystem 'SNOMED CT')
OntstaansDatum T - 6 dagen
AnatomischeLocatie lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Toelichting Smetten zonder natten of infectie, inmiddels genezen.
Huidaandoening
SoortAandoening Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Inverse psoriasis
OntstaansDatum T - 10 jaar
Oorzaak
Probleem Zie Probleem: eovd-1-1-probleem-03
AnatomischeLocatie oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts en links (code = '51440002' in codeSystem 'SNOMED CT')
Wond
WondSoort Traumatische wond (code = '416462003' in codeSystem 'SNOMED CT')
WondWeefsel Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
WondInfectie Nee
WondVochtigheid Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
Wondlengte 2 cm
Wondbreedte 4 cm
Wonddiepte 0.1 cm
AnatomischeLocatie knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 12 dagen
DatumLaatsteVerbandwissel T - 1 dag
Toelichting oppervlakkige schaafwond na CVA, geen verband nodig
Wond
WondSoort Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
WondInfectie Nee
WondVochtigheid Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
WondRand Ondermijning (code = '449752001' in codeSystem 'SNOMED CT')
Wondlengte 5 cm
Wondbreedte 1 cm
Wonddiepte 4 cm
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Drain
MedischHulpmiddel
Product
ProductType wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving wonddrain
BeginDatum T - 12 dagen
Wond
WondSoort Oncologische ulcer (code = '94579000' in codeSystem 'SNOMED CT')
WondWeefsel Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
WondInfectie Nee
Wondlengte 1 cm
Wondbreedte 1 cm
Wonddiepte 2 cm
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 1 maand
DatumLaatsteVerbandwissel T - 1 dag
Zintuigen
FunctieHoren
HoorFunctie Verminderde gehoorfunctie (code = '15188001' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
Product
ProductID 012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
ProductType Gehoorapparaat (code = '6012004' in codeSystem 'SNOMED CT')
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Rechteroor (code = '25577004' in codeSystem 'SNOMED CT')
FunctieZien
VisueleFunctie Verminderd gezichtsvermogen (code = '397540003' in codeSystem 'SNOMED CT')
ZienHulpmiddel
MedischHulpmiddel
Product
ProductType bril (code = '50121007' in codeSystem 'SNOMED CT')
ProductOmschrijving bril
Toelichting zonder bril bestaat verhoogd valrisico
Ziektebeleving
Ziektebeleving
ZiekteInzichtVanPatiënt meneer kan niet overzien wat de ziekte betekent in het dagelijkse leven
OmgaanMetZiekteprocesDoorPatiënt meneer wil niet praten over de toekomst.
OmgaanMetZiekteprocesDoorNaasten echtgenote maakt zich zorgen of zij de zorg voor meneer wel aan kan, omdat zij zelf ook slecht ter been is
Mentale status
Probleem
ProbleemType Symptoom (code = '418799008' in codeSystem 'SNOMED CT')
ProbleemNaam gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting sinds cva, verminderde alertheid
Probleem
ProbleemType Klacht (code = '409586006' in codeSystem 'SNOMED CT')
ProbleemNaam toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemEindDatum T - 5 dagen
ProbleemStatus Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')

1.4 Test Overdracht 1.5

1.4.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 2 dagen
Persoonsgegevens
Patient
Naamgegevens
Initialen M.
Geslachtsnaam
Voorvoegsels van de
Achternaam XXX_Quigleys
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999ZA
Woonplaats Stitswerd
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900912 (in identificerend systeem: BSN)
Geboortedatum 5 nov 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75616161 (in identificerend systeem: AGB-Z)
OrganisatieNaam HomeCare
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Bart
Geslachtsnaam
Achternaam Moorman
Specialisme Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06121212 (in identificerend systeem: URA)
OrganisatieNaam AB-zkh
AfdelingSpecialisme Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.4.2 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
ZorgverlenerIdentificatienummer 03171717 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen K.
Geslachtsnaam
Achternaam Oosterhout
Specialisme Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Medische diagnose
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 10 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Pijnscore
PijnScore
PijnscoreWaarde 2
PijnscoreDatumTijd T - 1 dag om 12:30 uur
PijnMeetmethode VAS10 (code = 'VAS10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
AnatomischeLocatie structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')

1.4.3 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-1-5-probleem-01
ProbleemAnatomischeLocatie structuur van rug exclusief nek (code = '77568009' in codeSystem 'SNOMED Clinical Terms')
ProbleemNaam pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 10 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting bij lopen
VerpleegkundigeInterventie eovd-1-5-interventie-01
Interventie afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-5-probleem-01
Zorgresultaat
UitkomstVanZorg
Zorgresultaat zie pijnscore
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-1-5-interventie-01

1.4.4 Verpleegkundige context: specificatie gezondheidstoestand

Verpleegkundige context: specificatie gezondheidstoestand
Gegevenselement Waarde
Voortplanting
Zwangerschap
Zwanger Ja
ATermeDatum T + 120 dagen
DatumLaatsteMenstruatie T - 170 dagen
Zwangerschapsduur 160 dagen
Graviditeit 1
Pariteit 0
Toelichting Mevrouw is vaak misselijk in de ochtend.

