iaz:Vdraft2.4.0 Testscript Ambulanceoverdracht SEH Sturen Minimaal: verschil tussen versies

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(inital version)
 
k (Inleiding)
 
(5 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 9: Regel 9:
  
 
=Inleiding=
 
=Inleiding=
 +
 +
Dit scenario bestaat uit twee opeenvolgende berichten die de ambulance stuurt naar de SEH: één om de rit bij de SEH aan te melden en een update dat deze rit geannuleerd is
  
 
<section begin="patient" />
 
<section begin="patient" />
Regel 18: Regel 20:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Persoonidentificatie
 
|colspan="5"|Persoonidentificatie
|style="background-color: white;"|999910553
+
|style="background-color: white;"|Unknown (voorbeeld: nullFlavor="UNK")
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Naamgegevens
 
|colspan="6"|Naamgegevens
Regel 27: Regel 29:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|W.
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Achternaam
 
|colspan="6"|Achternaam
Regel 40: Regel 42:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Achternaam
 
|colspan="3"|Achternaam
|style="background-color: white;"|XXX_Witsiers
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Geslacht
 
|colspan="5"|Geslacht
|style="background-color: white;"|M
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Geboortegegevens
 
|colspan="6"|Geboortegegevens
Regel 50: Regel 52:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|06-08-1954
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Geschatte leeftijd
 
|colspan="5"|Geschatte leeftijd
Regel 60: Regel 62:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Straat
 
|colspan="4"|Straat
|style="background-color: white;"|Hertog Aalbrechtweg
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Huisnummer
 
|colspan="4"|Huisnummer
|style="background-color: white;"|8
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Huisnummerletter
 
|colspan="4"|Huisnummerletter
Regel 72: Regel 74:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Postcode
 
|colspan="4"|Postcode
|style="background-color: white;"|1823 DB
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Woonplaats
 
|colspan="4"|Woonplaats
|style="background-color: white;"|Alkmaar
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Land
 
|colspan="4"|Land
|style="background-color: white;"|Nederland
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Locatiebeschrijving
 
|colspan="4"|Locatiebeschrijving
Regel 251: Regel 253:
 
|}
 
|}
 
<section end="patient" />
 
<section end="patient" />
 
<section begin="WID-controle" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | WID-controle
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|WID-controle uitgevoerd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|WID controle datum
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Documentnummer
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Document type
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="WID-controle" />
 
 
<section begin="Incidentgegevens" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Incidentgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Datum/tijd incident
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Incidentgegevens" />
 
 
<section begin="Meldingsgegevens" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Meldingsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Datum/tijd melding
 
|style="background-color: white;"| T1-15min
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Geplande brengtijd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Geplande haaltijd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Wzd/Wvggz maatregel
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Datum/tijd aanvang TVZ
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Medische kladblok meldkamer
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;
 
|colspan="5"|Meldkamerurgentie
 
|style="background-color: white;"| A2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Meldingsgegevens" />
 
 
<section begin="Zorgaanvrager" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgaanvrager
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Initialen
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Achternaam
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Telefoonnummer
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Identificatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Type zorgaanvrager
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Zorgaanvrager" />
 
  
 
<section begin="Ritgegevens" />
 
<section begin="Ritgegevens" />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Ritgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Ritgegevens  
 
|-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"|Ambulancevoorziening
+
|colspan="5"|Ambulancevoorziening *
 
|style="background-color: white;"| 25 (RAV identificatie)
 
|style="background-color: white;"| 25 (RAV identificatie)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ritnummer
+
|colspan="5"|Ritnummer *
|style="background-color: white;"| 25-2020-13-1
+
|style="background-color: white;"| 25-2020-11-1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ambulancenummer
+
|colspan="5"|Ambulancenummer *
 
|style="background-color: white;"| 25190
 
|style="background-color: white;"| 25190
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 363: Regel 274:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="5"|Ambulanceverpleegkundige identificatie
 
|colspan="5"|Ambulanceverpleegkundige identificatie
|style="background-color: white;"| 596
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ambulancechauffeur identificatie
 
|colspan="5"|Ambulancechauffeur identificatie
|style="background-color: white;"| 530
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;
 
|-style="vertical-align:top; background-color: #E3E3E3;;
 
|colspan="5"|Datum/tijd ritopdracht
 
|colspan="5"|Datum/tijd ritopdracht
|style="background-color: white;"| T1-10 min
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Datum/tijd uitruk/vertrek
 
|colspan="5"|Datum/tijd uitruk/vertrek
|style="background-color: white;"| T1-10 min
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Datum/tijd aankomst patiënt
 
