Kwalificatiescript Spoedsamenvatting 2.2.0: verschil tussen versies
(→Scenario - Beschikbaarstellen actuele contactmomenten van patiënt) |
(→Inhoudelijke gegevens) |
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(9 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 13: | Regel 13: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
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|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Onderwerp | |colspan="7"|Onderwerp | ||
Regel 196: | Regel 26: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
Regel 211: | Regel 41: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Achternaam | |colspan="3"|Achternaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_ |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|GeslachtsnaamPartner | |colspan="4"|GeslachtsnaamPartner | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|VoorvoegselsPartner | |colspan="3"|VoorvoegselsPartner | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|AchternaamPartner | |colspan="3"|AchternaamPartner | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
Regel 443: | Regel 273: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Episode | |colspan="5"|Verwijzing Episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|DatumTijd | |colspan="5"|DatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Journaalregel | |colspan="6"|Journaalregel | ||
Regel 456: | Regel 286: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|S | |colspan="4"|S | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Wakker geworden, maar vannacht hartkloppingen. Geen beklemdheid. Verder geen klachten. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|O | |colspan="4"|O | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|E | |colspan="4"|E | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Ritmestoornis |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|P | |colspan="4"|P | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Naar SEH |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"|Probleem | + | |colspan="5"|Probleem |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatienummer | |colspan="3"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemK78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemNaam | |colspan="3"|ProbleemNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Boezemfibrilleren/-fladderen (Code = K78 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemBeginDatum | |colspan="3"|ProbleemBeginDatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemEindDatum | |colspan="3"|ProbleemEindDatum | ||
|style="background-color: white;"| | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | <section end="contactverslag01" /> |
+ | <section begin="contactverslag02" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |colspan="5"|Identificatienummer |
+ | |style="background-color: white;"|Contactverslag02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Contact | ||
+ | |style="background-color: white;"|Contact02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing Episode | ||
+ | |style="background-color: white;"|D02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|DatumTijd | ||
+ | |style="background-color: white;"|T-100D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Journaalregel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Type | ||
+ | |style="background-color: #E3E3E3;"|Tekst | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|S | ||
+ | |style="background-color: white;"|In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|O | ||
+ | |style="background-color: white;"|Maagstreek gevoelig. Overig gb. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|E | ||
+ | |style="background-color: white;"|Maag/duodenum problemen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Probleem | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatienummer | |colspan="3"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemD02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemNaam | |colspan="3"|ProbleemNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemBeginDatum | |colspan="3"|ProbleemBeginDatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-100D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemEindDatum | |colspan="3"|ProbleemEindDatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-90D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | <section end=" | + | |} |
− | <section begin=" | + | <section end="contactverslag02" /> |
+ | |||
+ | <section begin="contactverslag03" /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
Regel 510: | Regel 379: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatienummer | |colspan="5"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contactverslag03 |
− | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Verwijzing Contact | |colspan="5"|Verwijzing Contact | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Episode | |colspan="5"|Verwijzing Episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|DatumTijd | |colspan="5"|DatumTijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Journaalregel | |colspan="6"|Journaalregel | ||
Regel 529: | Regel 398: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|S | |colspan="4"|S | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gaat beter, nog wel af en toe benauwd/hosten. Geen koorts, weinig slijm en geen PoB. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|O | |colspan="4"|O | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|E | |colspan="4"|E | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|COPD, beterend |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|P | |colspan="4"|P | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Probleem | |colspan="5"|Probleem | ||
Regel 545: | Regel 414: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatienummer | |colspan="3"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemNaam | |colspan="3"|ProbleemNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemBeginDatum | |colspan="3"|ProbleemBeginDatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemEindDatum | |colspan="3"|ProbleemEindDatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
− | <section end=" | + | <section end="contactverslag03" /> |
− | <section begin=" | + | <section begin="contactverslag04" /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Contactverslag | ||