1.5 Test Overdracht 1.6

1.5.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen M.
Geslachtsnaam
Achternaam XXX_Arcken
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats Stitswerd
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900043 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75616161 (in identificerend systeem: AGB-Z)
OrganisatieNaam HomeCare
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Bart
Geslachtsnaam
Achternaam Moorman
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75727272 (in identificerend systeem: AGB-Z)
OrganisatieNaam St. Geestelijk Welzijn
OrganisatieType Geestelijke Gezondheidszorg (code = 'G5' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.5.2 Algemene patiënten context

Algemene patiënten context
Gegevenselement Waarde
Juridische situatie
JuridischeSituatie eovd-1-6-juridischesituatie-01
JuridischeStatus Rechterlijke machtiging (code = 'RM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
DatumAanvang T - 3 dagen
DatumEinde T + 3 maanden
JuridischeSituatie
Vertegenwoordiging Mentorschap (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
DatumAanvang T - 6 maanden

1.5.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
ZorgverlenerIdentificatienummer 01171717 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen K.
Geslachtsnaam
Voorvoegsels van
Achternaam Eindhoven
Specialisme Huisartspraktijk (code = '0100' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Medische diagnose
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam niet-organische psychose (code = '191525009' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Vrijheidsbeperking
VrijheidsbeperkendeInterventie
Wilsbekwaam Nee
WilsbekwaamToelichting wegens psychose
JuridischeSituatie Zie JuridischeSituatie: eovd-1-6-juridischesituatie-01
SoortInterventie geslotendeurprocedure (code = '225210009' in codeSystem 'SNOMED CT')
RedenVanToepassen afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
Instemming Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T + 1 dag
VrijheidsbeperkendeInterventie
Wilsbekwaam Nee
WilsbekwaamToelichting wegens psychose
JuridischeSituatie Zie JuridischeSituatie: eovd-1-6-juridischesituatie-01
SoortInterventie separeren in extra beveiligde kamer (code = '124041000146108' in codeSystem 'SNOMED CT')
RedenVanToepassen afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
Instemming Geen instemming patiënt (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T + 1 dag
Einde T + 3 dagen

1.5.4 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-1-6-probleem-01
ProbleemNaam fysieke agressie (code = '248004009' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-1-6-interventie-01
Interventie rustige en geruststellende houding aannemen (code = '225980008' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-6-probleem-01
Behandeldoel
GewenstZorgresultaat Veilige omgeving is gerealiseerd voor patient/ naasten; duur VBI beperken
Zorgresultaat
UitkomstVanZorg
Zorgresultaat doel is behaald
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-1-6-interventie-01

1.6 Test Overdracht 1.7

1.6.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 5 dagen
Persoonsgegevens
Patient
Naamgegevens
Initialen M.
Geslachtsnaam
Achternaam XXX_Schouten-Baak
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900055 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75616161 (in identificerend systeem: AGB-Z)
OrganisatieNaam HomeCare
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Bart
Geslachtsnaam
Achternaam Moorman
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 47707070 (in identificerend systeem: AGB-Z)
OrganisatieNaam St. Zonnehof
OrganisatieType Verpleeghuis (code = 'R5' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.6.2 Algemene patiënten context

Algemene patiënten context
Gegevenselement Waarde
Juridische situatie
JuridischeSituatie eovd-1-7-juridischesituatie-01
JuridischeStatus Besluit tot opname en verblijf (code = 'OPM' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.2')
DatumAanvang T - 5 dagen
JuridischeSituatie
Vertegenwoordiging Zaakwaarneming (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
DatumAanvang T - 6 maanden

1.6.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
ZorgverlenerIdentificatienummer 01171717 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen K.
Geslachtsnaam
Voorvoegsels van
Achternaam Eindhoven
Specialisme Huisartspraktijk (code = '0100' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Medische diagnose
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam delier (code = '2776000' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 10 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Vrijheidsbeperking
VrijheidsbeperkendeInterventie
Wilsbekwaam Nee
WilsbekwaamToelichting Kan eigen situatie niet beoordelen
JuridischeSituatie Zie JuridischeSituatie: eovd-1-7-juridischesituatie-01
SoortInterventie constante supervisie met camera (code = '121411000146104' in codeSystem 'SNOMED CT')
RedenVanToepassen afwenden van crisissituatie (code = '121491000146107' in codeSystem 'SNOMED CT')
Instemming Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 4 dagen
VrijheidsbeperkendeInterventie
Wilsbekwaam Nee
WilsbekwaamToelichting Kan zich niet orienteren
JuridischeSituatie Zie JuridischeSituatie: eovd-1-7-juridischesituatie-01
SoortInterventie constante supervisie met elektronisch traceringsmiddel (code = '121451000146100' in codeSystem 'SNOMED CT')
RedenVanToepassen afwenden van situatie die kan resulteren in toebrengen van schade aan zichzelf of aan anderen (code = '121481000146105' in codeSystem 'SNOMED CT')
Instemming Instemming wettelijke vertegenwoordiger (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 4 dagen

1.6.4 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-1-7-probleem-01
ProbleemNaam acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-1-7-interventie-01
Interventie omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1-7-probleem-01
Behandeldoel
GewenstZorgresultaat DOSS < 3
Zorgresultaat
UitkomstVanZorg
Zorgresultaat DOSS = 2
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-1-7-interventie-01