|colspan="5"|Datum/tijd aankomst patiënt
|style="background-color: white;"| T1
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Datum/tijd vertrek patiënt
 
|colspan="5"|Datum/tijd vertrek patiënt
|style="background-color: white;"| T1+2 min (alleen in bericht 2 en 3)
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verwachte  aankomsttijd bestemming
 
|colspan="5"|Verwachte  aankomsttijd bestemming
Regel 394: Regel 305:
 
|}
 
|}
 
<section end="Ritgegevens" />
 
<section end="Ritgegevens" />
 +
* Voor de vulling van gegevens bij Ritnummer, Ambulancenummer en Ambulancevoorziening geldt voor de opleverende partijen dat zij hier eigen gegevens kunnen invullen, al zijn bovenstaande invulgegevens ook mogelijk. De kwalificatiesimulator zal alleen controleren of er gegevens zijn ingevuld, niet op de exacte waarden. Voor de ontvangende partijen worden middels de kwalificatiesimulator de bovenstaande gegevens aangeboden.
  
<section begin="Haalgegevens" />
+
<section begin="Bestemmingsgegevens" />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Haalgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bestemmingsgegevens T1
 
|-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"|Bestemmingsstatus
 +
|style="background-color: white;"|Actief
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Bestemmingscode
 +
|style="background-color: white;"|AGB: 06020806
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Locatie of afdeling
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Straat
 
|colspan="5"|Straat
Regel 410: Regel 331:
 
|colspan="5"|Huisletter
 
|colspan="5"|Huisletter
 
|style="background-color: white;"|
 
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="5"|Huisnummertoevoeging
 
|colspan="5"|Huisnummertoevoeging
 
|style="background-color: white;"|
 
|style="background-color: white;"|
Regel 426: Regel 347:
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Patiënt vervoerd?
+
|colspan="5"|Bijzonderheden algemeen
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Reden geen vervoer
+
|colspan="5"|Verwacht specialisme
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Tijdstip overlijden patiënt
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Advies behandeling tijdens vervoer aanwezig?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Niet reanimeren verklaring aanwezig?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Trialgegevens
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Ambulance-urgentie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Gewondennummer
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Triageklasse
 
 
|style="background-color: white;"|
 
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|colspan="6"|Feedback
|colspan="6"|Hulpverleners ter plaatse
 
 
|-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"|Hulpverlenersnaam
+
|colspan="4"|Feedback gewenst
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Type hulpverlener
+
|colspan="4"|Feedback adres
 
|style="background-color: white;"|
 
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|Telefoonnummer
+
|colspan="4"|Feedback methode
 
|style="background-color: white;"|
 
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="4"|E-mailadres
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
 
|}
 
|}
<section end="Haalgegevens" />
+
<section end="Bestemmingsgegevens" />
  
<section begin="Bestemmingsgegevens" />
+
<section begin="Bestemmingsgegevens2" />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bestemmingsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bestemmingsgegevens T2
 
|-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"|Bestemmingsstatus in bericht op T1
+
|colspan="5"|Bestemmingsstatus
|style="background-color: white;"|Actief
+
|style="background-color: white;"|Geannuleerd
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bestemmingsstatus in bericht op T2
 
|style="background-color: white;"|Actief
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bestemmingsstatus in bericht op T3
 
|style="background-color: white;"|Overgedragen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Bestemmingscode
 
|colspan="5"|Bestemmingscode
|style="background-color: white;"|AGB: 06010860
+
|style="background-color: white;"|AGB: 06020806
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Locatie of afdeling
 
|colspan="5"|Locatie of afdeling
|style="background-color: white;"|LSDV-code: 2.16.840.1.113883.2.4.6.1.6010860.000
+
|style="background-color: white;"|  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Straat
 
|colspan="5"|Straat
Regel 539: Regel 429:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|}
 
|}
<section end="Bestemmingsgegevens" />
+
<section end="Bestemmingsgegevens2" />
 
 
<section begin="Mechanisme" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Mechanisme
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Mechanisme type
 
|style="background-color: white;"| 35468003  bekneld geraakt tussen voorwerpen (gebeurtenis)
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Vervoermiddel patiënt
 
|style="background-color: white;"| 71783008 auto (fysiek object)
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Patiënt was bestuurder?
 
|style="background-color: white;"| ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Vervoermiddel contra
 
|style="background-color: white;"| 71783008 auto (fysiek object)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Beschermingsmiddelen patiënt (3x)
 
|style="background-color: white;"| 285695004 helm (fysiek object) <br/>
 
60054005 autogordel (fysiek object)<br/>
 
102384007 airbag van motorvoertuig (fysiek object)
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Mechanisme" />
 
