gz:Vdraft KSNEO: verschil tussen versies

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Regel 6: Regel 6:
 
==Scenario Testscenario 1: uitgebreide problematiek ==
 
==Scenario Testscenario 1: uitgebreide problematiek ==
 
          
 
          
 +
=== Documentgegevens ===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Document datum
 +
|style="background-color: white;"|22 sep 2021 08:48
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Set identificatie
 +
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Versienummer
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verificatie zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd door zorgverlener?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verificatie datum
 +
|style="background-color: white;"|21 sep 2021 15:01
 +
|}
 
=== Zorgaanbieder ===
 
=== Zorgaanbieder ===
  
Regel 16: Regel 50:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgaanbieder identificatienummer
 
|colspan="2"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: URA)
 
|}
 
|}
−
=== Zwangerschapsgegevens ===
+
=== Zorgverlener ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
Regel 27: Regel 67:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Graviditeit
+
|colspan="4"|Zorgverlener identificatienummer
−
|style="background-color: white;"|1
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.528.1.1007.5.1)
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Hans Peter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|HP
 +
|-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="3"|Complicaties zwangerschap?
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|Ja
+
|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"|Probleem
+
|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"|Probleem naam
+
|colspan="2"|Voorvoegsels
−
|style="background-color: white;"|koorts (code = '386661006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|van den
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verificatie status
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Akker
 +
|-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;;"
−
|colspan="3"|Magnesiumsulfaat
+
|rowspan="2"|
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Antenatale steroiden gegeven?
+
|colspan="2"|Achternaam partner
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Pieterse
 
|}
 
|}
−
=== Kind ===
+
=== Vrouw ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Demografische gegevens
+
|colspan="5"|Demografische gegevens
 
|-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="6"|Patient
+
|colspan="4"|Patient
 
|-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="4"|Identificatienummer
+
|colspan="2"|Identificatienummer
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|000000000 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="2"|Geboortedatum
−
|style="background-color: white;"|7 maa 2020 12:13
+
|style="background-color: white;"|11 mei 1993
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="4"|Graviditeit
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meerling indicator
+
|colspan="4"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rangnummer kind
+
|rowspan="8"|
−
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Overlijdens indicator
+
|colspan="3"|Complicaties zwangerschap?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Bevallingsgegevens
+
|colspan="4"|Probleem
 
|-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="5"|Zwangerschapsduur
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|179 dagen
+
|style="background-color: white;"|koorts (code = '386661006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Aantal geboren kinderen
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|2
+
|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="5"|Type partus
+
|colspan="3"|Magnesiumsulfaat
−
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie partus
+
|colspan="3"|Antenatale steroiden gegeven?
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="6"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="7"|
−
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Organisatie naam
+
|colspan="3"|Identificatienummer
−
|style="background-color: white;"|UMC Papendorp
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="3"|Geboortedatum
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|7 maa 2020 12:13
−
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|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="4"|Verrichting type
+
|colspan="3"|Meerling indicator
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Rangnummer kind
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verrichting type
+
|colspan="3"|Overlijdens indicator
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Opname gegevens
+
|colspan="6"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="37"|
+
|rowspan="9"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="4"|Zwangerschapsduur
 +
|style="background-color: white;"|179 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname datum
+
|colspan="4"|Aantal geboren kinderen
−
|style="background-color: white;"|7 maa 2020 13:30
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ic opname?
+
|colspan="4"|Type partus
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Heropname?
+
|colspan="4"|Locatie partus
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Herkomst kind
+
|rowspan="3"|
−
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname indicatie
+
|colspan="3"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ontslag datum
+
|colspan="3"|Organisatie naam
−
|style="background-color: white;"|5 mei 2020 12:00
+
|style="background-color: white;"|UMC Papendorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Onderzoek
+
|colspan="6"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="27"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamslengte
+
|colspan="5"|Verrichting
 
|-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="3"|Lengte waarde
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|31 cm
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte datum tijd
 
−
|style="background-color: white;"|7 maa 2020 13:20
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamsgewicht
+
|colspan="5"|Verrichting
 
|-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="3"|Gewicht waarde
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|710 g
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|rowspan="37"|
−
|style="background-color: white;"|7 maa 2020 13:21
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamstemperatuur
+
|colspan="5"|Opname
 
|-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"|Temperatuur waarde
+
|colspan="3"|Opname datum
−
|style="background-color: white;"|37.4 graden celsius
+
|style="background-color: white;"|7 maa 2020 13:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur datum tijd
+
|colspan="3"|Ic opname?
−
|style="background-color: white;"|7 maa 2020 13:22
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Toelichting
+
|colspan="3"|Heropname?
−
|style="background-color: white;"|geen bijzonderheden
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur type
+
|colspan="3"|Herkomst kind
−
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Opname indicatie
 +
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang waarde
+
|colspan="3"|Ontslag datum
−
|style="background-color: white;"|22.5 cm
+
|style="background-color: white;"|5 mei 2020 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang datum tijd
+
|rowspan="27"|
−
|style="background-color: white;"|7 maa 2020 13:23
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Apgar score na 1 min
+
|colspan="4"|Lichaamslengte
 +
|-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="2"|Lengte waarde
 +
|style="background-color: white;"|31 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Apgar score totaal
+
|colspan="2"|Lengte datum tijd
−
|style="background-color: white;"|1
+
|style="background-color: white;"|7 maa 2020 13:20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Apgar score na 5 min
+
|colspan="4"|Lichaamsgewicht
 
|-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"|Apgar score totaal
+
|colspan="2"|Gewicht waarde
−
|style="background-color: white;"|5
+
|style="background-color: white;"|710 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Nsp h arterieel
+
|colspan="2"|Gewicht datum tijd
−
|style="background-color: white;"|7.05 ph
+
|style="background-color: white;"|7 maa 2020 13:21
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Be
 