1.7 Test Overdracht 1.8

1.7.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 2 dagen
Persoonsgegevens
Patient
Naamgegevens
Initialen M.
Geslachtsnaam
Achternaam XXX_Koutrik
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900067 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345678
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06121212 (in identificerend systeem: AGB-Z)
OrganisatieNaam EF-zkh
AfdelingSpecialisme Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Bart
Geslachtsnaam
Achternaam Moorman
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 47707070 (in identificerend systeem: AGB-Z)
OrganisatieNaam St. Zonnehof
OrganisatieType Verpleeghuis (code = 'R5' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.7.2 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
ZorgverlenerIdentificatienummer 03848484 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen P.
Geslachtsnaam
Achternaam Boomsma
Specialisme Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Medische diagnose
Probleem
ProbleemNaam fistel tussen blaas en sigmoïd (code = '197861003')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.7.3 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-1.8-patientprobleem-01
ProbleemNaam incontinentie voor feces (code = '72042002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie
Interventie zorg bij fecale incontinentie (code = '386223004' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-1.8-patientprobleem-01

1.7.4 Verpleegkundige context: specificatie gezondheidstoestand

Verpleegkundige context: specificatie gezondheidstoestand
Gegevenselement Waarde
Uitscheiding
Blaasfunctie
UrineKatheter
MedischHulpmiddel
Product
ProductType Verblijfskatheter (code = '23973005' in codeSystem 'SNOMED CT')
ProductOmschrijving Verblijfskatheter
BeginDatum T - 5 dagen
Darmfunctie
FecesContinentie Incontinent (code = '72042002' in codeSystem 'SNOMED CT (ordinal = '0')
Frequentie 2 per dag
DefecatieConsistentie Zachte stukjes met gehavende randen (code = 'Type 6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
DefecatieKleur Grijswit (code = '267056008' in codeSystem 'SNOMED CT')
Incontinentiemateriaal
MedischHulpmiddel
Product
ProductType opvangzak voor fecesincontinentie (code = '469627000' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving opvangzak voor fecesincontinentie

1.8 Validatie Overdracht 1.1

1.8.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 2 dagen
Persoonsgegevens
Patient
Naamgegevens
Voornamen Rihanna
Initialen R.
Geslachtsnaam
Voorvoegsels van
Achternaam XXX_Zelst
GeslachtsnaamPartner
AchternaamPartner Asaroğlu
Adresgegevens
Straat Knolweg
Huisnummer 1003
Postcode 9999ZA
Woonplaats Stitswerd
AdresSoort Officieel adres (code = 'HP' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990108
EmailAdressen
EmailAdres rzelst195407@gmail.com
Identificatienummer 999910371 (in identificerend systeem: BSN)
Geboortedatum 29 jul 1954
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9665 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345679
Contactpersoon eovd-1-1-contactpersoon-01
Naamgegevens
Voornamen Helena
Initialen H
Roepnaam Lenie
Geslachtsnaam
Achternaam Slager
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990009
EmailAdressen
EmailAdres lenie@123net.nl
Adresgegevens
Straat Knolweg
Huisnummer 1003
AdditioneleInformatie ingang via achtertuin
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT')
Relatie Schoondochter (code = 'DAUINLAW' in codeSystem 'HL7 RoleCode')
Contactpersoon
Naamgegevens
Voornamen Pleun
Geslachtsnaam
Achternaam Bloemist
Contactgegevens
Telefoonnummers
Telefoonnummer +316-99990008
Adresgegevens
Straat Knolweg
Huisnummer 1003
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Rol Buur (code = '19' in codeSystem 'Vektis Rolcode COD472-VEKT')
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Rechter buurman
Sturende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Zorgverlener
Naamgegevens
Voornamen Charlotte Maria
Initialen C. M.
Roepnaam Lotte
Geslachtsnaam
Achternaam Bruinsma
Specialisme Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen')
Ontvangende organisatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 75131313 (in identificerend systeem: AGB-Z)
OrganisatieNaam ThuiszorgOrg
OrganisatieLocatie Noord
AfdelingSpecialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')