 
 
<section begin="Toestandsbeelden/Werkdiagnose" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" |Toestandsbeelden/Werkdiagnose
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Toestandsbeeld
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Toestandsbeeld code
 
|style="background-color: white;"| 125593007 letsel van aangezicht (aandoening)
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Toelichting Toestandsbeeld
 
|style="background-color: white;"| Moeilijk observeren door weersomstandigheden
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|}
 
<section end="Toestandsbeelden/Werkdiagnose" />
 
 
 
<section begin="Meetwaarden" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Meetwaarden
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bloedsuiker
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bloedsuiker waarde
 
|style="background-color: white;"| 6 mmol/L
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloedsuikerDatumTijd
 
|style="background-color: white;"| T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bloedsuiker
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bloedsuiker waarde
 
|style="background-color: white;"| 5 mmol/L
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloedsuikerDatumTijd
 
|style="background-color: white;"| T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Bloedsuiker
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bloedsuiker waarde
 
|style="background-color: white;"| 6 mmol/L
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloedsuikerDatumTijd
 
|style="background-color: white;"| T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Hartritme
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Hartritme observatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartritmeDatumTijd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toelichting hartritme/ECG
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|O2Saturatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SpO2waarde
 
|style="background-color: white;"|99%
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|O2SaturatieDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|O2Saturatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SpO2waarde
 
|style="background-color: white;"|78%
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|O2SaturatieDatumTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|O2Saturatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SpO2waarde
 
|style="background-color: white;"|98%
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|O2SaturatieDatumTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Capnometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2Waarde
 
|style="background-color: white;"|60 mm[Hg] <br/>8,0 kPa
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2CapnometrieDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Capnometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2Waarde
 
|style="background-color: white;"|40 mm[Hg] <br/>5,3 kPa
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2CapnometrieDatumTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Capnometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2Waarde
 
|style="background-color: white;"|35 mm[Hg] <br/>4,7 kPa
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|CO2CapnometrieDatumTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Hartfrequentie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieWaarde
 
|style="background-color: white;"|120/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Hartfrequentie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieWaarde
 
|style="background-color: white;"|110/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieDatumTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Hartfrequentie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieWaarde
 
|style="background-color: white;"|90/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|HartfrequentieDatumTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Bloeddruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SystolischeBloeddruk
 
|style="background-color: white;"|90 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|DiastolischeBloeddruk
 
|style="background-color: white;"|60 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloeddrukDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Bloeddruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SystolischeBloeddruk
 
|style="background-color: white;"|100 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|DiastolischeBloeddruk
 
|style="background-color: white;"|80 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloeddrukDatumTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Bloeddruk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|SystolischeBloeddruk
 
|style="background-color: white;"|60 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|DiastolischeBloeddruk
 
|style="background-color: white;"|50 mm[Hg]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|BloeddrukDatumTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Lichaamstemperatuur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|TemperatuurWaarde
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|TemperatuurDatumTijd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhaling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ademfrequentie
 
|style="background-color: white;"|4/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|AdemhalingDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhaling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ademfrequentie
 
|style="background-color: white;"|4/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|AdemhalingDatumTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhaling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ademfrequentie
 
|style="background-color: white;"|4/min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|AdemhalingDatumTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|GlasgowComaScale
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|GlasgowComaScaleDatumTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|GCS_Eyes
 
|style="background-color: white;"|4
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|GCS_Motor
 
|style="background-color: white;"|6
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|GCS_Verbal
 
|style="background-color: white;"|5 (uit 2.16.840.1.113883.2.4.3.11.60.40.4.2.3)
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|TotaalScore
 
|style="background-color: white;"|15
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Revised Trauma Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreWaarde
 
|style="background-color: white;"|8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Revised Trauma Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreWaarde
 
|style="background-color: white;"|8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Revised Trauma Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreWaarde
 
|style="background-color: white;"|8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|RevisedTraumaScoreTijd
 
|style="background-color: white;"|T3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Pediatric Trauma Score
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PediatricTraumaScoreWaarde
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PediatricTraumaScoreTijd
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Pijnschaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PijnschaalWaarde
 
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PijnschaalTijd
 
|style="background-color: white;"|T1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Pijnschaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PijnschaalWaarde
 
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|PijnschaalTijd
 
|style="background-color: white;"|T2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|APGAR-1
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|APGAR-5
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Meetwaarden" />
 
 
 