−
|style="background-color: white;"|-12.0 mmol/l
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Problematiek kind
+
|colspan="4"|Lichaamstemperatuur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="103"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geboortetrauma
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Temperatuur waarde
 +
|style="background-color: white;"|37.4 graden celsius
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Temperatuur datum tijd
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|7 maa 2020 13:22
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|colspan="2"|Toelichting
 +
|style="background-color: white;"|abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ademhalingsondersteuning?
+
|colspan="2"|Temperatuur type
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="4"|Schedelomvang
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting start datum
+
|colspan="2"|Schedelomvang waarde
−
|style="background-color: white;"|7 maa 2020 13:35
+
|style="background-color: white;"|22.5 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting eind datum
+
|colspan="2"|Schedelomvang datum tijd
−
|style="background-color: white;"|3 mei 2020 12:00
+
|style="background-color: white;"|7 maa 2020 13:23
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score na 1 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|rowspan="2"|
−
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Apgar score totaal
 +
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="4"|Apgar score na 5 min
 
|-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"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
−
|style="background-color: white;"|3 mei 2020 12:00
+
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting eind datum
+
|colspan="3"|Nsp h arterieel
−
|style="background-color: white;"|5 mei 2020 10:00
+
|style="background-color: white;"|7.05 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|colspan="3"|Be
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|-12.0 mmol/l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Problematiek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|O2 op dag 28?
+
|rowspan="97"|
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Respiratoir
+
|colspan="5"|Geboortetrauma
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ademhalingsondersteuning
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="4"|Verrichting
 
|-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="3"|Probleem naam
+
|colspan="2"|Verrichting start datum
−
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|7 maa 2020 13:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem begin datum
+
|colspan="2"|Verrichting eind datum
−
|style="background-color: white;"|8 maa 2020 23:00
+
|style="background-color: white;"|3 mei 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="2"|Verrichting type
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanvang
+
|rowspan="4"|
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="2"|Verrichting start datum
 +
|style="background-color: white;"|3 mei 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Stimulatie ademhaling
+
|colspan="2"|Verrichting eind datum
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|5 mei 2020 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Surfactant
+
|colspan="2"|Verrichting type
−
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|O2 op dag 28?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Ja
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Circulatoir
+
|colspan="5"|Respiratoir
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="4"|Probleem
 
|-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="3"|Probleem naam
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Aanvang
 +
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="4"|Medicatie
 
|-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"|Verrichting type
+
|colspan="2"|Stimulatie ademhaling
−
|style="background-color: white;"|Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Surfactant
 +
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Infectieus
+
|colspan="4"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="13"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Stimulatie ademhaling
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|Circulatoir
 
|-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="3"|Probleem naam
+
|colspan="3"|Problemen aanwezig?
−
|style="background-color: white;"|Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem begin datum
+
|rowspan="3"|
−
|style="background-color: white;"|8 maa 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem eind datum
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|11 maa 2020
+
|style="background-color: white;"|Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanvang
+
|rowspan="2"|
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Microorganisme sepsis meningitis
+
|colspan="2"|Verrichting type
−
|style="background-color: white;"|Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): onduidelijk
+
|style="background-color: white;"|Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Infectieus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lijnsepsis?
+
|rowspan="13"|
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Onset
+
|colspan="3"|Problemen aanwezig?
−
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Antibiotica eerste 3 dagen?
 
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Gastrointestinaal
+
|colspan="4"|Probleem
 
|-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"|Problemen aanwezig?
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|Probleem begin datum
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|8 maa 2020
−
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Probleem eind datum
 +
|style="background-color: white;"|11 maa 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|Zie probleem met id: ''
+
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|colspan="2"|Aanvang
−
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="2"|Microorganisme sepsis meningitis
 +
|style="background-color: white;"|Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Lijnsepsis?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Onset
 +
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Antibiotica eerste 3 dagen?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Gastrointestinaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verrichting type
 +
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Hematologisch
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="4"|Verrichting
 
|-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"|Verrichting type
+
|colspan="2"|Verrichting type
 
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Metabool en endocrien
+
|colspan="5"|Metabool en endocrien
 
|-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="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="4"|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="3"|Probleem naam
+
|colspan="2"|Probleem naam
 
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|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="5"|Verrichting
+
|colspan="4"|Verrichting
 
|-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"|Verrichting type
+
|colspan="2"|Verrichting type
 
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Neurologisch
+
|colspan="5"|Neurologisch
 
|-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"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="5"|Zintuigen
 
|-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="3"|Verrichting type
+
|colspan="3"|Problemen aanwezig?
−
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' 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"|Zintuigen
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Retinopathy of prematurity stage 2 - intraretinal ridge (disorder) (code = '408848001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rop screening verricht?
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|Nee
+
|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="4"|Rop screening afgesloten?
+
|colspan="3"|Rop screening verricht?
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Rop screening afgesloten?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Aabr verricht?
+
|colspan="3"|Aabr verricht?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Aabr afwijkend?
+
|colspan="3"|Aabr afwijkend?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Bera verricht?
+
|colspan="3"|Bera verricht?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Bera
+
|colspan="5"|Congenitale aandoeningen
 
|-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"|Bera afwijkend?
+
|colspan="3"|Problemen aanwezig?
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontslagoverplaatsing
+
|colspan="6"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="15"|
 
