Kwalificatiescript Spoedsamenvatting 2.2.0: verschil tussen versies

Uit informatiestandaarden
Ga naar: navigatie, zoeken
(Scenario - Beschikbaarstellen actuele episodes van patiënt)
(Scenario - Beschikbaarstellen actuele episodes van patiënt)
 
(65 tussenliggende versies door 2 gebruikers niet weergegeven)
Regel 1: Regel 1:
Kwalificatiescript Spoedsamenvatting 2.2.0
 
  
 
= Inhoudelijke gegevens =
 
= Inhoudelijke gegevens =
Regel 5: Regel 4:
 
De identificaties zijn in de praktijk vrij te kiezen.  
 
De identificaties zijn in de praktijk vrij te kiezen.  
  
<section begin="bundel" />
+
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Bundel
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Bundel
Regel 98: Regel 97:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
|}
<section end="bundel" />
+
 
  
 
==Scenario - Beschikbaarstellen actuele contactmomenten van patiënt==
 
==Scenario - Beschikbaarstellen actuele contactmomenten van patiënt==
<section begin="contactmomentT-600D" />
+
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
Regel 114: Regel 113:
 
|style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="6"|Contact met
 
|colspan="6"|Contact met
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
Regel 122: Regel 120:
 
|rowspan="1"|
 
|rowspan="1"|
 
|colspan="3"|Zorgverleneridentificatienummer
 
|colspan="3"|Zorgverleneridentificatienummer
|style="background-color: white;"| UZI 1
+
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="5"|BeginDatumTijd
 
|colspan="5"|BeginDatumTijd
 
|style="background-color: white;"|T-600D{11:10}
 
|style="background-color: white;"|T-600D{11:10}
Regel 136: Regel 133:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="4"|Episode
 
|colspan="4"|Episode
|style="background-color: white;"|K78
+
|style="background-color: white;"|A20gesloten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|}<section end="contactmomentT-600D" />
+
|}
<section begin="contactmomentT-100D" />
+
 
 +
<section begin=contactmomenttweedeconsultA20 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
Regel 147: Regel 145:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contact02
+
|style="background-color: white;"|Contact11
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|ContactType
 
|colspan="5"|ContactType
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
+
|style="background-color: white;"| Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="6"|Contact met
 
|colspan="6"|Contact met
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
Regel 160: Regel 157:
 
|rowspan="1"|
 
|rowspan="1"|
 
|colspan="3"|Zorgverleneridentificatienummer
 
|colspan="3"|Zorgverleneridentificatienummer
|style="background-color: white;"| UZI 1
+
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="5"|BeginDatumTijd
 
|colspan="5"|BeginDatumTijd
|style="background-color: white;"|T-100D{13:30}
+
|style="background-color: white;"|T-60D{11:10}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|EindDatumTijd
 
|colspan="5"|EindDatumTijd
|style="background-color: white;"|T-100D{13:50}
+
|style="background-color: white;"|T-60D{11:30}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|RedenContact
 
|colspan="6"|RedenContact
Regel 174: Regel 170:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="4"|Episode
 
|colspan="4"|Episode
|style="background-color: white;"|D02
+
|style="background-color: white;"|A20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|}<section end="contactmomentT-100D" />
+
|}
 +
<section end=contactmomenttweedeconsultA20/>
  
<section begin="contactmomentT-9D" />
+
<section begin=contactmoment02 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
Regel 186: Regel 183:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contact03
+
|style="background-color: white;"|Contact02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|ContactType
 
|colspan="5"|ContactType
 
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
 
|colspan="6"|Contact met
 
|colspan="6"|Contact met
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
Regel 199: Regel 195:
 
|rowspan="1"|
 
|rowspan="1"|
 
|colspan="3"|Zorgverleneridentificatienummer
 
|colspan="3"|Zorgverleneridentificatienummer
|style="background-color: white;"| UZI 1
+
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="5"|BeginDatumTijd
 
|colspan="5"|BeginDatumTijd
|style="background-color: white;"|T-9D{08:30}
+
|style="background-color: white;"|T-100D{13:30}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|EindDatumTijd
 
|colspan="5"|EindDatumTijd
|style="background-color: white;"|T-9D{08:45}
+
|style="background-color: white;"|T-100D{13:50}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|RedenContact
 
|colspan="6"|RedenContact
Regel 213: Regel 208:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="4"|Episode
 
|colspan="4"|Episode
|style="background-color: white;"|R95
+
|style="background-color: white;"|D02
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|}
 
|}
<section end="contactmomentT-9D" />
+
<section end=contactmoment02 />
  
<section begin="contactmomentT-6D" />
+
<section begin=contactmoment03 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
Regel 226: Regel 221:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contact04
+
|style="background-color: white;"|Contact03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|ContactType
 
|colspan="5"|ContactType
 
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
 
|colspan="6"|Contact met
 
|colspan="6"|Contact met
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
Regel 239: Regel 233:
 
|rowspan="1"|
 
|rowspan="1"|
 
|colspan="3"|Zorgverleneridentificatienummer
 
|colspan="3"|Zorgverleneridentificatienummer
|style="background-color: white;"| UZI 1
+
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
 
|colspan="5"|BeginDatumTijd
 
|colspan="5"|BeginDatumTijd
|style="background-color: white;"|T-6D{09:00}
+
|style="background-color: white;"|T-9D{08:30}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|EindDatumTijd
 
|colspan="5"|EindDatumTijd
|style="background-color: white;"|T-6D{09:15}
+
|style="background-color: white;"|T-9D{08:45}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|RedenContact
 
|colspan="6"|RedenContact
Regel 256: Regel 249:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|}
 
|}
<section end="contactmomentT-6D" />
+
<section end=contactmoment03 />
 +
 
  
==Scenario - Beschikbaarstellen actuele contactverslagen van patiënt==
+
<section begin=contactmoment04 />
<section begin="contactverslag01" />
 
 
{| 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" | Contactmoment
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 267: Regel 260:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contactverslag01
+
|style="background-color: white;"|Contact04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing Contact
+
|colspan="5"|ContactType
|style="background-color: white;"|Contact01
+
|style="background-color: white;"|Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Contact met
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="1"|
 +
|colspan="3"|Zorgverleneridentificatienummer
 +
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing Episode
+
|colspan="5"|BeginDatumTijd
|style="background-color: white;"|K78
+
|style="background-color: white;"|T-6D{09:00}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|DatumTijd
+
|colspan="5"|EindDatumTijd
|style="background-color: white;"|T-600D
+
|style="background-color: white;"|T-6D{09:15}
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|RedenContact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Journaalregel
+
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Episode
 +
|style="background-color: white;"|R95
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|}
 +
<section end=contactmoment04 />
 +
 