Regel 574: | Regel 443: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Episode | |colspan="5"|Verwijzing Episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|DatumTijd | |colspan="5"|DatumTijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-6D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Journaalregel | |colspan="6"|Journaalregel | ||
Regel 587: | Regel 456: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|S | |colspan="4"|S | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|O | |colspan="4"|O | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Longen VAG crep+, piep iets, rhonchi+. Percussie gb. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|E | |colspan="4"|E | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|COPD, exacerbatie. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|P | |colspan="4"|P | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|AB starten, ventolin 3-4 dgs. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Probleem | |colspan="5"|Probleem | ||
Regel 603: | Regel 472: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatienummer | |colspan="3"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemNaam | |colspan="3"|ProbleemNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemBeginDatum | |colspan="3"|ProbleemBeginDatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ProbleemEindDatum | |colspan="3"|ProbleemEindDatum | ||
Regel 616: | Regel 485: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
− | <section end=" | + | <section end="contactverslag04" /> |
==Scenario - Beschikbaarstellen actuele episodes van patiënt== | ==Scenario - Beschikbaarstellen actuele episodes van patiënt== | ||
Regel 628: | Regel 497: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Episodetitel | |colspan="5"|Episodetitel | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Hartkloppingen – paroxysmaal boezemfibrilleren |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Status | |colspan="5"|Status | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Startdatum | |colspan="5"|Startdatum | ||
− | |style="background-color: white;"| T | + | |style="background-color: white;"| T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Einddatum | |colspan="5"|Einddatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| T-300D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Probleem | |colspan="5"|Verwijzing Probleem | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemK78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Attentiewaarden | |colspan="5"|Attentiewaarden | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Ja |
|} | |} | ||
− | |||
<section end="episode" /> | <section end="episode" /> | ||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
<section begin="geslotenepisodemetattentiewaarde" /> | <section begin="geslotenepisodemetattentiewaarde" /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
Regel 671: | Regel 527: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|D02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Episodetitel | |colspan="5"|Episodetitel | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Maagpijn |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Status | |colspan="5"|Status | ||
− | |style="background-color: white;"|Gesloten | + | |style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Startdatum | |colspan="5"|Startdatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-100D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Einddatum | |colspan="5"|Einddatum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-90D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Probleem | |colspan="5"|Verwijzing Probleem | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemD02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Attentiewaarden | |colspan="5"|Attentiewaarden | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Nee |
|} | |} | ||
<section end="geslotenepisodemetattentiewaarde" /> | <section end="geslotenepisodemetattentiewaarde" /> | ||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
Regel 713: | Regel 556: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Episodetitel | |colspan="5"|Episodetitel | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|COPD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Status | |colspan="5"|Status | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Startdatum | |colspan="5"|Startdatum | ||
− | |style="background-color: white;"| T- | + | |style="background-color: white;"| T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Einddatum | |colspan="5"|Einddatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing Probleem | |colspan="5"|Verwijzing Probleem | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|ProbleemR95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Attentiewaarden | |colspan="5"|Attentiewaarden | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Ja |
|} | |} | ||
==Scenario - Beschikbaarstellen actuele labbepalingen van patiënt== | ==Scenario - Beschikbaarstellen actuele labbepalingen van patiënt== | ||
− | <section begin=" | + | <section begin="lab600D" /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
Regel 749: | Regel 592: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|LaboratoriumTest | |colspan="6"|LaboratoriumTest | ||
Regel 759: | Regel 602: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestCode | |colspan="4"|TestCode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestDatumTijd | |colspan="4"|TestDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestUitslag | |colspan="4"|TestUitslag | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Twijfelachtig (code 312) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
− | <section end="lab | + | <section end="lab 600D" /> |
− | <section begin="lab | + | <section begin="lab 9D" /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
Regel 790: | Regel 633: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|LaboratoriumTest | |colspan="6"|LaboratoriumTest | ||
Regel 803: | Regel 646: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestCode | |colspan="4"|TestCode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestDatumTijd | |colspan="4"|TestDatumTijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|TestUitslag | |colspan="4"|TestUitslag | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| ‘’Positief’’ (Vrije tekst) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"|4, | + | |style="background-color: white;"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="lab 9D" /> | ||
+ | |||
+ | <section begin="lab 6D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"|Positief (vrije tekst) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="lab 6D" /> | ||