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Nog opgenomen?
+
|colspan="4"|Nog opgenomen?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Bestemming kind
+
|colspan="4"|Bestemming kind
 
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Lichamelijk onderzoek
+
|colspan="5"|Lichamelijk onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamsgewicht
+
|colspan="4"|Lichaamsgewicht
 
|-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"|Gewicht waarde
+
|colspan="2"|Gewicht waarde
 
|style="background-color: white;"|1740 gram
 
|style="background-color: white;"|1740 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Gewicht datum tijd
 
|style="background-color: white;"|5 mei 2020 09:00
 
|style="background-color: white;"|5 mei 2020 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Schedelomvang
+
|colspan="4"|Schedelomvang
 
|-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="3"|Schedelomvang meetmethode
+
|colspan="2"|Schedelomvang meetmethode
 
|style="background-color: white;"|Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang waarde
+
|colspan="2"|Schedelomvang waarde
 
|style="background-color: white;"|30 cm
 
|style="background-color: white;"|30 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang datum tijd
+
|colspan="2"|Schedelomvang datum tijd
 
|style="background-color: white;"|5 mei 2020 09:01
 
|style="background-color: white;"|5 mei 2020 09:01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voeding kind
+
|colspan="4"|Voeding kind
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Mortaliteit
+
|colspan="6"|Mortaliteit
 
|-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"|Overlijden lt12 uur na opname nicu?
+
|colspan="4"|Overlijden lt12 uur na opname nicu?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overleden op verloskamer?
+
|colspan="4"|Overleden op verloskamer?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Staken icbehandeling?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Follow up
+
|colspan="6"|Follow up
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Na ontslag
+
|colspan="5"|Na ontslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="14"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|O2 op dag 28?
+
|colspan="3"|O2 op dag 28?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Gradatie bpd
+
|colspan="3"|Gradatie bpd
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zintuigen
+
|colspan="4"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Problemen aanwezig?
+
|colspan="2"|Problemen aanwezig?
 
|style="background-color: white;"|NullFlavor: UNK
 
|style="background-color: white;"|NullFlavor: UNK
 +
|}
 +
==Scenario Testscenario 2: geb.trauma + neurologisch + anat afw  + overlijden ==
 +
       
 +
=== Documentgegevens ===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Rop screening verricht?
+
|colspan="3"|Identificatie
−
|style="background-color: white;"|NullFlavor: UNK
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Rop screening afgesloten?
+
|colspan="3"|Document datum
−
|style="background-color: white;"|NullFlavor: UNK
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aabr verricht?
+
|colspan="3"|Set identificatie
−
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aabr afwijkend?
+
|colspan="3"|Versienummer
−
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Bera verricht?
+
|colspan="3"|Software naam
−
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|XIS
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Bera
+
|colspan="4"|Verificatie zorgverlener
 +
|-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="2"|Geverifieerd door zorgverlener?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Bera afwijkend?
+
|colspan="2"|Verificatie datum
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|
 
|}
 
|}
−
==Scenario Testscenario 2: geb.trauma + neurologisch + anat afw  + overlijden ==
 
−
       
 
 
=== Zorgaanbieder ===
 
=== Zorgaanbieder ===
  
Regel 597: Regel 703:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgaanbieder identificatienummer
 
|colspan="2"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
|}
 
|}
−
=== Zwangerschapsgegevens ===
+
=== Zorgverlener ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
Regel 608: Regel 714:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Graviditeit
+
|colspan="4"|Zorgverlener identificatienummer
−
|style="background-color: white;"|3
+
|style="background-color: white;"|0000 (in identificerend systeem: UZI Personen)
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Complicaties zwangerschap?
+
|colspan="3"|Voornamen
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Hans Paul
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|H.P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem naam
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Hans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verificatie status
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-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="3"|Magnesiumsulfaat
+
|rowspan="2"|
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Antenatale steroiden gegeven?
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Pieterse
 
|}
 
|}
−
=== Kind ===
+
=== Vrouw ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Demografische gegevens
+
|colspan="5"|Demografische gegevens
 
|-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="6"|Patient
+
|colspan="4"|Patient
 
|-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="4"|Identificatienummer
+
|colspan="2"|Identificatienummer
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|(in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="2"|Geboortedatum
−
|style="background-color: white;"|26 mei 2020 10:44
+
|style="background-color: white;"|1994
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="4"|Graviditeit
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meerling indicator
+
|colspan="4"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Overlijdens indicator
+
|rowspan="8"|
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Datum overlijden
+
|colspan="3"|Complicaties zwangerschap?
−
|style="background-color: white;"|26 mei 2020 21:00
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Bevallingsgegevens
+
|colspan="4"|Probleem
 
|-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="5"|Zwangerschapsduur
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|254 dagen
+
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Aantal geboren kinderen
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|1
+
|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="5"|Type partus
+
|colspan="3"|Magnesiumsulfaat
−
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie partus
+
|colspan="3"|Antenatale steroiden gegeven?
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|NullFlavor: NA
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="7"|
−
|style="background-color: white;"|234 (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"|Identificatienummer
−
|style="background-color: white;"|UMC Papendorp
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Ondersteuning opvang
+
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|26 mei 2020 10:44
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="4"|Geslacht
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
−
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verrichting type
+
|colspan="4"|Overlijdens indicator
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="28"|
+
|colspan="4"|Datum overlijden
 +
|style="background-color: white;"|26 mei 2020 21:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Opname
+
|colspan="7"|Bevallingsgegevens
 