 +
 
 +
<section begin=contactmoment05 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactmoment
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="18"|
+
|colspan="5"|Identificatienummer
 +
|style="background-color: white;"|Contact05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Type
+
|colspan="5"|ContactType
|style="background-color: #E3E3E3;"|Tekst
+
|style="background-color: white;"|telefonisch contact (Code = 05 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|S
+
|colspan="6"|Contact met
|style="background-color: white;"|Wakker geworden, maar vannacht hartkloppingen. Geen beklemdheid. Verder geen klachten.  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="1"|
 +
|colspan="3"|Zorgverleneridentificatienummer
 +
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|O
+
|colspan="5"|BeginDatumTijd
|style="background-color: white;"|
+
|style="background-color: white;"|T-50D{14:30}
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|E
+
|colspan="5"|EindDatumTijd
|style="background-color: white;"|Ritmestoornis
+
|style="background-color: white;"|T-50D{14:50}
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|RedenContact
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|P
+
|rowspan="3"|
|style="background-color: white;"|Naar SEH
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|colspan="4"|Episode
|colspan="5"|Probleem
+
|style="background-color: white;"|N88
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|rowspan="5"|
+
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
<section end=contactmoment05 />
|colspan="3"|Identificatienummer
+
 
|style="background-color: white;"|ProbleemK78
+
==Scenario - Beschikbaarstellen actuele contactverslagen van patiënt==
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
<section begin=contactverslag01/>
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="3"|ProbleemNaam
 
|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;;" 
 
|colspan="3"|ProbleemBeginDatum
 
|style="background-color: white;"|T-600D
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="3"|ProbleemEindDatum
 
|style="background-color: white;"|T-300D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
<section end="contactverslag01" />
 
<section begin="contactverslag02" />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactverslag   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactverslag   
Regel 323: Regel 338:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contactverslag02
+
|style="background-color: white;"|Contactverslag01
|-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;"|Contact02
+
|style="background-color: white;"|Contact01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing Episode
 
|colspan="5"|Verwijzing Episode
|style="background-color: white;"|D02
+
|style="background-color: white;"|A20Gesloten
 
|-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-100D
+
|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  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="14"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Type
 
|colspan="4"|Type
Regel 342: Regel 357:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|S
 
|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="background-color: white;"|Weloverwogen besluit voor een niet reanimeerwens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|O
 
|colspan="4"|O
|style="background-color: white;"|Maagstreek gevoelig. Overig gb.
+
|style="background-color: white;"|Compos mentis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|E
 
|colspan="4"|E
|style="background-color: white;"|Maag/duodenum problemen
+
|style="background-color: white;"|Gesprek levenseinde, niet reanimeren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="4"|P
 +
|style="background-color: white;"|Wilsverklaring ondertekend
 
|-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="7"|
+
|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;"|ProbleemD02
+
|style="background-color: white;"|ProbleemA20gesloten
 
|-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;"|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="background-color: white;"| Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="3"|ProbleemBeginDatum  
 
|colspan="3"|ProbleemBeginDatum  
|style="background-color: white;"|T-100D
+
|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;"|T-90D
+
|style="background-color: white;"|T-61D
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
+
<section end=contactverslag01/>
<section end="contactverslag02" />
 
  
<section begin="contactverslag03" />
+
<section begin=contactverslagtweedeA20/>
 
{| 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 379: Regel 395:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contactverslag03
+
|style="background-color: white;"|Contactverslag11
 
|-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;"|Contact03
+
|style="background-color: white;"|Contact11
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing Episode
 
|colspan="5"|Verwijzing Episode
|style="background-color: white;"|R95
+
|style="background-color: white;"|A20
 
|-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-9D
+
|style="background-color: white;"|T-60D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Journaalregel  
 
|colspan="6"|Journaalregel  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="14"|
+
|rowspan="18"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Type
 
|colspan="4"|Type
Regel 398: Regel 414:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|S
 
|colspan="4"|S
|style="background-color: white;"|Gaat beter, nog wel af en toe benauwd/hosten. Geen koorts, weinig slijm en geen PoB.
+
|style="background-color: white;"|Herevaluatie niet reanimeerwens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|O
 
|colspan="4"|O
|style="background-color: white;"|Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb
+
|style="background-color: white;"|Compos mentis
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|E
 
|colspan="4"|E
|style="background-color: white;"|COPD, beterend
+
|style="background-color: white;"|Continueer behandelgrens, niet reanimeren
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|P
+
|rowspan="5"|
|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="3"|Identificatienummer  
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|ProbleemA20
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="3"|Identificatienummer  
 
|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;"|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="background-color: white;"| Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="3"|ProbleemBeginDatum  
 
|colspan="3"|ProbleemBeginDatum  
|style="background-color: white;"|T-9D
+
|style="background-color: white;"|T-60D
 
|-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=contactverslagtweedeA20/>
<section end="contactverslag03" />
 
  
<section begin="contactverslag04" />
+
<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 437: Regel 449:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatienummer
 
|colspan="5"|Identificatienummer
|style="background-color: white;"|Contactverslag03
+
|style="background-color: white;"|Contactverslag02
|-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;"|Contact03
+
|style="background-color: white;"|Contact02
 
|-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;"|R95
+
|style="background-color: white;"|D02
 
|-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-6D
+
|style="background-color: white;"|T-100D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Journaalregel  
 
|colspan="6"|Journaalregel  
Regel 456: Regel 468:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|S
 
|colspan="4"|S
|style="background-color: white;"|Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel
+
|style="background-color: white;"|In eerste instantie na warm eten enige uren pijn in bovenbuik. Niet misselijk, opboeren soms, opgeblazen gevoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|O
 
|colspan="4"|O
|style="background-color: white;"|Longen VAG crep+, piep iets, rhonchi+. Percussie gb.  
+
|style="background-color: white;"|Maagstreek gevoelig. Overig gb.  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|E
 
|colspan="4"|E
|style="background-color: white;"|COPD, exacerbatie.
+
|style="background-color: white;"|Maag/duodenum problemen
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|P
 
|style="background-color: white;"|AB starten, ventolin 3-4 dgs.  
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
Regel 472: Regel 482:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="3"|Identificatienummer  
 
|colspan="3"|Identificatienummer  
|style="background-color: white;"|ProbleemR95
+
|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;"|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="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-9D
+
|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="contactverslag04" />
+
<section end=contactverslag03/>
  