+ | |||
+ | <section begin="lab 6D" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | LaboratoriumUitslag | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Lab04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|LaboratoriumTest | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|LabTest04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestCode | ||
+ | |style="background-color: white;"|Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|TestUitslag | ||
+ | |style="background-color: white;"|4,5 mmol/l | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"|6,1 mmol/l | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|4,0 mmol/l |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
Regel 835: | Regel 766: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 845: | Regel 776: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Systolische bloeddruk (1744) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|184 mmHg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
Regel 857: | Regel 788: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| 140 mmHG |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|High (code= H codesysteem 2.16.840.1.113883.5.83) |
|}<section end="algbep01" /> | |}<section end="algbep01" /> | ||
<section begin="algbep02" /> | <section begin="algbep02" /> | ||
Regel 873: | Regel 804: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 883: | Regel 814: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Diastolische bloeddruk (1740) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|94 mmHg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|89 mmHg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
Regel 911: | Regel 842: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|K78 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 921: | Regel 852: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Polsfrequentie (1875) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|120/min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| 60 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| 100 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| High Alert (code= HH codesysteem 2.16.840.1.113883.5.83) |
|}<section end="algbep03" /> | |}<section end="algbep03" /> | ||
<section begin="algbep04" /> | <section begin="algbep04" /> | ||
Regel 946: | Regel 877: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 959: | Regel 890: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|FEV1/FVC ratio pré-BD (1675) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|66% |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| 70 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
Regel 974: | Regel 905: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Low (code=L codesysteem 2.16.840.1.113883.5.83) |
|}<section end="algbep04" /> | |}<section end="algbep04" /> | ||
<section begin="algbep05" /> | <section begin="algbep05" /> | ||
Regel 984: | Regel 915: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing contact | |colspan="5"|Verwijzing contact | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Contact03 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 997: | Regel 928: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Conclusie longfunctieonderzoek (1704) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|COPD (vrije tekst) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
Regel 1.026: | Regel 957: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|R95 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|MeetUitslag | |colspan="6"|MeetUitslag | ||
Regel 1.036: | Regel 967: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MetingNaam | |colspan="4"|MetingNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Roken (1739) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagWaarde | |colspan="4"|UitslagWaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Voorheen (4) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagDatumTijd | |colspan="4"|UitslagDatumTijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-9D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieOndergrens | |colspan="4"|ReferentieOndergrens | ||
Regel 1.048: | Regel 979: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReferentieBovengrens | |colspan="4"|ReferentieBovengrens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|UitslagInterpretatie | |colspan="4"|UitslagInterpretatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
<section end="algbep06" /> | <section end="algbep06" /> | ||
+ | |||
+ | <section begin="algbep07" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep07 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Aantal jaren gerookt | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|10 jaar | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-9D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep07" /> | ||
+ | |||
+ | <section begin="algbep08" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep08 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Temperatuur patiënt (in oor gemeten) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|37.5 oC | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep08" /> | ||
+ | |||
+ | <section begin="algbep09" /> | ||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | AlgemeneBepaling | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing contact | ||
+ | |style="background-color: white;"|Contact04 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|MeetUitslag | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Identificatienummer | ||
+ | |style="background-color: white;"|AlgBep09 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|MetingNaam | ||
+ | |style="background-color: white;"|Stadium COPD (GOLD classificatie)(2209) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagWaarde | ||
+ | |style="background-color: white;"|1:mild COPD (255) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagDatumTijd | ||
+ | |style="background-color: white;"|T-6D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieOndergrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|ReferentieBovengrens | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|UitslagInterpretatie | ||
+ | |style="background-color: white;"| | ||
+ | |} | ||
+ | <section end="algbep09" /> | ||
==Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt== | ==Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt== | ||