|-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="4"|Opname datum
+
|colspan="5"|Zwangerschapsduur
−
|style="background-color: white;"|26 mei 2020
+
|style="background-color: white;"|254 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ic opname?
+
|colspan="5"|Aantal geboren kinderen
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Heropname?
+
|colspan="5"|Type partus
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Herkomst kind
+
|colspan="5"|Locatie partus
−
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-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"|Opname indicatie
+
|rowspan="3"|
−
|style="background-color: white;"|Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname indicatie
+
|colspan="4"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|234 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname indicatie
+
|colspan="4"|Organisatie naam
−
|style="background-color: white;"|Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|UMC Papendorp
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|26 mei 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Onderzoek
+
|colspan="7"|Ondersteuning opvang
 
|-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"|Lichaamsgewicht
+
|colspan="6"|Verrichting
 
|-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="3"|Gewicht waarde
+
|colspan="4"|Verrichting type
−
|style="background-color: white;"|3870 g
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|rowspan="28"|
−
|style="background-color: white;"|26 mei 2020 11:01
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamstemperatuur
+
|colspan="6"|Opname
 
|-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="3"|Temperatuur waarde
+
|colspan="4"|Opname datum
−
|style="background-color: white;"|36.1 graden celsius
+
|style="background-color: white;"|26 mei 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur datum tijd
+
|colspan="4"|Ic opname?
−
|style="background-color: white;"|26 mei 2020 11:02
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur type
+
|colspan="4"|Heropname?
−
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 1 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Herkomst kind
 +
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Apgar score totaal
+
|colspan="4"|Opname indicatie
−
|style="background-color: white;"|0
+
|style="background-color: white;"|Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 5 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Apgar score totaal
+
|colspan="4"|Opname indicatie
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="71"|
+
|colspan="4"|Ontslag datum
 +
|style="background-color: white;"|26 mei 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geboortetrauma
+
|colspan="6"|Onderzoek
 
|-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="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|Lichaamsgewicht
 
|-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"|Probleem naam
+
|colspan="3"|Gewicht waarde
−
|style="background-color: white;"|Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|3870 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="3"|Gewicht datum tijd
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|26 mei 2020 11:01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Ademhalingsondersteuning
+
|colspan="5"|Lichaamstemperatuur
 
|-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"|Ademhalingsondersteuning?
+
|colspan="3"|Temperatuur waarde
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|36.1 graden celsius
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Temperatuur datum tijd
 +
|style="background-color: white;"|26 mei 2020 11:02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting start datum
+
|colspan="3"|Temperatuur type
−
|style="background-color: white;"|26 mei 2020 11:16
+
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Apgar score na 1 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|rowspan="2"|
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|O2 op dag 28?
+
|colspan="3"|Apgar score totaal
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Respiratoir
+
|colspan="5"|Apgar score na 5 min
 
|-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"|Problemen aanwezig?
+
|colspan="3"|Apgar score totaal
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Problematiek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="68"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Circulatoir
+
|colspan="6"|Geboortetrauma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
Regel 842: Regel 962:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
−
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|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="6"|Infectieus
+
|colspan="6"|Ademhalingsondersteuning
 
|-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="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Gastrointestinaal
+
|colspan="5"|Verrichting
 
|-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="4"|Problemen aanwezig?
+
|colspan="3"|Verrichting start datum
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|26 mei 2020 11:16
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|O2 op dag 28?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Metabool en endocrien
+
|colspan="6"|Respiratoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
Regel 875: Regel 994:
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Neurologisch
+
|colspan="6"|Circulatoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="17"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
Regel 884: Regel 1.003:
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
−
|style="background-color: white;"|Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ernst encefalopathie
 
−
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|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="5"|Probleem
+
|colspan="6"|Infectieus
 
|-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="3"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|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="5"|Probleem
+
|colspan="6"|Gastrointestinaal
 
|-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"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="6"|Hematologisch
 
|-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"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' 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"|Zintuigen
+
|colspan="6"|Metabool en endocrien
 
|-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"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rop screening verricht?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aabr verricht?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bera verricht?
 
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Congenitale aandoeningen
+
|colspan="6"|Neurologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Aangeboren anatomische afwijkingen majorsyndromen
+
|colspan="5"|Probleem
 
|-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;;" 
 
−
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem naam
+
|colspan="3"|Ernst encefalopathie
−
|style="background-color: white;"|Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
+
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verificatie status
+
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|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"|Ontslagoverplaatsing
+
|colspan="5"|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="5"|Nog opgenomen?
+
|colspan="3"|Probleem naam
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voeding kind
+
|colspan="3"|Verificatie status
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
+
|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"|Mortaliteit
+
|colspan="5"|Probleem
 +
|-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="3"|Probleem naam
 +
|style="background-color: white;"|Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|rowspan="2"|
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overleden op verloskamer?
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Oorzaak overlijden
+
|rowspan="2"|
−
|style="background-color: white;"|multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|NullFlavor: UNK
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
==Scenario Testscenario 3: stofwisselingsziekte  ==
+
|colspan="6"|Congenitale aandoeningen
−
       
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgaanbieder identificatienummer
+
|rowspan="8"|
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zwangerschapsgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Graviditeit
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|4
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Aangeboren anatomische afwijkingen majorsyndromen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Pariteit voor deze zwangerschap
+
|rowspan="5"|
−
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Complicaties tijdens zwangerschap
+
|colspan="4"|Probleem
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Complicaties zwangerschap?
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Antenatale steroiden gegeven?
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Antenatale steroiden
 
−
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
−
|}
 
−
=== Kind ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Demografische gegevens
+
|colspan="7"|Ontslagoverplaatsing
 
|-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;;" 
 