1.8.2 Algemene patiënten context

Algemene patiënten context
Gegevenselement Waarde
Gezinssituatie
Gezinssituatie
BurgerlijkeStaat
BurgerlijkeStaatRC
BurgerlijkeStaat Gehuwd (code = 'M' in codeSystem 'HL7 MaritalStatus')
Gezinssamenstelling Alleenwonend (code = '105529008' in codeSystem 'SNOMED CT')
Zorgtaak zorgt voor zijn kat
Juridische situatie
JuridischeSituatie eovd-val-1-1-juridischesituatie-01
Vertegenwoordiging Bewindvoering (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
DatumAanvang T - 1 jaar
Woonomgeving
Woonsituatie
WoningType Aanleunwoning (code = 'AANLW' in codeSystem 'ZIB WoningType')
Levensovertuiging
LevensovertuigingRC
Levensovertuiging Protestant (code = '309885004' in codeSystem 'SNOMED CT')
Wilsverklaring
WilsverklaringType Niet reanimeren verklaring (code = 'NR' in codeSystem 'ZIB WilsverklaringType')
WilsverklaringDatum T - 4 jaar
Vertegenwoordiger
Contactpersoon Zie Contactpersoon: eovd-1-1-contactpersoon-01
Toelichting wilsverklaring bevindt zich in de portemonnee.
Sociale omgeving
ParticipatieInMaatschappij
SociaalNetwerk heeft veel contact met buren
Vrijetijdsbesteding viool spelen
Arbeidssituatie Gepensioneerd
HulpVanAnderen
Hulpverlener
Mantelzorger
Contactpersoon
Naamgegevens
Voornamen Marriet
Initialen M.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam Blauw
Rol Buur (code = '19' in codeSystem 'Vektis Rolcode COD472-VEKT')
Aard helpt met ondersteuning echtgenoot als mevrouw er niet is
Frequentie zo vaak als nodig
SoortHulp Mantelzorg (code = '386229000' in codeSystem 'SNOMED CT')
HulpVanAnderen
Hulpverlener
Zorgaanbieder
OrganisatieNaam WijZorgen
OrganisatieLocatie Stitswerd
OrganisatieType Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
Aard ondersteuning bij wassen
Frequentie dagelijks
SoortHulp Professionele thuiszorg (code = '60689008' in codeSystem 'SNOMED CT')
Toelichting niet in het weekend
Communicatie
Taalvaardigheid
CommunicatieTaal Nederlands (code = 'nl' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Slecht (code = 'P' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidLezen Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting t.g.v. CVA nu moeite met begrijpen, spreken gaat ook moeilijk i.v.m. afasie
Taalvaardigheid
CommunicatieTaal Limburgs (code = 'li' in codeSystem 'ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code')
TaalvaardigheidBegrijpen Goed (code = 'G' in codeSystem '2.16.840.1.113883.5.61')
TaalvaardigheidSpreken Redelijk (code = 'F' in codeSystem '2.16.840.1.113883.5.61')
Toelichting opgegroeid in Zuid-Limburg

1.8.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener eovd-val-1-1-behandelaar-01
Naamgegevens
Voornamen Joshua Pieter
Initialen J. P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Behandelaar
Zorgverlener eovd-val-1-1-behandelaar-02
ZorgverlenerIdentificatienummer 03898989 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen G.
Geslachtsnaam
Achternaam Spijkerman
Specialisme Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
Medische diagnose
Probleem eovd-val-1-1-probleem-01
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam cardiovasculair letsel (code = '282728007' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Probleem eovd-val-1-1-probleem-02
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam benigne neoplasma van colon (code = '92065004')
ProbleemBeginDatum T - 150 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem eovd-val-1-1-probleem-03
ProbleemLateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam gecompliceerde fractuur van enkel (code = '48187004' in codeSystem 'SNOMED CT')
ProbleemBeginDatum T - 5 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
ProbleemType Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam diabetes mellitus (code = '73211009')
ProbleemBeginDatum T - 12 jaar
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Allergie
AllergieIntolerantie
VeroorzakendeStof nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
AllergieCategorie Stof of product (code = '419199007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 10 jaar
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
Toelichting opgemerkt bij het dragen van nikkel bevattende sieraden.
Reactie
Symptoom Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
ReactieBeschrijving last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
WijzeVanBlootstelling intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms')
AllergieIntolerantie
VeroorzakendeStof pollen (code = '256259004')
AllergieCategorie Omgeving (code = '426232007' in codeSystem 'SNOMED CT')
AllergieStatus Actief (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd T - 500 dagen
MateVanKritiekZijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
LaatsteReactieDatumTijd T - 99 dagen
Reactie
Symptoom Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT')
SpecifiekeStof graspollen (code = '256277009')
ReactieBeschrijving veelvuldig niezen
Ernst Matig (code = '6736007' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 99 dagen
Reactie
Symptoom Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT')
Symptoom Koorts (code = '386661006' in codeSystem 'SNOMED CT')
SpecifiekeStof pollen van paprikaplant (code = '110181000146104')
ReactieBeschrijving ernstige benauwdheid en koorts
Ernst Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
ReactieTijdstip T - 200 dagen
Let op
Alert
AlertNaam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
BeginDatumTijd T - 20 dagen
AlertType waarschuwing (code = '74018-3' in codeSystem 'LOINC')
Alert
AlertNaam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
BeginDatumTijd T - 10 jaar
Vrijheidsbeperking
VrijheidsbeperkendeInterventie
Wilsbekwaam Ja
JuridischeSituatie Zie JuridischeSituatie: eovd-val-1-1-juridischesituatie-01
SoortInterventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
RedenVanToepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen
Meetwaarden
Bloeddruk
Meetmethode Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT')
ManchetType Standaard (code = 'STD' in codeSystem 'ZIB ManchetType')
MeetLocatie Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT')
DiastolischEindpunt Fase V (code = '255272007' in codeSystem 'SNOMED CT')
SystolischeBloeddruk 170 mm[Hg]
DiastolischeBloeddruk 90 mm[Hg]
GemiddeldeBloeddruk 110 mm[Hg]
BloeddrukDatumTijd T - 20 dagen om 14:45 uur
Toelichting mevrouw gebruikt medicatie
Houding Liggende positie (code = '102538003' in codeSystem 'SNOMED CT')
Polsfrequentie
PolsfrequentieWaarde 90
PolsfrequentieDatumTijd T - 5 dagen om 14:45 uur
Toelichting is altijd sportief geweest
PolsRegelmatigheid Polsslag regelmatig (code = '271636001' in codeSystem 'SNOMED CT')
Lichaamstemperatuur
TemperatuurWaarde 36.8 Cel
TemperatuurDatumTijd T - 4 dagen om 07 uur
Toelichting voeten voelen heel koud aan
TemperatuurType Tympanische temperatuur (code = '415974002' in codeSystem 'SNOMED CT')
Ademhaling
Ademfrequentie 18 /min
AdemhalingDatumTijd T - 3 dagen om 14:45 uur
Ritme Abnormaal ademhalingsritme (code = '85617008' in codeSystem 'SNOMED CT')
Diepte Normale ademhalingsdiepte (code = '301284009' in codeSystem 'SNOMED CT')
AfwijkendAdemhalingspatroon Apneu (code = '1023001' in codeSystem 'SNOMED CT')
ExtraZuurstofToediening Ja
Toelichting mevrouw lijkt angstig
ToegediendeZuurstof
FlowRate 2 l/min
FiO2 0.29 l
ToedieningHulpmiddel
MedischHulpmiddel
Product
ProductType Neusbril (code = '336623009' in codeSystem 'SNOMED CT')
ProductOmschrijving neusbril
Lichaamsgewicht
GewichtWaarde 74 kg
Toelichting mevrouw volgt afvaldieet
GewichtDatumTijd T - 5 dagen om 14:30 uur
Kleding Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem 'ZIB ContextKleding')
Lichaamslengte
LengteWaarde 170 cm
LengteDatumTijd T - 5 dagen om 14:30 uur
Toelichting zonder schoenen aan
Pijnscore
PijnScore
PijnscoreWaarde 2
PijnscoreDatumTijd T - 5 dagen om 14:45 uur
PijnMeetmethode NRS (code = 'NRS' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.9.1')
AnatomischeLocatie gehele voet (code = '302545001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting Af en toe pijn, maar niet belemmerend bij het lopen