==Scenario - Beschikbaarstellen actuele episodes van patiënt==
 
  
<section begin="episode" />
+
<section begin=contactverslag05 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactverslag 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="5"|Identificatienummer
|style="background-color: white;"|N88
+
|style="background-color: white;"|Contactverslag03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Episodetitel
+
|colspan="5"|Verwijzing Contact
|style="background-color: white;"|Epilepsie
+
|style="background-color: white;"|Contact03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Status
+
|colspan="5"|Verwijzing Episode
|style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
+
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Startdatum
+
|colspan="5"|DatumTijd
|style="background-color: white;"| T-1010D
+
|style="background-color: white;"|T-9D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Einddatum
+
|colspan="6"|Journaalregel
|style="background-color: white;"| T-900D
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing Probleem
+
|rowspan="14"|
|style="background-color: white;"|ProbleemN88
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Attentiewaarden
+
|colspan="4"|Type
|style="background-color: white;"| Ja
+
|style="background-color: #E3E3E3;"|Tekst
|}
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="4"|S
|style="background-color: white;"|K78
+
|style="background-color: white;"|Gaat beter, nog wel af en toe benauwd/hoesten. Geen koorts, weinig slijm en geen PoB.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Episodetitel
+
|colspan="4"|O
|style="background-color: white;"|Hartkloppingen – paroxysmaal boezemfibrilleren
+
|style="background-color: white;"|Longen VAG geen crep, piep, wel wat rhonchi, Percussi gb
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|E
 +
|style="background-color: white;"|COPD, beterend
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|P
 +
|style="background-color: white;"|Controle afspreken POH voor ketenzorg en blaastest, continueren flixotide, zn ventolin
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|Identificatienummer
 +
|style="background-color: white;"|ProbleemR95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Status
 
|style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Startdatum
+
|colspan="3"|ProbleemNaam
|style="background-color: white;"| T-600D
+
|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="5"|Einddatum
+
|colspan="3"|ProbleemBeginDatum
|style="background-color: white;"| T-300D
+
|style="background-color: white;"|T-9D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing Probleem
+
|colspan="3"|ProbleemEindDatum
|style="background-color: white;"|ProbleemK78
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Attentiewaarden
 
|style="background-color: white;"| Ja
 
 
|}
 
|}
<section end="episode" />
+
<section end=contactverslag05 />
  
<section begin="geslotenepisodemetattentiewaarde" />
+
<section begin=contactverslag06 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactverslag 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="5"|Identificatienummer
|style="background-color: white;"|D02
+
|style="background-color: white;"|Contactverslag04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing Contact
 +
|style="background-color: white;"|Contact04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Episodetitel
+
|colspan="5"|Verwijzing Episode
|style="background-color: white;"|Maagpijn
+
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Status
+
|colspan="5"|DatumTijd
|style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
+
|style="background-color: white;"|T-6D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Startdatum
+
|colspan="6"|Journaalregel
|style="background-color: white;"|T-100D
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Einddatum
+
|rowspan="14"|
|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="4"|Type
|style="background-color: white;"|ProbleemD02
+
|style="background-color: #E3E3E3;"|Tekst
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Attentiewaarden
+
|colspan="4"|S
|style="background-color: white;"| Nee
+
|style="background-color: white;"|Gaat slechter. Medicatie slaat niet aan aldus pat. Koorts -, Hoest +++, Slijm geel
|}
 
<section end="geslotenepisodemetattentiewaarde" />
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="4"|O
|style="background-color: white;"|R95
+
|style="background-color: white;"|Longen VAG crep+, piep iets, rhonchi+. Percussie gb.
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Episodetitel
 
|style="background-color: white;"|COPD
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Status
+
|colspan="4"|E
|style="background-color: white;"|Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
+
|style="background-color: white;"|COPD, exacerbatie.  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Startdatum
+
|colspan="4"|P
|style="background-color: white;"| T-9D
+
|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"|Einddatum
+
|colspan="5"|Probleem
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing Probleem
+
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|Identificatienummer
 
|style="background-color: white;"|ProbleemR95
 
|style="background-color: white;"|ProbleemR95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Attentiewaarden
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|style="background-color: white;"| Ja
+
|colspan="3"|ProbleemNaam
 +
|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;;" 
 +
|colspan="3"|ProbleemBeginDatum
 +
|style="background-color: white;"|T-9D
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|ProbleemEindDatum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|}
 
|}
 +
<section end=contactverslag06 />
  
==Scenario - Beschikbaarstellen actuele labbepalingen van patiënt==
+
 
<section begin="lab600D" />
+
<section begin=contactverslagepilepsie/>
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | LaboratoriumUitslag
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactverslag 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="5"|Identificatienummer
|style="background-color: white;"|Lab01
+
|style="background-color: white;"|Contactverslag05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing Contact
 +
|style="background-color: white;"|Contact05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing contact
+
|colspan="5"|Verwijzing Episode
|style="background-color: white;"|Contact01
+
|style="background-color: white;"|N88
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing episode
+
|colspan="5"|DatumTijd
|style="background-color: white;"|K78
+
|style="background-color: white;"|T-50D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|LaboratoriumTest
+
|colspan="6"|Journaalregel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="10"|
+
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|style="background-color: white;"|LabTest01
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestCode
+
|colspan="4"|Type
|style="background-color: white;"|Huidsets hondepitheel (code = '2626' in codeSystem 'NHG Diagnostische bepalingen')
+
|style="background-color: #E3E3E3;"|Tekst
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestDatumTijd
+
|colspan="4"|S
|style="background-color: white;"|T-600D
+
|style="background-color: white;"|Belt voor herhaalrecept
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestUitslag
+
|colspan="4"|O
|style="background-color: white;"|Twijfelachtig (code 312)
+
|style="background-color: white;"|  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="4"|E
 +
|style="background-color: white;"|Bekend met epilepsie
 
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieOndergrens
+
|colspan="5"|Probleem
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagInterpretatie
+
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|Identificatienummer
 +
|style="background-color: white;"|ProbleemN88
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|ProbleemNaam
 +
|style="background-color: white;"|Epilepsie (Code = N88 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|ProbleemBeginDatum
 +
|style="background-color: white;"|T-1010D
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="3"|ProbleemEindDatum
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|}
 
|}
<section end="lab 600D" />
+
<section end=contactverslagepilepsie/>
  
<section begin="lab 9D" />
+
==Scenario - Beschikbaarstellen actuele episodes van patiënt==
 +
<section begin=episode01 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | LaboratoriumUitslag
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 658: Regel 680:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|Lab02
+
|style="background-color: white;"|N88
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing contact
+
|colspan="5"|Episodetitel
|style="background-color: white;"|Contact03
+
|style="background-color: white;"|Epilepsie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing episode
+
|colspan="5"|Status
|style="background-color: white;"|R95
+
|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="6"|LaboratoriumTest
+
|colspan="5"|Startdatum
 +
|style="background-color: white;"| T-1010D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="10"|
+
|colspan="5"|Einddatum
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|style="background-color: white;"|LabTest02
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|TestCode
 
|style="background-color: white;"|MultiRAST (phadiaTop) (code = '852' in codeSystem 'NHG Diagnostische bepalingen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|TestDatumTijd
 