<section begin="Behandeling" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Behandeling
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhaling en beademing (diagnostisch)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Handelingen ademhaling en beademing
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Bewustzijn en neurologische status (diagnostisch) 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Handelingen bewustzijn en neurologische status
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Overige diagnostische handelingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Handelingen overige diagnostisch
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Luchtweg management (therapeutisch)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Handelingen luchtweg management
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Moeizame intubatie?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Oxygenatie en ventilatie (therapeutisch)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Handelingen oxygenatie en ventilatie 
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Beademing machine Fi O2
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Beademing machine AMV
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Beademing machine Freq.
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Beademing machine Peep
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Hoeveelheid zuurstof
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Circulatie (therapeutisch)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Handelingen circulatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Pacemaker frequentie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Pacemaker stroomsterkte
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Pacemaker modus
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Cardioversies aantal
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Cardioversie maximale energie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Defibrillaties aantal
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Defibrillatie energie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Return Of Spontaneous Circulation (ROSC)
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| AED aangesloten voor aankomst
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| AED-schokken aantal
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Traumatologie (therapeutisch)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Handelingen traumatologie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Koelen tijdsduur
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Obstetrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Handelingen obstetrie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Wijze van isolatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Handelingen isolatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Medicatie toegediend?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Medicatienaam
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Toegediende hoeveelheid medicatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Tijd medicatietoediening
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Medicatie toedieningsvorm
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| IV medicatiesnelheid
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Infusen aantal
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Infuusvloeistofcode
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Infuusvloeistoftekst
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Infuushoeveelheid
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Extra informatie behandeling
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Behandeling" />
 
 
 
<section begin="Patiëntligging" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Patiëntligging
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Type patiëntligging
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Patiëntligging" />
 
 
 
<section begin="Primary Survey" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Primary Survey
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Airway
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Airway vrij?
 
|style="background-color: white;"| Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Stridor
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Breathing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Breathing sufficient?
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Breathing observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Circulation
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Circulation sufficient?
 
|style="background-color: white;"| Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Capillaire refill > 2 seconde?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Huid observatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Disability
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|AVPU
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Duur buiten bewustzijn
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pupil
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|FAST symptomen aanwezig
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Mogelijk trombolyse/trombectomie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Intoxicatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
 
 
 
 
|colspan="5"|Toelichting Primary Survey
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Primary Survey" />
 
 
 
<section begin="Secondary Survey" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Secondary Survey
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Anamnese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ample
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Code
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Titel
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Omschrijving
 
|style="background-color: white;"|
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toelichting anamnese
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Infectierisico
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Verdenking infectieziekten?
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Toelichting infectierisico
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Hoofd en gelaat
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Hoofd en gelaat observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Bloedverlies
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Liquorverlies
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Pijnlocatie
 
|style="background-color: white;"|   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Nek, hals, CWK
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Nek, hals, CWK observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Thorax
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Thorax observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pijn bij compressie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Locatie subcutaan emfyseem
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Locatie zwelling / oedeem (2x)
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Rug
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Rug observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Abdomen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Abdomen observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Locatie druk- / loslaatpijn
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Locatie zwelling / oedeem
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Locatie pulserende zwelling
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Bekken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Bekken observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"| Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Extremiteiten Armen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Extremiteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Lateraliteit
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Extremiteiten Armen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Extremiteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Lateraliteit
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Extremiteiten Benen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Extremiteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Lateraliteit
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Observaties (2x)
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Wond
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Uitscheiding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Uitscheiding observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Braken
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Incontinent
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Verloskunde/Gynaecologie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Verloskunde/Gynaecologie observaties
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Vruchtwaterverlies
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Weeën
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Secondary Survey" />
 
 
 
<section begin="Consultgever op afstand" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Consultgever op afstand
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Initialen
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Achternaam
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Telefoonnummer
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Identificatie
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Type consultgever
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Toelichting/Afspraken met consultgever
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Consultgever op afstand" />
 
 
 
<section begin="Afspraken met patiënt" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Afspraken met patiënt
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Huisarts ingelicht
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraken met patiënt
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Afspraken met patiënt" />
 
 
 
<section begin="Bijlagen" />
 
Overdracht T1
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bijlagen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Type Bijlage
 
|style="background-color: white;"|006 intern rapport/overdracht
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlage id
 
|style="background-color: white;"| 9068
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Versie
 
|style="background-color: white;"| 1
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlageset id
 
|style="background-color: white;"| 12
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<br/>
 
Overdracht T2
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bijlagen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Type Bijlage
 
|style="background-color: white;"|006 intern rapport/overdracht
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlage id
 
|style="background-color: white;"| 9068
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Versie
 
|style="background-color: white;"| 3
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlageset id
 
|style="background-color: white;"| 12
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<br/>
 