Regel 1.068: | Regel 1.119: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Afspraakdatum | |colspan="5"|Afspraakdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksperiode | |colspan="5"|Gebruiksperiode | ||
Regel 1.076: | Regel 1.127: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ingangsdatum | |colspan="4"|Ingangsdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-600 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Einddatum | |colspan="4"|Einddatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T - 570 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Voorschrijver | |colspan="6"|Voorschrijver | ||
Regel 1.093: | Regel 1.144: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgegevens | |colspan="3"|Naamgegevens | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Huisarts 1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Specialisme | |colspan="3"|Specialisme | ||
Regel 1.106: | Regel 1.157: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
− | |style="background-color: white;"|Gezondheidscentrum | + | |style="background-color: white;"|Gezondheidscentrum Aesculaap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Adresgegevens | |colspan="2"|Adresgegevens | ||
Regel 1.112: | Regel 1.163: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geneesmiddel - primaire code | |colspan="5"|Geneesmiddel - primaire code | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geneesmiddel - generiekere code | |colspan="5"|Geneesmiddel - generiekere code | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Gebruiksinstructie | |colspan="6"|Gebruiksinstructie | ||
Regel 1.128: | Regel 1.179: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Doseerinstructie | |colspan="4"|Doseerinstructie | ||
− | |style="background-color: white;"|1 maal per dag | + | |style="background-color: white;"|1 maal per dag 1 stuks |
|} | |} | ||
Regel 1.139: | Regel 1.190: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Med02 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Afspraakdatum | |colspan="5"|Afspraakdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-100 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksperiode | |colspan="5"|Gebruiksperiode | ||
Regel 1.150: | Regel 1.201: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ingangsdatum | |colspan="4"|Ingangsdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-100 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Einddatum | |colspan="4"|Einddatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T - 85 dagen |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|Voorschrijver |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="11"| | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Zorgaanbieder identificatienummer |
− | |style="background-color: white;"| | + | |style="background-color: white;"|URA 1 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Omschrijving | |colspan="4"|Omschrijving | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|1 maal per dag 1 stuks | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"|Med03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="5"| | + | |colspan="5"|Gebruiksperiode |
+ | |style="background-color: #E3E3E3;;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="4"|Ingangsdatum |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-9 dagen |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"|T + 21 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="3"| | + | |colspan="3"|Specialisme |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Geneesmiddel - primaire code |
− | |style="background-color: white;"| | + | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Geneesmiddel - generiekere code |
− | |style="background-color: white;"| | + | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Gebruiksinstructie | |colspan="6"|Gebruiksinstructie | ||
Regel 1.191: | Regel 1.321: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Omschrijving | |colspan="4"|Omschrijving | ||
− | |style="background-color: white;"|Vanaf vandaag, | + | |style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsweg | |colspan="4"|Toedieningsweg | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Doseerinstructie | |colspan="4"|Doseerinstructie | ||
− | |style="background-color: white;"|1 | + | |style="background-color: white;"| 2 maal daags 1 inhalatie |
|} | |} | ||
Regel 1.208: | Regel 1.338: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Med04 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Afspraakdatum | |colspan="5"|Afspraakdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-9 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksperiode | |colspan="5"|Gebruiksperiode | ||
− | |style="background-color: #E3E3E3;;"| | + | |style="background-color: #E3E3E3;;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ingangsdatum | |colspan="4"|Ingangsdatum | ||
− | |style="background-color: white;"|T | + | |style="background-color: white;"|T-9 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Einddatum | |colspan="4"|Einddatum | ||
− | |style="background-color: white;"|T + | + | |style="background-color: white;"|T + 21 dagen |
− | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
+ | |colspan="6"|Voorschrijver | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geneesmiddel - primaire code | |colspan="5"|Geneesmiddel - primaire code | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Geneesmiddel - generiekere code | |colspan="5"|Geneesmiddel - generiekere code | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Gebruiksinstructie | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Omschrijving | |colspan="4"|Omschrijving | ||
− | |style="background-color: white;"|Vanaf vandaag, | + | |style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsweg | |colspan="4"|Toedieningsweg | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"|Doseerinstructie | + | |colspan="4"|Doseerinstructie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 maal daags 1 inhalatie |
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraken | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="5"|Identificatie |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Med05 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Afspraakdatum | ||
+ | |style="background-color: white;"|T-6 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Gebruiksperiode | ||
+ | |style="background-color: #E3E3E3;;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ingangsdatum | ||