−
|colspan="6"|Patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="5"|Nog opgenomen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Identificatienummer
+
|colspan="5"|Voeding kind
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|rowspan="5"|
−
|style="background-color: white;"|2 jul 2020 06:55
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
−
|style="background-color: white;"|Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meerling indicator
+
|colspan="5"|Overleden op verloskamer?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Overlijdens indicator
+
|colspan="5"|Oorzaak overlijden
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="7"|Bevallingsgegevens
+
|colspan="5"|Staken icbehandeling?
 +
|style="background-color: white;"|Ja
 +
|}
 +
==Scenario Testscenario 3: stofwisselingsziekte ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Zwangerschapsduur
+
|colspan="3"|Document datum
−
|style="background-color: white;"|215 dagen
+
|style="background-color: white;"|22 sep 2021 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Aantal geboren kinderen
+
|colspan="3"|Set identificatie
−
|style="background-color: white;"|1
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Type partus
+
|colspan="3"|Versienummer
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie partus
+
|colspan="3"|Software naam
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|XIS
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Opname gegevens
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="29"|
+
|rowspan="3"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|16 sep 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ic opname?
+
|colspan="2"|Geverifieerd door zorgverlener?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Heropname?
+
|colspan="2"|Verificatie datum
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
 +
|}
 +
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Herkomst kind
+
|colspan="2"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname indicatie
+
|colspan="2"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
+
|style="background-color: white;"|(in identificerend systeem: URA)
 +
|}
 +
=== Zorgverlener ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ontslag datum
+
|colspan="4"|Zorgverlener identificatienummer
−
|style="background-color: white;"|16 sep 2020
+
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Onderzoek
+
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|colspan="3"|Voornamen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|Hans Peter
−
|colspan="5"|Lichaamslengte
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|HP
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lengte waarde
+
|colspan="3"|Roepnaam
−
|style="background-color: white;"|43 cm
+
|style="background-color: white;"|Hans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lengte datum tijd
+
|colspan="3"|Naamgebruik
−
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamsgewicht
+
|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="3"|Gewicht waarde
+
|colspan="2"|Voorvoegsels
−
|style="background-color: white;"|1800 g
+
|style="background-color: white;"|van de
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Achternaam
−
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|Velde
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="5"|Lichaamstemperatuur
+
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|4
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur waarde
+
|colspan="3"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|37.1
+
|style="background-color: white;"|2
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur datum tijd
 
−
|style="background-color: white;"|16 sep 2020 09:30
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Schedelomvang
+
|colspan="4"|Complicaties tijdens zwangerschap
 
|-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="3"|Schedelomvang waarde
+
|colspan="2"|Complicaties zwangerschap?
−
|style="background-color: white;"|31 centimeter
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang datum tijd
+
|colspan="2"|Antenatale steroiden gegeven?
−
|style="background-color: white;"|16 sep 2020 09:32
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Nsp h arterieel
+
|colspan="2"|Antenatale steroiden
−
|style="background-color: white;"|7.35 ph
+
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="4"|Be
+
=== Kind ===
−
|style="background-color: white;"|0.0 mmol/l
+
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Problematiek kind
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Congenitale aandoeningen
+
|colspan="6"|Patient
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Stofwisselingsziekten
 
 
|-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"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Probleem naam
+
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 jul 2020 06:55
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verificatie status
+
|colspan="4"|Overlijdens indicator
−
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontslagoverplaatsing
+
|colspan="7"|Bevallingsgegevens
 
|-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="5"|Nog opgenomen?
+
|colspan="5"|Zwangerschapsduur
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|215 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Bestemming kind
+
|colspan="5"|Aantal geboren kinderen
−
|style="background-color: white;"|Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voeding kind
+
|colspan="5"|Type partus
−
|style="background-color: white;"|moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ondersteuning bij ontslag naar huis
+
|colspan="5"|Locatie partus
−
|style="background-color: white;"|monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Mortaliteit
+
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|rowspan="29"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|rowspan="7"|
−
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overleden op verloskamer?
+
|colspan="4"|Opname datum
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|16 sep 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Ic opname?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
−
|}
 
−
==Scenario Testscenario 4: gastro + chirurgie ==
 
−
       
 
−
=== Zorgaanbieder ===
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgaanbieder identificatienummer
+
|colspan="4"|Heropname?
−
|style="background-color: white;"|
+
|style="background-color: white;"|Ja
−
|}
 
−
=== Zwangerschapsgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Graviditeit
+
|colspan="4"|Herkomst kind
−
|style="background-color: white;"|1
+
|style="background-color: white;"|Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Pariteit voor deze zwangerschap
+
|colspan="4"|Ontslag datum
−
|style="background-color: white;"|0
+
|style="background-color: white;"|16 sep 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="19"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Probleem
+
|colspan="5"|Lichaamslengte
 
|-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"|Probleem naam
+
|colspan="3"|Lengte waarde
−
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|43 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Magnesiumsulfaat
+
|colspan="3"|Lengte datum tijd
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|16 sep 2020 09:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Antenatale steroiden gegeven?
+
|rowspan="3"|
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Antenatale steroiden
+
|colspan="3"|Gewicht waarde
−
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1800 g
−
|}
 