1.8.4 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-val-1-1-patientprobleem-01
ProbleemNaam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 100 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting mevrouw kan niet buigen
VerpleegkundigeInterventie eovd-val-1-1-interventie-01
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-val-1-1-patientprobleem-01
Behandeldoel
GewenstZorgresultaat wassen onafhankelijk
ActieStartDatumTijd T - 90 dagen
Frequentie 1 /dag
Instructie let op: valrisico
Uitvoerder
Zorgverlener Ja
Patiëntprobleem
Probleem eovd-val-1-1-patientprobleem-02
ProbleemNaam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemBeginDatum T - 90 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-val-1-1-interventie-02
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: eovd-val-1-1-patientprobleem-02
Behandeldoel
GewenstZorgresultaat kleden onafhankelijk
Frequentie 3 /dag
Zorgresultaat
UitkomstVanZorg
Zorgresultaat doel deels behaald: kan nog niet rug wassen
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-val-1-1-interventie-01
UitkomstVanZorg
Zorgresultaat doel deels behaald, kan nog niet zelf veters strikken
Interventie
VerpleegkundigeInterventie Zie VerpleegkundigeInterventie: eovd-val-1-1-interventie-02
Afspraken patiënt
Contact
ContactType Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
Naamgegevens
Voornamen Joshua Pieter
Initialen J.P.
Geslachtsnaam
Achternaam Helmond
Specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 03686868 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen F.
Geslachtsnaam
Achternaam Snijder
Specialisme Medisch specialisten, neurochirurgie (code = '0308' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Locatie
Zorgaanbieder
ZorgaanbiederIdentificatienummer 06590457 (in identificerend systeem: AGB-Z)
OrganisatieNaam AB-zkh
OrganisatieLocatie Noord
AfdelingSpecialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
EmailAdressen
EmailAdres neurologie@ABZ.nl
Adresgegevens
Straat Knolweg
Huisnummer 10
Postcode 9999PO
Woonplaats Stitswerd
AdresSoort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
OrganisatieType Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)')
BeginDatumTijd T + 5 dagen om 10:00 uur
EindDatumTijd T + 5 dagen om 10:30 uur
RedenContact
Probleem Zie Probleem: eovd-val-1-1-probleem-01
Contact
ContactType Thuis (code = 'HH' in codeSystem 'HL7 ActCode')
ContactMet
Zorgverlener
ZorgverlenerIdentificatienummer 88131313 (in identificerend systeem: AGB-Z)
Naamgegevens
Initialen W.
Geslachtsnaam
Achternaam Bloem
Specialisme Ergotherapeuten (code = '8800' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
EmailAdressen
EmailAdres bloem@ergotherapie.nl
BeginDatumTijd T + 12 dagen om 15:15 uur
RedenContact
RedenContactTekst Controle voortgang revalidatie
Wensen en behoeften patiënt en/of naasten mevrouw wil zo snel mogelijk weer zelfstandig kunnen functioneren en haar kat kunnen verzorgen