+ | |style="background-color: white;"|T-6 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Einddatum | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |rowspan="11"| |
− | |style="background-color: white;"|3 | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
+ | |colspan="5"|Zorgverlener | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Zorgverlener identificatienummer | ||
+ | |style="background-color: white;"|UZI 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Naamgegevens | ||
+ | |style="background-color: white;"|Huisarts 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Specialisme | ||
+ | |style="background-color: white;"|Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Zorgaanbieder | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Zorgaanbieder identificatienummer | ||
+ | |style="background-color: white;"|URA 1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Organisatie naam | ||
+ | |style="background-color: white;"|Gezondheidscentrum Aesculaap | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Adresgegevens | ||
+ | |style="background-color: white;"|Werkadres: Valkendael 45A 6245 HK Maastricht | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - primaire code | ||
+ | |style="background-color: white;"|SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '73040’ in codeSystem 'G-Standaard PRK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Geneesmiddel - generiekere code | ||
+ | |style="background-color: white;"|SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '99473' in codeSystem 'G-Standaard GPK') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Gebruiksinstructie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Omschrijving | ||
+ | |style="background-color: white;"|Vanaf vandaag, 3-4 daags 1 inhalatie (3-4D1I), inhalatie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Toedieningsweg | ||
+ | |style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Doseerinstructie | ||
+ | |style="background-color: white;"|3-4 maal daags 1 inhalatie | ||
|} | |} | ||
+ | |||
+ | |||
+ | |||
<section end="medicatie" /> | <section end="medicatie" /> | ||
+ | |||
==Scenario - Beschikbaarstellen actuele alerts van patiënt== | ==Scenario - Beschikbaarstellen actuele alerts van patiënt== | ||
Regel 1.265: | Regel 1.496: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|AlertNaam | |colspan="5"|AlertNaam | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|BeginDatumTijd | |colspan="5"|BeginDatumTijd | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| T-9 dagen |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|R95 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"| Alert02 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|AlertNaam | ||
+ | |style="background-color: white;"| Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"| T-100D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|EindDatumTijd | |colspan="5"|EindDatumTijd | ||
Regel 1.274: | Regel 1.528: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verwijzing episode | |colspan="5"|Verwijzing episode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|D02 |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |} | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Identificatie | ||
+ | |style="background-color: white;"| Alert03 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|AlertNaam | ||
+ | |style="background-color: white;"| Sportbeoefening (code = 210 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|BeginDatumTijd | ||
+ | |style="background-color: white;"| T-600 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|EindDatumTijd | ||
+ | |style="background-color: white;"| T-300 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verwijzing episode | ||
+ | |style="background-color: white;"|K78 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|} | |} | ||
Regel 1.291: | Regel 1.568: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Informatiebron Patient | |colspan="5"|Informatiebron Patient | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur ZorgverlenerIdentificatienummer | |colspan="5"|Auteur ZorgverlenerIdentificatienummer | ||
Regel 1.297: | Regel 1.574: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|VeroorzakendeStof | |colspan="5"|VeroorzakendeStof | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Amoxicilline |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|AllergieCategorie | |colspan="5"|AllergieCategorie | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
Regel 1.310: | Regel 1.587: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Toelichting | |colspan="5"|Toelichting | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Via neuroloog |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Reactie | |colspan="6"|Reactie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan="7"| | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Symptoom | |colspan="4"|Symptoom | ||
Regel 1.320: | Regel 1.597: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|SpecifiekeStof | |colspan="4"|SpecifiekeStof | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Amoxicille |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Ernst | |colspan="4"|Ernst | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|WijzeVanBlootstelling | |colspan="4"|WijzeVanBlootstelling | ||
Regel 1.330: | Regel 1.606: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ReactieTijdstip | |colspan="4"|ReactieTijdstip | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"| |
|} | |} | ||
<section end="allergie" /> | <section end="allergie" /> |
Huidige versie van 24 okt 2024 om 08:06
Kwalificatiescript Spoedsamenvatting 2.2.0
Inhoud
- 1 Inhoudelijke gegevens
- 1.1 Scenario - Beschikbaarstellen actuele contactmomenten van patiënt
- 1.2 Scenario - Beschikbaarstellen actuele contactverslagen van patiënt
- 1.3 Scenario - Beschikbaarstellen actuele episodes van patiënt
- 1.4 Scenario - Beschikbaarstellen actuele labbepalingen van patiënt
- 1.5 Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt
- 1.6 Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt
- 1.7 Scenario - Beschikbaarstellen actuele alerts van patiënt
- 1.8 Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt
Inhoudelijke gegevens
De bundel geeft algemene gegevens over de auteur, dossierhouder en het onderwerp. De bundel is bij iedere bouwsteen hetzelfde. Minimaal worden onderstaande gegevens verwacht. De identificaties zijn in de praktijk vrij te kiezen. Voor testdoeleinden worden de identificaties gevuld met placeholders om in het testscript verwijzingen naar bouwstenen aan te geven.