−
=== Kind ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="3"|Gewicht datum tijd
 +
|style="background-color: white;"|16 sep 2020 09:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Patient
+
|colspan="5"|Lichaamstemperatuur
 
|-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="4"|Identificatienummer
+
|colspan="3"|Temperatuur waarde
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|37.1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|colspan="3"|Temperatuur datum tijd
−
|style="background-color: white;"|13 aug 2020 13:00
+
|style="background-color: white;"|16 sep 2020 09:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Schedelomvang
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="3"|Schedelomvang waarde
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|31 centimeter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Meerling indicator
+
|colspan="3"|Schedelomvang datum tijd
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|16 sep 2020 09:32
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rangnummer kind
+
|colspan="4"|Nsp h arterieel
−
|style="background-color: white;"|2
+
|style="background-color: white;"|7.35 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Overlijdens indicator
+
|colspan="4"|Be
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|0.0 mmol/l
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Bevallingsgegevens
+
|colspan="7"|Problematiek kind
 
|-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;;" 
 +
|colspan="6"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Zwangerschapsduur
+
|rowspan="8"|
−
|style="background-color: white;"|236 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Aantal geboren kinderen
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Stofwisselingsziekten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Type partus
+
|rowspan="5"|
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ondersteuning opvang
+
|colspan="4"|Probleem
 
|-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="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verrichting type
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Opname gegevens
+
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="5"|Nog opgenomen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname datum
+
|colspan="5"|Bestemming kind
−
|style="background-color: white;"|20 aug 2020
+
|style="background-color: white;"|Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ic opname?
+
|colspan="5"|Voeding kind
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Heropname?
+
|colspan="5"|Ondersteuning bij ontslag naar huis
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): NEC
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|28 okt 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Onderzoek
+
|colspan="7"|Mortaliteit
 
|-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;;" 
 
−
|colspan="5"|Lichaamslengte
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
 +
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lengte waarde
+
|colspan="5"|Overleden op verloskamer?
−
|style="background-color: white;"|43 cm
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lengte datum tijd
+
|colspan="5"|Staken icbehandeling?
−
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|NullFlavor: NA
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
−
|colspan="5"|Lichaamsgewicht
+
==Scenario Testscenario 4: gastro + chirurgie ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Document datum
 +
|style="background-color: white;"|22 sep 2021 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht waarde
+
|colspan="3"|Set identificatie
−
|style="background-color: white;"|1530 g
+
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|colspan="3"|Versienummer
−
|style="background-color: white;"|20 aug 2020 09:30
+
|style="background-color: white;"|1
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="97"|
+
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geboortetrauma
+
|colspan="4"|Verificatie zorgverlener
 
|-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="4"|Problemen aanwezig?
+
|colspan="2"|Geverifieerd door zorgverlener?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|NullFlavor: NI
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="2"|Verificatie datum
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
−
|colspan="4"|Ademhalingsondersteuning?
+
|}
−
|style="background-color: white;"|Ja
+
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|}
 +
=== Vrouw ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="5"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|rowspan="3"|
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|O2 op dag 28?
+
|colspan="2"|Identificatienummer
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|(in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-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 voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Respiratoir
+
|colspan="7"|Demografische gegevens
 
|-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"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="6"|Patient
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="4"|Identificatienummer
−
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|13 aug 2020 13:00
 +
|-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="3"|Verificatie status
+
|colspan="4"|Meerling indicator
−
|style="background-color: white;"|Uitgesloten (code = '410516002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Rangnummer kind
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Stimulatie ademhaling
+
|colspan="4"|Overlijdens indicator
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Circulatoir
+
|colspan="7"|Bevallingsgegevens
 
|-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"|Problemen aanwezig?
+
|colspan="5"|Zwangerschapsduur
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|236 dagen
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="5"|Aantal geboren kinderen
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="5"|Type partus
−
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie partus
 +
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ondersteuning opvang
 +
|-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"|Infectieus
+
|colspan="6"|Verrichting
 
|-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"|Problemen aanwezig?
+
|colspan="4"|Verrichting type
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|rowspan="11"|
−
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Microorganisme sepsis meningitis
+
|colspan="4"|Opname datum
−
|style="background-color: white;"|Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 aug 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Lijnsepsis?
+
|colspan="4"|Ic opname?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Onset
+
|colspan="4"|Heropname?
−
|style="background-color: white;"|late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Antibiotica eerste 3 dagen?
+
|colspan="4"|Herkomst kind
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Infuus
+
|colspan="5"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Organisatie naam
 +
|style="background-color: white;"|AZ Papendorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="4"|Ontslag datum
 +
|style="background-color: white;"|28 okt 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Infuuskatheter
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Medisch hulpmiddel
+
|colspan="5"|Lichaamslengte
 
|-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"|Begin datum
+
|colspan="3"|Lengte waarde
−
|style="background-color: white;"|20 aug 2020 10:00
+
|style="background-color: white;"|43 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Einddatum
+
|colspan="3"|Lengte datum tijd
−
|style="background-color: white;"|22 okt 2020 09:00
+
|style="background-color: white;"|16 sep 2020 09:30
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gastrointestinaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|Lichaamsgewicht
 
|-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"|Probleem naam
+
|colspan="3"|Gewicht waarde
−
|style="background-color: white;"|Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1530 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verificatie status
+
|colspan="3"|Gewicht datum tijd
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 aug 2020 09:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="7"|Problematiek kind
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|rowspan="92"|
−
|style="background-color: white;"|Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="6"|Geboortetrauma
 
|-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"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Hematologisch
+
|colspan="6"|Ademhalingsondersteuning
 
|-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="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 1.519: Regel 1.660:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting type
 
|colspan="3"|Verrichting type
−
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|O2 op dag 28?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Metabool en endocrien
+
|colspan="6"|Respiratoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="16"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
Regel 1.533: Regel 1.677:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
−
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
+
|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="5"|Probleem
+
|colspan="5"|Medicatie
 