Overdracht T3
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Bijlagen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Type Bijlage
 
|style="background-color: white;"|006 intern rapport/overdracht
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlage id
 
|style="background-color: white;"| 9068
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Versie
 
|style="background-color: white;"| 6
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Bijlageset id
 
|style="background-color: white;"| 12
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Bijlagen" />
 
 
 
<section begin="Toestemmingsgegevens" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toestemmingsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Wetenschappelijk onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Beschrijving
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Informed consent
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Toestemming informeren verwanten
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|}
 
<section end="Toestemmingsgegevens" />
 
 
 
<section begin="Toelichtingsgegevens" />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toelichtingsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Toelichting algemeen
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|}
 
<section end="Toelichtingsgegevens" />
 

Huidige versie van 28 feb 2025 om 16:24

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Inleiding

Dit scenario bestaat uit twee opeenvolgende berichten die de ambulance stuurt naar de SEH: één om de rit bij de SEH aan te melden en een update dat deze rit geannuleerd is


Patient
Gegevenselement Waarde
Persoonidentificatie Unknown (voorbeeld: nullFlavor="UNK")
Naamgegevens
Initialen
Achternaam
Soort naam
Voorvoegsels
Achternaam
Geslacht
Geboortegegevens
Geboortedatum
Geschatte leeftijd
Adresgegevens
Straat
Huisnummer
Huisnummerletter
Huisnummertoevoeging
Postcode
Woonplaats
Land
Locatiebeschrijving
Overige Contactgegevens
Telefoonnummers
Telefoonnummer
Soort telefoonnummer
Werktelefoon
werknummer
Soort nummer
EmailAdressen
Emailadres
Soort e-mailadres
Emailadres
Soort e-mailadres
Ziektekostenverzekering?
Verzekeringsgegevens
Verzekeraar
Naam
Identificatienummer
Polis
Polisnummer/Verzekerdenummer
Vaste huisarts
ZorgverlenerIdentificatienummer
Rolcode
Naam
Achternaam
Vaste huisartsenpraktijk
Identificatie
Naam
Adresgegevens
Soort adres
Straatnaam
Huisnummer
Huisnummertoevoeging
Postcode
Gemeente
Woonplaats
Land
Overige contactgegevens
Telefoonnummers
Soort telefoonnummer
Telefoonnummer
Faxnummers
Soort faxnummer
Faxnummer
E-mailadressen
Soort e-mailadres
E-mailadres
Contactpersoon patiënt
Achternaam
Telefoonnummer
Relatie tot patiënt


Ritgegevens
Gegevenselement Waarde
Ambulancevoorziening * 25 (RAV identificatie)
Ritnummer * 25-2020-11-1
Ambulancenummer * 25190
Telefoon ambulance
Ambulanceverpleegkundige identificatie
Ambulancechauffeur identificatie
Datum/tijd ritopdracht
Datum/tijd uitruk/vertrek
Datum/tijd aankomst patiënt
Datum/tijd vertrek patiënt
Verwachte aankomsttijd bestemming
Datum/tijd aankomst bestemming
Datum/tijd vrijmelding
Soort vervoer
* Voor de vulling van gegevens bij Ritnummer, Ambulancenummer en Ambulancevoorziening geldt voor de opleverende partijen dat zij hier eigen gegevens kunnen invullen, al zijn bovenstaande invulgegevens ook mogelijk. De kwalificatiesimulator zal alleen controleren of er gegevens zijn ingevuld, niet op de exacte waarden. Voor de ontvangende partijen worden middels de kwalificatiesimulator de bovenstaande gegevens aangeboden.


Bestemmingsgegevens T1
Gegevenselement Waarde
Bestemmingsstatus Actief
Bestemmingscode AGB: 06020806
Locatie of afdeling
Straat
Huisnummer
Huisletter
Huisnummertoevoeging
Postcode
Locatiebeschrijving
Woonplaats
Land
Bijzonderheden algemeen
Verwacht specialisme
Feedback
Feedback gewenst
Feedback adres
Feedback methode


Bestemmingsgegevens T2
Gegevenselement Waarde
Bestemmingsstatus Geannuleerd
Bestemmingscode AGB: 06020806
Locatie of afdeling
Straat
Huisnummer
Huisletter
Huisnummertoevoeging
Postcode
Locatiebeschrijving
Woonplaats
Land
Bijzonderheden algemeen
Verwacht specialisme
Feedback
Feedback gewenst
Feedback adres
Feedback methode