Bundel | ||||||
Gegevenselement | Waarde | |||||
Onderwerp | ||||||
Patient | ||||||
Naamgegevens | ||||||
Voornamen | ||||||
Initialen | ||||||
Roepnaam | ||||||
Geslachtsnaam | ||||||
Voorvoegsels | ||||||
Achternaam | XXX_ | |||||
GeslachtsnaamPartner | ||||||
VoorvoegselsPartner | ||||||
AchternaamPartner | ||||||
Adresgegevens | ||||||
Straat | Knolweg | |||||
Huisnummer | 1000 | |||||
Huisnummerletter | A | |||||
Huisnummertoevoeging | 2 | |||||
AanduidingBijNummer | ||||||
Postcode | 9999XX | |||||
Woonplaats | STITSWERD | |||||
Land | Nederland | |||||
AdditioneleInformatie | ||||||
AdresSoort | Primair huisadres (Code = 'HP' in codesysteem 2.16.840.1.113883.5.1119 'Address Use') | |||||
Identificatienummer | 999910942 | |||||
Geboortedatum | 19540822 | |||||
Geslacht | man (Code = M in codesysteem 2.16.840.1.113883.5.1 'Administrative Gender') | |||||
MeerlingIndicator | Nee |
Scenario - Beschikbaarstellen actuele contactmomenten van patiënt
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact01 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-600D | |||||
EindDatumTijd | T-300D | |||||
RedenContact | ||||||
Episode | K78 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact02 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-100D | |||||
EindDatumTijd | T-90D | |||||
RedenContact | ||||||
Episode | D02 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact03 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-9D | |||||
EindDatumTijd | ||||||
RedenContact | ||||||
Episode | R95 |
Contactmoment | ||||||
Gegevenselement | Waarde | |||||
Identificatienummer | Contact04 | |||||
ContactType | Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze') | |||||
Contact met | ||||||
Zorgverlener | ||||||
Zorgverleneridentificatienummer | UZI 1 | |||||
BeginDatumTijd | T-6D | |||||
EindDatumTijd | T | |||||
RedenContact | ||||||
Episode | R95 |
Scenario - Beschikbaarstellen actuele contactverslagen van patiënt
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag01 | ||||
Verwijzing Contact | Contact01 | ||||
Verwijzing Episode | K78 | ||||
DatumTijd | T-600D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Wakker geworden, maar vannacht hartkloppingen. Geen beklemdheid. Verder geen klachten. | ||||
O | |||||
E | Ritmestoornis | ||||
P | Naar SEH | ||||
Probleem | |||||
Identificatienummer | ProbleemK78 | ||||
ProbleemNaam | Boezemfibrilleren/-fladderen (Code = K78 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-600D | ||||
ProbleemEindDatum |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag02 | ||||
Verwijzing Contact | Contact02 | ||||
Verwijzing Episode | D02 | ||||
DatumTijd | T-100D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel | ||||
O | Maagstreek gevoelig. Overig gb. | ||||
E | Maag/duodenum problemen | ||||
Probleem | |||||
Identificatienummer | ProbleemD02 | ||||
ProbleemNaam | Maagpijn (Code = D02 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-100D | ||||
ProbleemEindDatum | T-90D |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag03 | ||||
Verwijzing Contact | Contact03 | ||||
Verwijzing Episode | R95 | ||||
DatumTijd | T-9D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Gaat beter, nog wel af en toe benauwd/hosten. Geen koorts, weinig slijm en geen PoB. | ||||
O | Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb | ||||
E | COPD, beterend | ||||
P | Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin | ||||
Probleem | |||||
Identificatienummer | ProbleemR95 | ||||
ProbleemNaam | Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-9D | ||||
ProbleemEindDatum |
Contactverslag | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Contactverslag03 | ||||
Verwijzing Contact | Contact03 | ||||
Verwijzing Episode | R95 | ||||
DatumTijd | T-6D | ||||
Journaalregel | |||||
Type | Tekst | ||||
S | Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel | ||||
O | Longen VAG crep+, piep iets, rhonchi+. Percussie gb. | ||||
E | COPD, exacerbatie. | ||||
P | AB starten, ventolin 3-4 dgs. | ||||
Probleem | |||||
Identificatienummer | ProbleemR95 | ||||
ProbleemNaam | Emfyseem/COPD (Code = R95 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL) | ||||
ProbleemBeginDatum | T-9D | ||||
ProbleemEindDatum |
Scenario - Beschikbaarstellen actuele episodes van patiënt
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | K78 | ||||