1.8.5 Verpleegkundige context: specificatie gezondheidstoestand

Verpleegkundige context: specificatie gezondheidstoestand
Gegevenselement Waarde
Zelfzorg
VermogenTotDrinken
Drinken Hulp nodig (code = '16681000146102' in codeSystem 'SNOMED CT
DrinkBeperkingen Bereiden (openen/uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
VermogenTotDrinken
Drinken Onafhankelijk (code = '19841000146104' in codeSystem 'SNOMED CT
DrinkBeperkingen Vastpakken (code = '307071002' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Hulp nodig (code = '129033007' in codeSystem 'SNOMED CT (ordinal = '1')
EetBeperkingen Snijden/openen (code = '289078003' in codeSystem 'SNOMED CT')
VermogenTotEten
Eten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
EetBeperkingen Eetgerei hanteren (code = '289046006' in codeSystem 'SNOMED CT')
VermogenTotMondverzorging
VerzorgenTanden Hulp nodig (code = '16671000146104' in codeSystem 'SNOMED CT')
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese bovenkaak
Prothese
MedischHulpmiddel
Product
ProductType Gebitsprothese (code = '27606000' in codeSystem 'SNOMED CT')
ProductOmschrijving Gebitsprothese onderkaak
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichWassen
ZichWassen Hulp nodig (code = '16621000146103' in codeSystem 'SNOMED CT
TeWassenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Hulp nodig (code = '129039006' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Onderlichaam (code = '362875007' in codeSystem 'SNOMED CT')
VermogenTotZichKleden
ZichKleden Onafhankelijk (code = '129035000' in codeSystem 'SNOMED CT
TeKledenLichaamsdeel Bovenlichaam (code = '362874006' in codeSystem 'SNOMED CT')
VermogenTotUiterlijkeVerzorging
UiterlijkeVerzorging Hulp nodig (code = '27941000146109' in codeSystem 'SNOMED CT
VermogenTotToiletgang
Toiletgebruik Onafhankelijk (code = '129062008' in codeSystem 'SNOMED CT (ordinal = '0')
VermogenTotZelfstandigMedicatiegebruik
ZelfstandigMedicatiegebruik Hulp nodig (code = '27921000146103' in codeSystem 'SNOMED CT')
HulpBijToediening
VerpleegkundigeInterventie
Interventie bevorderen van therapietrouw met behulp van medicijndispenser (code = '710153008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat therapietrouw
Frequentie 2 /d
MedischHulpmiddel
Product
ProductType medicatierol (code = '713308004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving baxterrol
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie Stoma care procedure (code = '225194008' in codeSystem 'SNOMED Clinical Terms')
Behandeldoel
GewenstZorgresultaat goede hygiene met betrekking tot stoma
ActieStartDatumTijd T - 6 dagen
Uitvoerder
Patient Ja
Toelichting toezicht bij uitvoer, en instructie hygiënisch werken
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
VermogenTotVerpleegtechnischeHandelingen
VerpleegkundigeInterventie
VerpleegkundigeInterventie
Interventie vervangen van verband (code = '18949003' in codeSystem 'SNOMED Clinical Terms')
ActieStartDatumTijd T - 1 dag
Interval 2 dagen
VerrichtenVPKHandeling Hulp nodig (code = '27931000146101' in codeSystem 'SNOMED CT
Toelichting zelfzorg kan zich steeds beter redden met wassen en kleden, knoopjes dichtdoen en schoenen met hulp.
Mobiliteit
Mobiliteit
Lopen Hulp nodig (code = '16581000146103' in codeSystem 'SNOMED CT
Traplopen Volledig afhankelijk (code = '301589003' in codeSystem 'SNOMED CT
HoudingVeranderen Onafhankelijk (code = '19821000146105' in codeSystem 'SNOMED CT
HoudingHandhaven Onafhankelijk (code = '19811000146100' in codeSystem 'SNOMED CT
UitvoerenTransfer Hulp nodig (code = '714917003' in codeSystem 'SNOMED CT
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rollator (code = '404946006' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rollator
BeginDatum T - 1 jaar
MedischHulpmiddel
MedischHulpmiddel
Product
ProductType rolstoel (code = '58938008' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving rolstoel
BeginDatum T - 1 maand
Toelichting voor langere afstanden
Toelichting lopen is stuk verbeterd, rechter been minder krachtig
Voeding/vocht
Voedingsadvies
DieetType suikervrij, diabetes dieet
Consistentie dik vloeibaar
Toelichting eet naar eigen keuze minder vlees
Voedingsadvies
DieetType geen varkensvlees
SNAQScore
GewichtsverliesScore LossAverage (code = 'G1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.2 (ordinal = '0')
VoedingsScore GeenVoeding (code = 'Z0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.5.3 (ordinal = '0')
TotaalScore 2
SNAQScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQrcScore
GewichtsverliesScore LossHigh (code = 'G2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.1 (ordinal = '2')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.2 (ordinal = '0')
BMIScore Gezond (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.19.3 (ordinal = '0')
HulpBijEten Onafhankelijk (code = '165224005' in codeSystem 'SNOMED CT (ordinal = '0')
TotaalScore 2
SNAQrcScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
SNAQ65+Score
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.1 (ordinal = '0')
BovenarmOmtrekScore Normaal (code = 'A0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.4 (ordinal = '0')
EetlustScore Eetlust (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.2 (ordinal = '0')
InspanningsScore Mogelijk (code = 'In0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.18.3 (ordinal = '0')
TotaalScore 0
SNAQ65+ScoreDatumTijd T - 6 dagen om 17 uur
Toelichting geen verminderde eetlust ondanks chemotherapie
MUSTScore
BMIScore BMIHigh (code = 'B0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.1 (ordinal = '0')
GewichtsverliesScore LossLow (code = 'G0' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.2 (ordinal = '0')
ZiekteScore Ziek (code = 'Z1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.4.3 (ordinal = '2')
TotaalScore 2
MUSTScoreDatumTijd T - 12 dagen om 17 uur
Vochtbalans
VochtTotaalIn 1400 ml
VochtTotaalUit 1000 ml
VochtbalansStarttijd T - 6 dagen om 07 uur
VochtbalansStoptijd T - 5 dagen om 07 uur
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
ProductOmschrijving neus- maagsonde
BeginDatum T - 5 dagen
AnatomischeLocatie neusgat (code = '363538002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovd-val-1-1-behandelaar-02
SondeLengte 575 mm
Toelichting wegens misselijkheid door chemotherapie
SondeSysteem
Sonde
MedischHulpmiddel
Product
ProductType PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
ProductOmschrijving PEJ sonde
BeginDatum T - 5 dagen
MedischHulpmiddel
Product
ProductType enterale voedingspomp (code = '468664004' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving enterale voedingspomp
BeginDatum T - 5 dagen
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
ProductOmschrijving centraal veneuze katheter
BeginDatum T - 20 dagen
Toelichting onder sleutelbeen links