|style="background-color: white;"|T-9D
 
|-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="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieOndergrens
+
|colspan="5"|Verwijzing Probleem
|style="background-color: white;"|
+
|style="background-color: white;"|ProbleemN88
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagInterpretatie
+
|colspan="5"|Attentiewaarden
|style="background-color: white;"|
+
|style="background-color: white;"| Ja
 
|}
 
|}
<section end="lab 9D" />
+
<section end=episode01 />
  
<section begin="lab 6D" />
+
<section begin=episode02 />
 
{| 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" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 702: Regel 710:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|Lab03
+
|style="background-color: white;"|A20Gesloten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing contact
+
|colspan="5"|Episodetitel
|style="background-color: white;"|Contact04
+
|style="background-color: white;"|Wilsverklaring: niet reanimeren
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing episode
+
|colspan="5"|Status
|style="background-color: white;"|R95
+
|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="6"|LaboratoriumTest
+
|colspan="5"|Startdatum
 +
|style="background-color: white;"| T-600D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="10"|
+
|colspan="5"|Einddatum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"| T-61D
|colspan="4"|Identificatienummer
 
|style="background-color: white;"|LabTest03
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestCode
+
|colspan="5"|Verwijzing Probleem
|style="background-color: white;"|as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen')
+
|style="background-color: white;"|ProbleemA20Gesloten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestDatumTijd
+
|colspan="5"|Attentiewaarden
|style="background-color: white;"|T-6D
+
|style="background-color: white;"| Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|}
|colspan="4"|TestUitslag
+
<section end=episode02 />
|style="background-color: white;"|Positief (vrije tekst)
+
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
<section begin=episodeOpen />
|-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%"
 
{| 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" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 746: Regel 740:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|Lab04
+
|style="background-color: white;"|A20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing contact
+
|colspan="5"|Episodetitel
|style="background-color: white;"|Contact04
+
|style="background-color: white;"|Recentelijk besproken met patient: Niet reanimeren.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing episode
+
|colspan="5"|Status
|style="background-color: white;"|R95
+
|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="6"|LaboratoriumTest
+
|colspan="5"|Startdatum
 +
|style="background-color: white;"| T-60D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="10"|
+
|colspan="5"|Einddatum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|  
|colspan="4"|Identificatienummer
 
|style="background-color: white;"|LabTest04
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestCode
+
|colspan="5"|Verwijzing Probleem
|style="background-color: white;"|Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen')
+
|style="background-color: white;"|ProbleemA20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestDatumTijd
+
|colspan="5"|Attentiewaarden
|style="background-color: white;"|T-6D
+
|style="background-color: white;"| Ja
 +
|}
 +
<section end=episodeOpen />
 +
 
 +
<section begin=episode03 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|TestUitslag
+
|colspan="5"|Identificatie
|style="background-color: white;"|4,5 mmol/l
+
|style="background-color: white;"|D02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="5"|Episodetitel
 +
|style="background-color: white;"|Maagpijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieBovengrens
+
|colspan="5"|Status
|style="background-color: white;"|6,1 mmol/l
+
|style="background-color: white;"|Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Startdatum
 +
|style="background-color: white;"|T-100D
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Einddatum
 +
|style="background-color: white;"|T-90D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieOndergrens
+
|colspan="5"|Verwijzing Probleem
|style="background-color: white;"|4,0 mmol/l
+
|style="background-color: white;"|ProbleemD02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagInterpretatie
+
|colspan="5"|Attentiewaarden
|style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83)
+
|style="background-color: white;"| Nee
 
|}
 
|}
<section end="lab meer dan 10D" />
+
<section end=episode03 />
  
==Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt==
+
<section begin=episode04 />
<section begin="algbep01" />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Episode
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing contact
+
|colspan="5"|Identificatie
|style="background-color: white;"|Contact01
+
|style="background-color: white;"|R95
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Episodetitel
 +
|style="background-color: white;"|COPD
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verwijzing episode
+
|colspan="5"|Status
|style="background-color: white;"|K78
+
|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="6"|MeetUitslag
+
|colspan="5"|Startdatum
 +
|style="background-color: white;"| T-9D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="9"|
+
|colspan="5"|Einddatum
 +
|style="background-color: white;"|  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Identificatienummer
+
|colspan="5"|Verwijzing Probleem
|style="background-color: white;"|AlgBep01
+
|style="background-color: white;"|ProbleemR95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|MetingNaam
+
|colspan="5"|Attentiewaarden
|style="background-color: white;"|Systolische bloeddruk (1744)
+
|style="background-color: white;"| Ja
 +
|}
 +
<section end=episode04 />
 +
 
 +
==Scenario - Beschikbaarstellen actuele labbepalingen van patiënt==
 +
 
 +
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagWaarde
+
|colspan="5"|Identificatie
|style="background-color: white;"|184 mmHg
+
|style="background-color: white;"|Lab01
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|UitslagDatumTijd
 
|style="background-color: white;"|T-600D
 
|-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;"| 140 mmHG
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|UitslagInterpretatie
 
|style="background-color: white;"|High (code= H codesysteem 2.16.840.1.113883.5.83)
 
|}<section end="algbep01" />
 
<section begin="algbep02" />
 
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing contact
 
|colspan="5"|Verwijzing contact
Regel 832: Regel 837:
 
|-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;"|K78
+
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|MeetUitslag
+
|colspan="6"|LaboratoriumTest
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|rowspan="9"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep02
+
|style="background-color: white;"|LabTest01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|TestCode
 +
|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"|MetingNaam
+
|colspan="4"|TestDatumTijd
|style="background-color: white;"|Diastolische bloeddruk (1740)
+
|style="background-color: white;"|T-600D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagWaarde
+
|colspan="4"|TestUitslag
|style="background-color: white;"|94 mmHg
+
|style="background-color: white;"|Twijfelachtig (code 312)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagDatumTijd
 
|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"|ReferentieBovengrens
|style="background-color: white;"|89 mmHg
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieBovengrens
+
|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;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83)
+
|style="background-color: white;"|
|}<section end="algbep02" />
+
|}
<section begin="algbep03" />
+
 
 +
<section begin=lab02 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | LaboratoriumUitslag
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Lab02
 
|-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;"|Contact01
+
|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;"|K78
+
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|MeetUitslag
+
|colspan="6"|LaboratoriumTest
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|rowspan="9"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep03
+
|style="background-color: white;"|LabTest02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|MetingNaam
+
|colspan="4"|TestCode
|style="background-color: white;"|Polsfrequentie (1875)
+
|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"|UitslagWaarde
+
|colspan="4"|TestDatumTijd
|style="background-color: white;"|120/min
+
|style="background-color: white;"|T-9D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagDatumTijd
+
|colspan="4"|TestUitslag
|style="background-color: white;"|T-600D
+
|style="background-color: white;"| ‘’Positief’’ (Vrije tekst)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieOndergrens
 
|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;"| 100
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|UitslagInterpretatie
 
|colspan="4"|UitslagInterpretatie
|style="background-color: white;"| High Alert (code= HH codesysteem 2.16.840.1.113883.5.83)
+
|style="background-color: white;"|
|}<section end="algbep03" />
+
|}
<section begin="algbep04" />
+
<section end=lab02 />
 +
 