Episodetitel | Hartkloppingen – paroxysmaal boezemfibrilleren | ||||
Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-600D | ||||
Einddatum | T-300D | ||||
Verwijzing Probleem | ProbleemK78 | ||||
Attentiewaarden | Ja |
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | D02 | ||||
Episodetitel | Maagpijn | ||||
Status | Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-100D | ||||
Einddatum | T-90D | ||||
Verwijzing Probleem | ProbleemD02 | ||||
Attentiewaarden | Nee |
Episode | |||||
Gegevenselement | Waarde | ||||
Identificatie | R95 | ||||
Episodetitel | COPD | ||||
Status | Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’) | ||||
Startdatum | T-9D | ||||
Einddatum | |||||
Verwijzing Probleem | ProbleemR95 | ||||
Attentiewaarden | Ja |
Scenario - Beschikbaarstellen actuele labbepalingen van patiënt
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab01 | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest01 | ||||
TestCode | Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-600D | ||||
TestUitslag | Twijfelachtig (code 312) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab02 | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest02 | ||||
TestCode | MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-9D | ||||
TestUitslag | ‘’Positief’’ (Vrije tekst) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab03 | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest03 | ||||
TestCode | as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-6D | ||||
TestUitslag | Positief (vrije tekst) | ||||
ReferentieBovengrens | |||||
ReferentieOndergrens | |||||
UitslagInterpretatie |
LaboratoriumUitslag | |||||
Gegevenselement | Waarde | ||||
Identificatie | Lab04 | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
LaboratoriumTest | |||||
Identificatienummer | LabTest04 | ||||
TestCode | Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen') | ||||
TestDatumTijd | T-6D | ||||
TestUitslag | 4,5 mmol/l | ||||
ReferentieBovengrens | 6,1 mmol/l | ||||
ReferentieOndergrens | 4,0 mmol/l | ||||
UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) |
Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep01 | ||||
MetingNaam | Systolische bloeddruk (1744) | ||||
UitslagWaarde | 184 mmHg | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | 140 mmHG | ||||
UitslagInterpretatie | High (code= H codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep02 | ||||
MetingNaam | Diastolische bloeddruk (1740) | ||||
UitslagWaarde | 94 mmHg | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | 89 mmHg | ||||
ReferentieBovengrens | |||||
UitslagInterpretatie | Normal (code=N codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact01 | ||||
Verwijzing episode | K78 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep03 | ||||
MetingNaam | Polsfrequentie (1875) | ||||
UitslagWaarde | 120/min | ||||
UitslagDatumTijd | T-600D | ||||
ReferentieOndergrens | 60 | ||||
ReferentieBovengrens | 100 | ||||
UitslagInterpretatie | High Alert (code= HH codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep04 | ||||
MetingNaam | FEV1/FVC ratio pré-BD (1675) | ||||
UitslagWaarde | 66% | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | 70 | ||||
ReferentieBovengrens | |||||
UitslagInterpretatie | Low (code=L codesysteem 2.16.840.1.113883.5.83) |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep05 | ||||
MetingNaam | Conclusie longfunctieonderzoek (1704) | ||||
UitslagWaarde | COPD (vrije tekst) | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep06 | ||||
MetingNaam | Roken (1739) | ||||
UitslagWaarde | Voorheen (4) | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact03 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep07 | ||||
MetingNaam | Aantal jaren gerookt | ||||
UitslagWaarde | 10 jaar | ||||
UitslagDatumTijd | T-9D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep08 | ||||
MetingNaam | Temperatuur patiënt (in oor gemeten) | ||||
UitslagWaarde | 37.5 oC | ||||
UitslagDatumTijd | T-6D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
AlgemeneBepaling | |||||
Gegevenselement | Waarde | ||||
Verwijzing contact | Contact04 | ||||
Verwijzing episode | R95 | ||||
MeetUitslag | |||||
Identificatienummer | AlgBep09 | ||||
MetingNaam | Stadium COPD (GOLD classificatie)(2209) | ||||
UitslagWaarde | 1:mild COPD (255) | ||||
UitslagDatumTijd | T-6D | ||||
ReferentieOndergrens | |||||
ReferentieBovengrens | |||||