AnatomischeLocatie structuur van vena subclavia (code = '9454009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zorgverlener Zie Zorgverlener: eovd-val-1-1-behandelaar-02
Toelichting voor voeding
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Afgedopt (code = 'DOP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Mediaal (code = '255561001' in codeSystem 'SNOMED CT')
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
LumenLocatie Distaal (code = '46053002' in codeSystem 'SNOMED CT')
Infuus
Infuuskatheter
MedischHulpmiddel
Product
ProductType Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
ProductOmschrijving Perifeer intraveneus infuus
BeginDatum T - 15 dagen
AnatomischeLocatie onderarm (code = '14975008' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Toelichting voor medicatie
LumenOfLijn
LijnStatus Lopend (code = 'LNP' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.12.1')
Uitscheiding
Blaasfunctie
UrineContinentie Af en toe een ongelukje (max. 1 keer per 24 uur) (code = '165233007' in codeSystem 'SNOMED CT (ordinal = '1')
Urostoma
Stoma Zie Stoma: eovd-val-1-1-stoma-02
Incontinentiemateriaal
MedischHulpmiddel
Product
ProductType inlegger voor incontinentiebroek (code = '470713005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving inlegger
Darmfunctie
Stoma Zie Stoma: eovd-val-1-1-stoma-01
DefecatieConsistentie Helemaal vloeibaar (code = 'Type 7' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
Toelichting stoma na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-val-1-1-stoma-01
StomaType eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
StomaMateriaal
MedischHulpmiddel
Product
ProductType Ileostomy bag (code = '417136005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving stomazak voor ileostoma
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 12 dagen
Toelichting na subtotale darmresectie wegens coloncarcinoom
Stoma eovd-val-1-1-stoma-02
StomaType urostoma (code = '281601009' in codeSystem 'SNOMED CT')
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
AanlegDatum T - 4 jaar
Huid
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie onderarm (code = '362741001' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 1e graad (code = '77140003' in codeSystem 'SNOMED CT
Toelichting Mevrouw kreeg hete thee over zich heen, wond is ongeveer 2 bij 2 cm; geen verband nodig.
DatumLaatsteVerbandwissel T - 1 dag
Brandwond
OntstaansDatum T - 2 dagen
Uitgebreidheid 1 %
BrandwondSoort Thermische brandwond (code = '105594005' in codeSystem 'SNOMED CT')
AnatomischeLocatie handrug (code = '63125000' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Dieptegraad 2e graad, oppervlakkig (code = '262587005' in codeSystem 'SNOMED CT
DecubitusWond
DecubitusCategorie Decubitus categorie 2 (code = '420324007' in codeSystem 'SNOMED CT (ordinal = '2')
OntstaansDatum T - 2 dagen
AnatomischeLocatie hiel (code = '76853006' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 2 cm
Wondbreedte 2 cm
Wonddiepte 0.5 cm
Toelichting Wond is niet geïnfecteerd.
DecubitusWond
DecubitusCategorie Decubitus categorie 1 (code = '421076008' in codeSystem 'SNOMED CT (ordinal = '1')
OntstaansDatum T - 20 dagen
AnatomischeLocatie stuitje (code = '182028002' in codeSystem 'SNOMED Clinical Terms')
DatumLaatsteVerbandwissel T - 1 dag
Wondlengte 3 cm
Wondbreedte 1 cm
Wonddiepte 0.2 cm
Huidaandoening
SoortAandoening Intertrigo/smetten (code = '58759008' in codeSystem 'SNOMED CT')
OntstaansDatum T - 6 dagen
AnatomischeLocatie lies (code = '26893007' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Rechts (code = '24028007' in codeSystem 'SNOMED CT')
Toelichting Smetten zonder natten of infectie, inmiddels genezen.
Wond
WondSoort Traumatische wond (code = '416462003' in codeSystem 'SNOMED CT')
WondWeefsel Rode wond (code = 'ROOD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.2')
WondInfectie Nee
WondVochtigheid Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
Wondlengte 2 cm
Wondbreedte 4 cm
Wonddiepte 0.1 cm
AnatomischeLocatie knie (code = '72696002' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 5 dagen
DatumLaatsteVerbandwissel T - 1 dag
Toelichting oppervlakkige schaafwond na CVA, geen verband nodig
Wond
WondSoort Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
WondInfectie Nee
WondVochtigheid Vochtige wond (code = 'VOCHTIG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
WondRand Ondermijning (code = '449752001' in codeSystem 'SNOMED CT')
Wondlengte 5 cm
Wondbreedte 1 cm
Wonddiepte 4 cm
AnatomischeLocatie onderbuik (code = '27033000' in codeSystem 'SNOMED Clinical Terms')
Drain
MedischHulpmiddel
Product
ProductType wonddrain (code = '258646005' in codeSystem 'SNOMED Clinical Terms')
ProductOmschrijving wonddrain
BeginDatum T - 12 dagen
Wond
WondSoort Oncologische ulcer (code = '94579000' in codeSystem 'SNOMED CT')
WondWeefsel Graad II (code = 'GRAAD2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.1')
WondInfectie Nee
Wondlengte 1 cm
Wondbreedte 1 cm
Wonddiepte 2 cm
AnatomischeLocatie buikwand (code = '83908009' in codeSystem 'SNOMED Clinical Terms')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
WondOntstaansdatum T - 1 maand
DatumLaatsteVerbandwissel T - 1 dag
Zintuigen
FunctieHoren
HoorFunctie Verminderde gehoorfunctie (code = '15188001' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
Product
ProductID 012345678905 (code = '012345678905Global Trade Item Number (GTIN)')
ProductType Gehoorapparaat (code = '6012004' in codeSystem 'SNOMED CT')
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
HorenHulpmiddel
MedischHulpmiddel
ProductOmschrijving Gehoorapparaat
AnatomischeLocatie Rechteroor (code = '25577004' in codeSystem 'SNOMED CT')
FunctieZien
VisueleFunctie Verminderd gezichtsvermogen (code = '397540003' in codeSystem 'SNOMED CT')
ZienHulpmiddel
MedischHulpmiddel
Product
ProductType bril (code = '50121007' in codeSystem 'SNOMED CT')
ProductOmschrijving bril
Toelichting zonder bril bestaat verhoogd valrisico
Ziektebeleving
Ziektebeleving
ZiekteInzichtVanPatiënt mevrouw kan niet overzien wat de ziekte betekent in het dagelijkse leven
OmgaanMetZiekteprocesDoorPatiënt mevrouw wil niet praten over de toekomst.
OmgaanMetZiekteprocesDoorNaasten echtgenoot maakt zich zorgen of hij de zorg voor mevrouw wel aan kan, omdat hij zelf ook slecht ter been is
Mentale status
Probleem
ProbleemType Symptoom (code = '418799008' in codeSystem 'SNOMED CT')
ProbleemNaam gedaald bewustzijn (code = '443371007' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting sinds cva, verminderde alertheid
Probleem
ProbleemType Klacht (code = '409586006' in codeSystem 'SNOMED CT')
ProbleemNaam toestand van verwardheid (code = '286933003' in codeSystem 'SNOMED Clinical Terms')
ProbleemBeginDatum T - 22 dagen
ProbleemEindDatum T - 5 dagen
ProbleemStatus Niet actueel (code = '73425007' in codeSystem 'SNOMED CT')