 +
<section begin=lab03 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | LaboratoriumUitslag
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Lab03
 
|-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;"|Contact03
+
|style="background-color: white;"|Contact04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing episode
 
|colspan="5"|Verwijzing episode
 
|style="background-color: white;"|R95
 
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|MeetUitslag
+
|colspan="6"|LaboratoriumTest
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|rowspan="9"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep04
+
|style="background-color: white;"|LabTest03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|MetingNaam
+
|colspan="4"|TestCode
|style="background-color: white;"|FEV1/FVC ratio pré-BD (1675)
+
|style="background-color: white;"|as. Dermatophagoidus pteronyssinus d1 (code = '906' in codeSystem 'NHG Diagnostische bepalingen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagWaarde
+
|colspan="4"|TestDatumTijd
|style="background-color: white;"|66%
+
|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"|UitslagDatumTijd
 
|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"|ReferentieBovengrens
|style="background-color: white;"| 70
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieBovengrens
+
|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;"|Low (code=L codesysteem 2.16.840.1.113883.5.83)
+
|style="background-color: white;"|
|}<section end="algbep04" />
+
|}
<section begin="algbep05" />
+
<section end=lab03 />
 +
 
 +
<section begin=lab04 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | LaboratoriumUitslag
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Lab04
 
|-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;"|Contact03
+
|style="background-color: white;"|Contact04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing episode
 
|colspan="5"|Verwijzing episode
 
|style="background-color: white;"|R95
 
|style="background-color: white;"|R95
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|MeetUitslag
+
|colspan="6"|LaboratoriumTest
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="9"|  
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|LabTest04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Identificatienummer
+
|colspan="4"|TestCode
|style="background-color: white;"|AlgBep05
+
|style="background-color: white;"|Glucose nuchter, veneus (code = '372' in codeSystem 'NHG Diagnostische bepalingen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|MetingNaam
+
|colspan="4"|TestDatumTijd
|style="background-color: white;"|Conclusie longfunctieonderzoek (1704)
+
|style="background-color: white;"|T-6D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagWaarde
+
|colspan="4"|TestUitslag
|style="background-color: white;"|COPD (vrije tekst)
+
|style="background-color: white;"|4,5 mmol/l
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|UitslagDatumTijd
 
|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"|ReferentieBovengrens
|style="background-color: white;"|
+
|style="background-color: white;"|6,1 mmol/l
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|ReferentieBovengrens
+
|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
|style="background-color: white;"|
+
|style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83)
|}<section end="algbep05" />
+
|}
 +
<section end=lab04 />
  
<section begin="algbep06" />
+
==Scenario - Beschikbaarstellen actuele algemene bepalingen van patiënt==
 +
<section begin=AlgBep01 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
Regel 982: Regel 1.007:
 
|-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;"|Contact03
+
|style="background-color: white;"|Contact01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing episode
 
|colspan="5"|Verwijzing episode
|style="background-color: white;"|R95
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|MeetUitslag  
 
|colspan="6"|MeetUitslag  
Regel 992: Regel 1.017:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep06
+
|style="background-color: white;"|AlgBep01
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MetingNaam
 
|colspan="4"|MetingNaam
|style="background-color: white;"|Roken (1739)
+
|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;"|Voorheen (4)
+
|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-9D
+
|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 1.007: Regel 1.032:
 
|-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="algbep06" />
+
<section end=AlgBep01 />
  
<section begin="algbep07" />
+
<section begin=AlgBep02 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
Regel 1.022: Regel 1.047:
 
|-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;"|Contact03
+
|style="background-color: white;"|Contact01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verwijzing episode
 
|colspan="5"|Verwijzing episode
|style="background-color: white;"|R95
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|MeetUitslag  
 
|colspan="6"|MeetUitslag  
Regel 1.032: Regel 1.057:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep07
+
|style="background-color: white;"|AlgBep02
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MetingNaam
 
|colspan="4"|MetingNaam
|style="background-color: white;"|Aantal jaren gerookt
+
|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;"|10 jaar
+
|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-9D
+
|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
|style="background-color: white;"|
+
|style="background-color: white;"|Normal (code=N codesysteem 2.16.840.1.113883.5.83)
 
|}
 
|}
<section end="algbep07" />
+
<section end=AlgBep02 />
  
<section begin="algbep08" />
+
<section begin=AlgBep04 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
Regel 1.062: Regel 1.087:
 
|-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;"|Contact04
+
|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
Regel 1.069: Regel 1.094:
 
|colspan="6"|MeetUitslag  
 
|colspan="6"|MeetUitslag  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="9"|
+
|rowspan="9"|  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep08
+
|style="background-color: white;"|AlgBep04
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MetingNaam
 
|colspan="4"|MetingNaam
|style="background-color: white;"|Temperatuur patiënt (in oor gemeten)
+
|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;"|37.5 oC
+
|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-6D
+
|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 1.090: Regel 1.115:
 
|-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="algbep08" />
+
<section end=AlgBep04 />
  
<section begin="algbep09" />
+
<section begin=AlgBep05 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling   
Regel 1.102: Regel 1.127:
 
|-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;"|Contact04
+
|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
Regel 1.109: Regel 1.134:
 
|colspan="6"|MeetUitslag  
 
|colspan="6"|MeetUitslag  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|rowspan="9"|
+
|rowspan="9"|  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Identificatienummer  
 
|colspan="4"|Identificatienummer  
|style="background-color: white;"|AlgBep09
+
|style="background-color: white;"|AlgBep05
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MetingNaam
 
|colspan="4"|MetingNaam
|style="background-color: white;"|Stadium COPD (GOLD classificatie)(2209)
+
|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;"|1:mild COPD (255)
+
|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-6D
+
|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 1.132: Regel 1.157:
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 
|}
 
|}
<section end="algbep09" />
+
<section end=AlgBep05 />
  
==Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt==
+
<section begin=AlgBep06 />
<section begin="medicatie" />
 
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|style="background-color: white;"|Med01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|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"|Verwijzing contact
|style="background-color: #E3E3E3;;"|
+
|style="background-color: white;"|Contact03
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="5"|Verwijzing episode
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|R95
|colspan="4"|Ingangsdatum
 
|style="background-color: white;"|T-600 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Einddatum
 
|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"|MeetUitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
|rowspan="9"|
 
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zorgverlener identificatienummer
 
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgegevens
 
|style="background-color: white;"|Meindert Aanmoedigend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specialisme
 