UitslagInterpretatie |
Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med01 | ||||
Afspraakdatum | T-600 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-600 dagen | ||||
Einddatum | T - 570 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | SOTALOL 40MG TABLET (code = '84239' in codeSystem 'G-Standaard PRK' | ||||
Geneesmiddel - generiekere code | SOTALOL 40MG TABLET (code = '127868' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 1 maal per dag 2 stuks, Oraal | ||||
Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 1 maal per dag 1 stuks |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med02 | ||||
Afspraakdatum | T-100 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-100 dagen | ||||
Einddatum | T - 85 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | PANTOPRAZOL 40 MG TABLET MSR (code = '43044' in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | PANTOPRAZOL 40 MG TABLET MSR (code = '96938' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal | ||||
Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 1 maal per dag 1 stuks |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med03 | ||||
Afspraakdatum | T-9 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-9 dagen | ||||
Einddatum | T + 21 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 2 maal daags 1 inhalatie |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med04 | ||||
Afspraakdatum | T-9 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-9 dagen | ||||
Einddatum | T + 21 dagen | ||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | PARACETAMOL TABLET 500MG (code = '67903’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 2 maal daags 1 inhalatie |
Medicatieafspraken | |||||
Gegevenselement | Waarde | ||||
Identificatie | Med05 | ||||
Afspraakdatum | T-6 dagen | ||||
Gebruiksperiode | |||||
Ingangsdatum | T-6 dagen | ||||
Einddatum | |||||
Voorschrijver | |||||
Zorgverlener | |||||
Zorgverlener identificatienummer | UZI 1 | ||||
Naamgegevens | Huisarts 1 | ||||
Specialisme | Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)') | ||||
Zorgaanbieder | |||||
Zorgaanbieder identificatienummer | URA 1 | ||||
Organisatie naam | Gezondheidscentrum Aesculaap | ||||
Adresgegevens | Werkadres: Valkendael 45A 6245 HK Maastricht | ||||
Geneesmiddel - primaire code | SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '73040’ in codeSystem 'G-Standaard PRK') | ||||
Geneesmiddel - generiekere code | SALBUTAMOL INHALATIEPOEDER 100UG/DO PATR 200DO (code = '99473' in codeSystem 'G-Standaard GPK') | ||||
Gebruiksinstructie | |||||
Omschrijving | Vanaf vandaag, 3-4 daags 1 inhalatie (3-4D1I), inhalatie | ||||
Toedieningsweg | Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen') | ||||
Doseerinstructie | 3-4 maal daags 1 inhalatie |
Scenario - Beschikbaarstellen actuele alerts van patiënt
Alert | |||||
Gegevenselement | Waarde | ||||
Identificatie | Alert01 | ||||
AlertNaam | COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
BeginDatumTijd | T-9 dagen | ||||
EindDatumTijd | |||||
Verwijzing episode | R95 |
Alert | |||||
Gegevenselement | Waarde | ||||
Identificatie | Alert02 | ||||
AlertNaam | Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’) | ||||
BeginDatumTijd | T-100D | ||||
EindDatumTijd | 20201205 | ||||
Verwijzing episode | D02 |
Alert | |||||
Gegevenselement | Waarde | ||||
Identificatie | Alert03 | ||||
AlertNaam | Sportbeoefening (code = 210 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard) | ||||
BeginDatumTijd | T-600 dagen | ||||
EindDatumTijd | T-300 dagen | ||||
Verwijzing episode | K78 |
Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt
AllergieIntolerantie | |||||
Gegevenselement | Waarde | ||||
Identificatienummer | Allergie01 | ||||
Informatiebron Patient | |||||
Auteur ZorgverlenerIdentificatienummer | UZI 1 | ||||
VeroorzakendeStof | Amoxicilline | ||||
AllergieCategorie | Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
BeginDatumTijd | 20200827 | ||||
MateVanKritiekZijn | Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality') | ||||
Toelichting | Via neuroloog | ||||
Reactie | |||||
Symptoom | dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
SpecifiekeStof | Amoxicille | ||||
Ernst | Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’) | ||||
WijzeVanBlootstelling | Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms') | ||||
ReactieTijdstip |