|-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="3"|Probleem naam
+
|colspan="3"|Stimulatie ademhaling
−
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="6"|Circulatoir
 
|-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"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="5"|Probleem
 
|-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"|Verrichting type
+
|colspan="3"|Probleem naam
−
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zintuigen
+
|colspan="6"|Infectieus
 
|-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"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rop screening verricht?
+
|rowspan="5"|
−
|style="background-color: white;"|NullFlavor: NASK
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Rop screening afgesloten?
+
|colspan="3"|Probleem naam
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Aabr verricht?
+
|colspan="3"|Microorganisme sepsis meningitis
−
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Aabr afwijkend?
+
|colspan="3"|Lijnsepsis?
−
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Bera verricht?
+
|colspan="3"|Onset
−
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Congenitale aandoeningen
+
|colspan="4"|Antibiotica eerste 3 dagen?
 +
|style="background-color: white;"|NullFlavor: NA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="6"|Infuus
 
|-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"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|rowspan="5"|
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Chirurgische ingrepen
+
|colspan="4"|Medisch hulpmiddel
 
|-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="4"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="2"|Begin datum
 +
|style="background-color: white;"|20 aug 2020 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verrichting type
+
|colspan="2"|Einddatum
−
|style="background-color: white;"|Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|22 okt 2020 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ontslagoverplaatsing
+
|colspan="6"|Gastrointestinaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Nog opgenomen?
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Bestemming kind
+
|rowspan="3"|
−
|style="background-color: white;"|Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|colspan="3"|Probleem naam
−
|colspan="6"|Lichamelijk onderzoek
+
|style="background-color: white;"|Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|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="5"|Lichaamsgewicht
+
|colspan="5"|Verrichting
 
|-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="3"|Gewicht waarde
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|2800 gram
+
|style="background-color: white;"|Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|rowspan="2"|
−
|style="background-color: white;"|28 okt 2020 15:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Voeding kind
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
+
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Mortaliteit
+
|colspan="6"|Hematologisch
 
|-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="5"|Overlijden lt12 uur na opname nicu?
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Overleden op verloskamer?
+
|rowspan="2"|
−
|style="background-color: white;"|Nee
 
−
|}
 
−
==Scenario Testscenario 5: zintuigen + FU ==
 
−
       
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgaanbieder identificatienummer
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|
+
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Zorgverlener ===
+
|colspan="6"|Metabool en endocrien
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlener
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgverlener identificatienummer
+
|rowspan="16"|
−
|style="background-color: white;"|(in identificerend systeem: 2.16.528.1.1007.5.1)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|}
+
|colspan="4"|Problemen aanwezig?
−
=== Vrouw ===
+
|style="background-color: white;"|Ja
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Demografische gegevens
+
|colspan="5"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|Verificatie status
 +
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Patient
+
|colspan="5"|Probleem
 
|-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"|Identificatienummer
+
|colspan="3"|Probleem naam
−
|style="background-color: white;"|(in identificerend systeem: BSN)
+
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
−
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
=== Zwangerschapsgegevens ===
+
|colspan="3"|Verificatie status
−
 
+
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
−
{| class="wikitable" width="85%"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zwangerschapsgegevens
+
|colspan="5"|Verrichting
−
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Graviditeit
+
|rowspan="2"|
−
|style="background-color: white;"|5
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Pariteit voor deze zwangerschap
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|4
+
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Verrichting
 
|-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="3"|Complicaties zwangerschap?
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Probleem
+
|colspan="6"|Zintuigen
 
|-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"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|NullFlavor: NI
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verificatie status
+
|rowspan="7"|
−
|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="3"|Magnesiumsulfaat
+
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden gegeven?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden
 
−
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
−
|}
 
−
=== Kind ===
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Demografische gegevens
+
|colspan="5"|Chirurgische ingrepen
 
|-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="6"|Patient
+
|colspan="4"|Verrichting
 
|-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"|Identificatienummer
+
|colspan="2"|Verrichting type
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortedatum
+
|rowspan="10"|
−
|style="background-color: white;"|2 feb 2020 14:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geslacht
+
|colspan="5"|Nog opgenomen?
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Meerling indicator
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Overlijdens indicator
+
|colspan="5"|Bestemming kind
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Bevallingsgegevens
+
|colspan="6"|Lichamelijk onderzoek
 
|-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;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Zwangerschapsduur
+
|rowspan="3"|
−
|style="background-color: white;"|177 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Type partus
+
|colspan="3"|Gewicht waarde
−
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2800 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie partus
+
|colspan="3"|Gewicht datum tijd
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|28 okt 2020 15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Voeding kind
 +
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Mortaliteit
 
|-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="4"|Zorgaanbieder identificatienummer
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
−
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="7"|
+
|colspan="5"|Overleden op verloskamer?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Nee
−
|colspan="6"|Verrichting
+
|}
 +
==Scenario Testscenario 5: zintuigen + FU ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verrichting type
+
|colspan="3"|Document datum
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|22 sep 2021 11:00
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Set identificatie
 +
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Verrichting type
+
|colspan="3"|Versienummer
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="36"|
+
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Opname
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname datum
+
|colspan="2"|Geverifieerd door zorgverlener?
−
|style="background-color: white;"|2 feb 2020 14:30
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Heropname?
+
|colspan="2"|Verificatie datum
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|22 sep 2021 10:00
 +
|}
 +
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Herkomst kind
+
|colspan="2"|Zorgaanbieder identificatienummer
−
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|}
−
|colspan="5"|Zorgaanbieder
+
=== Zwangerschapsgegevens ===
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
 