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorgaanbieder
+
|colspan="4"|Identificatienummer
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|AlgBep06
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|MetingNaam
|colspan="2"|Zorgaanbieder identificatienummer
+
|style="background-color: white;"|Roken (1739)
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagWaarde
|colspan="2"|Organisatie naam
+
|style="background-color: white;"|Voorheen (4)
|style="background-color: white;"|Huisartsenpraktijk van Noord
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagDatumTijd
|colspan="2"|Adresgegevens
+
|style="background-color: white;"|T-9D
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|ReferentieOndergrens
|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="4"|ReferentieBovengrens
|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="4"|UitslagInterpretatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
|rowspan="4"|
+
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
<section end=AlgBep06 />
|colspan="4"|Omschrijving
+
 
|style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal per dag 1 stuks, Oraal
+
<section begin=AlgBep07 />
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
{| class="wikitable" width="85%"
|colspan="4"|Toedieningsweg
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|style="background-color: white;"|2 maal per dag 1 stuks
 
|}
 
 
 
{| 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;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|style="background-color: white;"|Med02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|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"|Verwijzing contact
|style="background-color: #E3E3E3;;"|
+
|style="background-color: white;"|Contact03
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="5"|Verwijzing episode
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|R95
|colspan="4"|Ingangsdatum
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|style="background-color: white;"|T-100 dagen
+
|colspan="6"|MeetUitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Einddatum
 
|style="background-color: white;"|T - 85 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
|rowspan="9"|
 
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zorgverlener identificatienummer
 
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgegevens
 
|style="background-color: white;"|Meindert Aanmoedigend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specialisme
 
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorgaanbieder
+
|colspan="4"|Identificatienummer
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|AlgBep07
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|MetingNaam
|colspan="2"|Zorgaanbieder identificatienummer
+
|style="background-color: white;"|Aantal jaren gerookt
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagWaarde
|colspan="2"|Organisatie naam
+
|style="background-color: white;"|10 jaar
|style="background-color: white;"|Huisartsenpraktijk van Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Gebruiksinstructie
+
|colspan="4"|UitslagDatumTijd
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|T-9D
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|ReferentieOndergrens
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|ReferentieBovengrens
|colspan="4"|Toedieningsweg
+
|style="background-color: white;"|
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagInterpretatie
|colspan="4"|Doseerinstructie
+
|style="background-color: white;"|
|style="background-color: white;"|1 maal per dag 1 stuks
 
 
|}
 
|}
 +
<section end=AlgBep07 />
  
 +
<section begin=AlgBep08 />
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|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"|Gebruiksperiode
+
|colspan="5"|Verwijzing contact
|style="background-color: #E3E3E3;;"|
+
|style="background-color: white;"|Contact04
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="5"|Verwijzing episode
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|R95
|colspan="4"|Ingangsdatum
 
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Voorschrijver
+
|colspan="6"|MeetUitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
|rowspan="9"|
 
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zorgverlener identificatienummer
 
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgegevens
 
|style="background-color: white;"|Meindert Aanmoedigend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specialisme
 
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorgaanbieder
+
|colspan="4"|Identificatienummer
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|AlgBep08
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|MetingNaam
|colspan="2"|Zorgaanbieder identificatienummer
+
|style="background-color: white;"|Temperatuur patiënt (in oor gemeten)
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagWaarde
|colspan="2"|Organisatie naam
+
|style="background-color: white;"|37.5 oC
|style="background-color: white;"|Huisartsenpraktijk van Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Gebruiksinstructie
+
|colspan="4"|UitslagDatumTijd
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|T-6D
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|ReferentieOndergrens
|colspan="4"|Omschrijving
+
|style="background-color: white;"|
|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"|ReferentieBovengrens
|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"|UitslagInterpretatie
|colspan="4"|Doseerinstructie
+
|style="background-color: white;"|
|style="background-color: white;"| 2 maal daags 1 inhalatie
 
 
|}
 
|}
 +
<section end=AlgBep08 />
  
 +
<section begin=AlgBep09 />
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | AlgemeneBepaling 
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|style="background-color: white;"|Med04
 
|-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"|Gebruiksperiode
+
|colspan="5"|Verwijzing contact
|style="background-color: #E3E3E3;;"|
+
|style="background-color: white;"|Contact04
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="5"|Verwijzing episode
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|R95
|colspan="4"|Ingangsdatum
 
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Voorschrijver
+
|colspan="6"|MeetUitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
|rowspan="9"|
 
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zorgverlener identificatienummer
 
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgegevens
 
|style="background-color: white;"|Meindert Aanmoedigend
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specialisme
 
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorgaanbieder
+
|colspan="4"|Identificatienummer
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|AlgBep09
|rowspan="4"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|MetingNaam
|colspan="2"|Zorgaanbieder identificatienummer
+
|style="background-color: white;"|Stadium COPD (GOLD classificatie)(2209)
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagWaarde
|colspan="2"|Organisatie naam
+
|style="background-color: white;"|1:mild COPD (255)
|style="background-color: white;"|Huisartsenpraktijk van Noord
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|UitslagDatumTijd
|colspan="2"|Adresgegevens
+
|style="background-color: white;"|T-6D
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="4"|ReferentieOndergrens
|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="4"|ReferentieBovengrens
|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="4"|UitslagInterpretatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|style="background-color: white;"|Vanaf vandaag, + 29 dagen, 4 maal daags 2 inhalatie (2D1I), inhalatie
 
|-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;"|4 maal daags 2 stuks
 
 
|}
 
|}
 +
<section end=AlgBep09 />
  
 +
==Scenario - Beschikbaarstellen actuele medicatieafspraken van patiënt==
 +
<section begin=MedAfs01 />
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraken
Regel 1.440: Regel 1.329:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|Med05
+
|style="background-color: white;"|Med01
 
|-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-6 dagen
+
|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 1.451: Regel 1.340:
 
|-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-6 dagen
+
|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;"|
+
|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 1.487: Regel 1.376:
 
|-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;"|AUGMENTIN TABLET 500/125MG (code = '17809’ in codeSystem 'G-Standaard PRK')
+
|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;"|AMOXICILLINE/CLAVULAANZUUR TABLET 500/125MG (code = '43079' in codeSystem 'G-Standaard GPK')
+
|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 1.497: Regel 1.386:
 
|-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, 3 maal daags 1 stuks, oraal
+
|style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal per dag 1 stuks, Oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
Regel 1.503: Regel 1.392:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|3 maal daags 1 stuks
+
|style="background-color: white;"|2 maal per dag 1 stuks  
 
|}
 
|}
 +
<section end=MedAfs01 />
  
 
+
<section begin=MedAfs02 />
 
 
<section end="medicatie" />
 
 
 
==Scenario - Beschikbaarstellen actuele alerts van patiënt==
 
 
 
<section begin="alert" />
 
 
 