1.9 Validatie Overdracht 1.2

1.9.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 6 dagen
Persoonsgegevens
Patient
Naamgegevens
Geslachtsnaam
Achternaam XXX-Aansluittest-B
Adresgegevens
Huisnummer 1000
Postcode 9999XA
AdresSoort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999990019 (in identificerend systeem: BSN)
Geboortedatum 2 feb 1950
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
EindDatumTijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
IdentificatieNummer 9664 (in identificerend systeem: UZOVI)
OrganisatieNaam Trias
VerzekerdeNummer 12345687
Sturende organisatie
Zorgaanbieder
OrganisatieNaam HomeCare
Zorgverlener
Naamgegevens
Geslachtsnaam
Achternaam Moorman
Ontvangende organisatie
Zorgaanbieder
OrganisatieNaam St. Zonnehof

1.9.2 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
Naamgegevens
Geslachtsnaam
Achternaam Curaçao
Medische diagnose
Probleem
ProbleemNaam toxisch delier (code = '231439009' in codeSystem 'SNOMED CT')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.9.3 Verpleegkundige context: zorgplan

Verpleegkundige context: zorgplan
Gegevenselement Waarde
Actuele patiëntproblemen
Patiëntprobleem
Probleem eovd-val-1-2-probleem-01
ProbleemNaam acute verwardheid (code = '130987000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
ProbleemStatus Actueel (code = '55561003' in codeSystem 'SNOMED CT')
VerpleegkundigeInterventie eovd-val-1-2-interventie-01
Interventie omgevingsstimuli minimaliseren (code = '710978006' in codeSystem 'SNOMED Clinical Terms')
Zorgresultaat
UitkomstVanZorg
Zorgresultaat DOSS = 2
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