−
|rowspan="2"|
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="4"|Graviditeit
−
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Opname indicatie
+
|colspan="4"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|4
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ontslag datum
+
|rowspan="9"|
−
|style="background-color: white;"|17 jun 2020 12:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="23"|
+
|colspan="3"|Complicaties zwangerschap?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Lichaamsgewicht
+
|colspan="4"|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="3"|Gewicht waarde
+
|colspan="2"|Probleem naam
−
|style="background-color: white;"|710 g
+
|style="background-color: white;"|preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Verificatie status
−
|style="background-color: white;"|2 feb 2020 14:30
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamstemperatuur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="3"|Magnesiumsulfaat
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur waarde
+
|colspan="3"|Antenatale steroiden gegeven?
−
|style="background-color: white;"|36.7
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Temperatuur datum tijd
+
|colspan="3"|Antenatale steroiden
−
|style="background-color: white;"|2 feb 2020 14:35
+
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Toelichting
+
|rowspan="8"|
−
|style="background-color: white;"|geen bijzonderheden
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur type
 
−
|style="background-color: white;"|Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Schedelomvang
+
|colspan="6"|Patient
 
|-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="4"|Identificatienummer
 +
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang waarde
+
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|25.5
+
|style="background-color: white;"|2 feb 2020 14:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Schedelomvang datum tijd
+
|colspan="4"|Geslacht
−
|style="background-color: white;"|2 feb 2020 14:35
+
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 1 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Apgar score totaal
+
|colspan="4"|Overlijdens indicator
−
|style="background-color: white;"|1
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Apgar score na 5 min
+
|colspan="7"|Bevallingsgegevens
 
|-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="3"|Apgar score totaal
+
|colspan="5"|Zwangerschapsduur
−
|style="background-color: white;"|4
+
|style="background-color: white;"|177 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Nsp h arterieel
+
|colspan="5"|Type partus
−
|style="background-color: white;"|7.21 ph
+
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Be
+
|colspan="5"|Locatie partus
−
|style="background-color: white;"|-11 mmol/l
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Problematiek kind
+
|colspan="7"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="127"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Geboortetrauma
+
|colspan="6"|Verrichting
 
|-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"|Problemen aanwezig?
+
|colspan="4"|Verrichting type
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Ademhalingsondersteuning
+
|colspan="6"|Verrichting
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ademhalingsondersteuning?
+
|colspan="4"|Verrichting type
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="7"|Opname gegevens
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|rowspan="33"|
−
|style="background-color: white;"|toedienen van zuurstof via neusbril (verrichting) (code = '371907003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="6"|Opname
 
|-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="3"|Verrichting type
+
|colspan="4"|Opname datum
−
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 feb 2020 14:30
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Ic opname?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|colspan="4"|Heropname?
−
|style="background-color: white;"|Continuous positive airway pressure ventilation treatment (procedure) (code = '47545007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="4"|Herkomst kind
 +
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Verrichting type
+
|colspan="4"|Opname indicatie
−
|style="background-color: white;"|Noninvasive ventilation (procedure) (code = '428311008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|O2 op dag 28?
+
|colspan="4"|Ontslag datum
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|17 jun 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Respiratoir
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="21"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|rowspan="3"|
−
|style="background-color: white;"|Ja
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gewicht waarde
 +
|style="background-color: white;"|710 g
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gewicht datum tijd
 +
|style="background-color: white;"|2 feb 2020 14:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|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="3"|Temperatuur waarde
 +
|style="background-color: white;"|36.7
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem naam
+
|colspan="3"|Temperatuur datum tijd
−
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 feb 2020 14:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Probleem begin datum
+
|colspan="3"|Toelichting
−
|style="background-color: white;"|1 maa 2020 08:00
+
|style="background-color: white;"|geen bijzonderheden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aanvang
+
|colspan="3"|Temperatuur type
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|Schedelomvang
 
|-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"|Probleem naam
+
|colspan="3"|Schedelomvang waarde
−
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 3 (disorder) (code = '22041000146108' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|25.5
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Schedelomvang datum tijd
 +
|style="background-color: white;"|2 feb 2020 14:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Verrichting
+
|colspan="5"|Apgar score na 1 min
 
|-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"|Verrichting type
+
|colspan="3"|Apgar score totaal
−
|style="background-color: white;"|Extracorporeal membrane oxygenation (procedure) (code = '233573008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Medicatie
+
|colspan="5"|Apgar score na 5 min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="3"|Apgar score totaal
 +
|style="background-color: white;"|4
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Stimulatie ademhaling
+
|colspan="4"|Nsp h arterieel
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|7.21 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Surfactant
+
|colspan="4"|Be
−
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|-11 mmol/l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Problematiek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Systemische steroiden
+
|rowspan="124"|
−
|style="background-color: white;"|CORTICOSTEROIDEN VOOR SYSTEMISCH GEBRUIK - SYSTEMISCHE HORMOONPREPARATEN, EXCL GESLACHTSHORMONEN (code = 'H02' in codeSystem 'ATC-NL')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Medicatie
+
|colspan="6"|Geboortetrauma
 
|-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"|Stimulatie ademhaling
+
|colspan="4"|Problemen aanwezig?
−
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Circulatoir
+
|colspan="6"|Ademhalingsondersteuning
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Probleem
+
|colspan="5"|Verrichting
 
|-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"|Probleem naam
+
|colspan="3"|Verrichting type
−
|style="background-color: white;"|Low blood pressure (disorder) (code = '45007003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|