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraken
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"| Alert01
+
|style="background-color: white;"|Med02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|T-100 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|AlertNaam
+
|colspan="5"|Gebruiksperiode
|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="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-100 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Einddatum
 +
|style="background-color: white;"|T - 85 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|BeginDatumTijd
+
|colspan="6"|Voorschrijver
|style="background-color: white;"| T-9 dagen
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|EindDatumTijd
+
|colspan="5"|Zorgverlener
|style="background-color: white;"|  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|rowspan="9"|
|colspan="5"|Verwijzing episode
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|R95
+
|colspan="3"|Zorgverlener identificatienummer
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
+
|colspan="3"|Naamgegevens
{| class="wikitable" width="85%"
+
|style="background-color: white;"|Meindert Aanmoedigend
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Alert
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
+
|colspan="3"|Specialisme
|colspan="5" width="25%"| Gegevenselement
+
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
|| Waarde
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Identificatie
+
|colspan="4"|Zorgaanbieder
|style="background-color: white;"| Alert02
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|rowspan="4"|
|colspan="5"|AlertNaam
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|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’)  
+
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk van Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 +
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|BeginDatumTijd
+
|colspan="6"|Gebruiksinstructie
|style="background-color: white;"| T-100D
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf vandaag, + 15 dagen, 1 maal per dag 1 stuks (1D1T), oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuks
 +
|}
 +
<section end=MedAfs02 />
 +
 
 +
<section begin=MedAfs03 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraken
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Med03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|T-9 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-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|EindDatumTijd
+
|colspan="6"|Voorschrijver
|style="background-color: white;"| 20201205
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|rowspan="11"|
|colspan="5"|Verwijzing episode
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|style="background-color: white;"|D02
+
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"  
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Meindert Aanmoedigend
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk van Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '45632’ in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FLUTICASON INHALATIEPOEDER 250UG/DO (code = '92495' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf vandaag, + 29 dagen, 2 maal daags 1 inhalatie (2D1I), inhalatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"| 2 maal daags 1 inhalatie
 +
|}
 +
<section end=MedAfs03 />
 +
 
 +
<section begin=MedAfs04 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraken
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Med04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|T-50 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-50 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;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Meindert Aanmoedigend
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk van Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|VALPROINEZUUR DRANK 40MG/ML (code = '43966’ in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|VALPROINEZUUR DRANK 40MG/ML (code = '97888' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Reden van voorschrijven
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleemnaam
 +
|style="background-color: white;"|N88 - Epilepsie (alle vormen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|2 maal daags 15 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|2 maal daags 15 ml
 +
|}
 +
<section end=MedAfs04 />
 +
 
 +
<section begin=MedAfs05 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraken
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|Med05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|T-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;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Meindert Aanmoedigend
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Arts  (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk van Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|CIPROFLOXACINE TABLET 500MG (code = '138932’ in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|CIPROFLOXACINE TABLET 500MG (code = '167479' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf vandaag, 2 maal daags 1 stuks, oraal, gedurende 2 weken.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|2 maal daags 1 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerduur
 +
|style="background-color: white;"|14 dagen
 +
|}
 +
<section end=MedAfs05 />
 +
 
 +
==Scenario - Beschikbaarstellen actuele alerts van patiënt==
 +
<section begin=alert01 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Alert
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"| Alert01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|AlertNaam
 +
|style="background-color: white;"| COPD (code = 1348 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|BeginDatumTijd
 +
|style="background-color: white;"| T-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;;"
 +
|}
 +
<section end=alert01 />
 +
 
 +
<section begin=alert02 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Alert
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"| Alert02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|AlertNaam
 +
|style="background-color: white;"| Drager van multiresistente Stenotrophomonas maltophilia (code= 97981000146105 in codesysteem 2.16.840.1.113883.6.96 SNOMED CT in waardelijst ‘AlertNaamCodelijst’)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|BeginDatumTijd
 +
|style="background-color: white;"| T-100D
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|EindDatumTijd
 +
|style="background-color: white;"| T-90
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="5"|Verwijzing episode
 +
|style="background-color: white;"|D02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 +
|}
 +
<section end=alert02 />
 +
 
 +
<section begin=alert03 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Alert
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"| Alert03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|AlertNaam
 +
|style="background-color: white;"| Epilepsie (code = 42 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|BeginDatumTijd
 +
|style="background-color: white;"| T-1010 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;"|N88
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|}
 +
<section end=alert03 />
 +
 
 +
==Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt==
  
{| class="wikitable" width="85%"
+
<section begin=allergie01 />
|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;;"
 
|}
 
<section end="alert" />
 
 
 
==Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt==
 
<section begin="allergie" />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AllergieIntolerantie   
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | AllergieIntolerantie   
Regel 1.599: Regel 1.802:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Auteur ZorgverlenerIdentificatienummer
 
|colspan="5"|Auteur ZorgverlenerIdentificatienummer
|style="background-color: white;"| UZI 1
+
|style="background-color: white;"| 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|VeroorzakendeStof
 
|colspan="5"|VeroorzakendeStof
Regel 1.625: Regel 1.828:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|SpecifiekeStof
 
|colspan="4"|SpecifiekeStof
|style="background-color: white;"| Amoxicille
+
|style="background-color: white;"| Amoxicilline
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Ernst  
 
|colspan="4"|Ernst  
Regel 1.636: Regel 1.839:
 
|style="background-color: white;"|  
 
|style="background-color: white;"|  
 
|}
 
|}
 
+
<section end=allergie01 />
<section end="allergie" />
 

Huidige versie van 22 dec 2024 om 13:28

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.


Bundel
Gegevenselement Waarde
Onderwerp
Patient
Naamgegevens
Voornamen Jan Willem
Initialen J.W.
Roepnaam Jantje
Geslachtsnaam
Voorvoegsels
Achternaam XXX_Kuiperij
GeslachtsnaamPartner
VoorvoegselsPartner van
AchternaamPartner Pieten
Adresgegevens
Straat Knolweg
Huisnummer 1001
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 999911090
Geboortedatum 19640725
Geslacht vrouw (Code = F 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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-600D{11:10}
EindDatumTijd T-600D{11:30}
RedenContact
Episode A20gesloten


Contactmoment
Gegevenselement Waarde
Identificatienummer Contact11
ContactType Consult (Code = 03 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
Contact met
Zorgverlener
Zorgverleneridentificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-60D{11:10}
EindDatumTijd T-60D{11:30}
RedenContact
Episode A20


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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-100D{13:30}
EindDatumTijd T-100D{13:50}
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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-9D{08:30}
EindDatumTijd T-9D{08:45}
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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-6D{09:00}
EindDatumTijd T-6D{09:15}
RedenContact
Episode R95



Contactmoment
Gegevenselement Waarde
Identificatienummer Contact05
ContactType telefonisch contact (Code = 05 in codesysteem 2.16.840.1.113883.2.4.4.30.14 'NHG Contactwijze')
Contact met
Zorgverlener
Zorgverleneridentificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
BeginDatumTijd T-50D{14:30}
EindDatumTijd T-50D{14:50}
RedenContact
Episode N88


Scenario - Beschikbaarstellen actuele contactverslagen van patiënt

Contactverslag
Gegevenselement Waarde
Identificatienummer Contactverslag01
Verwijzing Contact Contact01
Verwijzing Episode A20Gesloten
DatumTijd T-600D
Journaalregel
Type Tekst
S Weloverwogen besluit voor een niet reanimeerwens
O Compos mentis
E Gesprek levenseinde, niet reanimeren
P Wilsverklaring ondertekend
Probleem
Identificatienummer ProbleemA20gesloten
ProbleemNaam Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
ProbleemBeginDatum T-600D
ProbleemEindDatum T-61D
Contactverslag
Gegevenselement Waarde
Identificatienummer Contactverslag11
Verwijzing Contact Contact11
Verwijzing Episode A20
DatumTijd T-60D
Journaalregel
Type Tekst
S Herevaluatie niet reanimeerwens
O Compos mentis
E Continueer behandelgrens, niet reanimeren
Probleem
Identificatienummer ProbleemA20
ProbleemNaam Gesprek levenseinde/behandelwensen (Code = A20 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
ProbleemBeginDatum T-60D
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/hoesten. 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 Contactverslag04
Verwijzing Contact Contact04
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



Contactverslag
Gegevenselement Waarde
Identificatienummer Contactverslag05
Verwijzing Contact Contact05
Verwijzing Episode N88
DatumTijd T-50D
Journaalregel
Type Tekst
S Belt voor herhaalrecept
O
E Bekend met epilepsie
Probleem
Identificatienummer ProbleemN88
ProbleemNaam Epilepsie (Code = N88 uit Codesysteem 2.16.840.1.113883.2.4.4.31.1 De Nederlandse editie van International Classification of Primary Care ICPC-1-NL)
ProbleemBeginDatum T-1010D
ProbleemEindDatum


Scenario - Beschikbaarstellen actuele episodes van patiënt

Episode
Gegevenselement Waarde
Identificatie N88
Episodetitel Epilepsie
Status Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
Startdatum T-1010D
Einddatum
Verwijzing Probleem ProbleemN88
Attentiewaarden Ja


Episode
Gegevenselement Waarde
Identificatie A20Gesloten
Episodetitel Wilsverklaring: niet reanimeren
Status Gesloten (code = ‘completed’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
Startdatum T-600D
Einddatum T-61D
Verwijzing Probleem ProbleemA20Gesloten
Attentiewaarden Ja


Episode
Gegevenselement Waarde
Identificatie A20
Episodetitel Recentelijk besproken met patient: Niet reanimeren.
Status Open (code = ‘active’ in codeSystem 2.16.840.1.113883.5.14 ‘ActStatus’)
Startdatum T-60D
Einddatum
Verwijzing Probleem ProbleemA20
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 R95
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
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
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 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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Naamgegevens Meindert Aanmoedigend
Specialisme Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder identificatienummer 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Organisatie naam Huisartsenpraktijk van Noord
Adresgegevens Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
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, 2 maal per dag 1 stuks, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuks


Medicatieafspraken
Gegevenselement Waarde
Identificatie Med02
Afspraakdatum T-100 dagen
Gebruiksperiode
Ingangsdatum T-100 dagen
Einddatum T - 85 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Naamgegevens Meindert Aanmoedigend
Specialisme Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder identificatienummer 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Organisatie naam Huisartsenpraktijk van Noord
Adresgegevens Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
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 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Naamgegevens Meindert Aanmoedigend
Specialisme Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder identificatienummer 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Organisatie naam Huisartsenpraktijk van Noord
Adresgegevens Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
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-50 dagen
Gebruiksperiode
Ingangsdatum T-50 dagen
Einddatum
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Naamgegevens Meindert Aanmoedigend
Specialisme Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder identificatienummer 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Organisatie naam Huisartsenpraktijk van Noord
Adresgegevens Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
Geneesmiddel - primaire code VALPROINEZUUR DRANK 40MG/ML (code = '43966’ in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code VALPROINEZUUR DRANK 40MG/ML (code = '97888' in codeSystem 'G-Standaard GPK')
Reden van voorschrijven
Probleemnaam N88 - Epilepsie (alle vormen)
Gebruiksinstructie
Omschrijving 2 maal daags 15 ml
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal daags 15 ml


Medicatieafspraken
Gegevenselement Waarde
Identificatie Med05
Afspraakdatum T-6 dagen
Gebruiksperiode
Ingangsdatum T-6 dagen
Einddatum
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Naamgegevens Meindert Aanmoedigend
Specialisme Arts (Code = '01.000' in codesysteem 2.16.840.1.113883.2.4.15.111 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder identificatienummer 20000001 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
Organisatie naam Huisartsenpraktijk van Noord
Adresgegevens Werkadres: Medicijnweg 9990, 3032 ZZ Rotterdam
Geneesmiddel - primaire code CIPROFLOXACINE TABLET 500MG (code = '138932’ in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CIPROFLOXACINE TABLET 500MG (code = '167479' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf vandaag, 2 maal daags 1 stuks, oraal, gedurende 2 weken.
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal daags 1 stuks
Doseerduur 14 dagen


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 T-90
Verwijzing episode D02


Alert
Gegevenselement Waarde
Identificatie Alert03
AlertNaam Epilepsie (code = 42 in codesysteem 2.16.840.1.113883.2.4.4.1.902.40 ‘G-standaard Thesaurus 40 contra-indicatiearaard)
BeginDatumTijd T-1010 dagen
EindDatumTijd
Verwijzing episode N88


Scenario - Beschikbaarstellen actuele allergie/intoleranties van patiënt

AllergieIntolerantie
Gegevenselement Waarde
Identificatienummer Allergie01
Informatiebron Patient
Auteur ZorgverlenerIdentificatienummer 10000002 (2.16.840.1.113883.2.4.6.1 Vektis AGB-z zorgverlener tabel)
VeroorzakendeStof Amoxicilline
AllergieCategorie Neiging tot ongewenste reactie op medicatie en/of drug (Code = 419511003 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms')
BeginDatumTijd 20200827
MateVanKritiekZijn Low (code = 62482003 codesysteem 2.16.840.1.113883.2.4.3.11.60.66.11.117 'Criticality')
Toelichting Via neuroloog
Reactie
Symptoom dyspneu (code = 267036007 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms')
SpecifiekeStof Amoxicilline
Ernst Matig (code = 6736007 codesysteem 2.16.840.1.113883.6.96 ‘SNOMED Clinical Terms’)
WijzeVanBlootstelling Oral route (Code = 26643006 in codesysteem 2.16.840.1.113883.6.96 'SNOMED Clinical Terms')
ReactieTijdstip