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Regel 1: Regel 1:
 
<noinclude>
 
<noinclude>
−
{{#customtitle:Prio 1 zwangerschap vorig 2.3 - inhoud kwalificatie}}
+
{{DISPLAYTITLE:Kernset Geboortezorg 2.3 - inhoud kwalificatie}}
 
__NUMBEREDHEADINGS__
 
__NUMBEREDHEADINGS__
−
{{IssueBox|Deze pagina is nog in bewerking}}
 
  
−
=Addenda voor inhoudelijke gegevens Prio 1 zwangerschap vorig 2.3=</noinclude>
+
=Addenda voor inhoudelijke gegevens Kernset Geboortezorg 2.3=</noinclude>
−
==Scenario Wouden-1e zwangerschap (voor vrouw met BSN: 999910413)==
+
==Scenario 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling. (voor vrouw met BSN: 999910413)==
 
<section begin=999910413 />
 
<section begin=999910413 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="4" width="25%"| Gegevenselement
+
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Burgerservicenummer
+
|colspan="2"|Burgerservicenummer
 
|style="background-color: white;"|999910413 (in identificerend systeem: BSN)
 
|style="background-color: white;"|999910413 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|2 mei in het jaar: (jaar van T) - 39 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|4563 AB
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|170 cm
 +
|}<section end=999910413 />
 +
=== Anamnese ===
 +
<section begin=anamnese_999910413 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onder behandeling geweest?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="4"|Algemene anamnese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Achternaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="2"|Cardiovasculaire aandoening
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Oncologische aandoening
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Infectieziekte
 +
|style="background-color: white;"|Herpes (code = '23513009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'SNOMED CT')
 +
|}<section end=anamnese_999910413 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_999910413 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 306 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 50 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsel
+
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
−
|style="background-color: white;"|van der
+
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|Conclusie risicostatus na intake
−
|style="background-color: white;"|Wouden
+
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
−
|}<section end=999910413 />
+
|}<section end=zorgverlening_999910413 />
 
=== Zorgverlenerzorginstelling ===
 
=== Zorgverlenerzorginstelling ===
 
<section begin=zorgverlenerzorginstelling_999910413 />
 
<section begin=zorgverlenerzorginstelling_999910413 />
Regel 42: Regel 109:
 
|colspan="4"|Zorginstelling
 
|colspan="4"|Zorginstelling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorginstelling lvrid
 
|colspan="2"|Zorginstelling lvrid
−
|style="background-color: white;"|1500
+
|style="background-color: white;"|1808 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_999910413 />
 +
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 +
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 +
|-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="2"|Naam zorginstelling
+
|colspan="5"|Wijze einde zwangerschap
−
|style="background-color: white;"|Verloskundigenpraktijk B
+
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 1127 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Zorgverlener
+
|colspan="6"|Eerdere bevalling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Hoeveelheid bloedverlies
 +
|style="background-color: white;"|550 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Vorige uitkomst per kind - vorige baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Geboortedatum
 +
|style="background-color: white;"|T - 1120 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Kindspecifieke gegevens vorige uitkomsten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type partus
 +
|style="background-color: white;"|Spontaan (code = '177184002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Percentiel van het geboortegewicht
 +
|style="background-color: white;"|p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgverlener lvrid
+
|colspan="2"|Apgarscore na 5 min
−
|style="background-color: white;"|00001111
+
|style="background-color: white;"|8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Naam zorgverlener
+
|colspan="2"|Congenitale afwijkingen?
−
|style="background-color: white;"|Janssen
+
|style="background-color: white;"|Nee
−
|}<section end=zorgverlenerzorginstelling_999910413 />
+
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 />
 
=== Zwangerschap ===
 
=== Zwangerschap ===
 
<section begin=zwangerschap_999910413 />
 
<section begin=zwangerschap_999910413 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschap
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="2" width="25%"| Gegevenselement
+
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Graviditeit
+
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pariteit voor deze zwangerschap
 
|style="background-color: white;"|1
 
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Pariteit voor deze zwangerschap
+
|colspan="3"|Definitieve a terme datum
−
|style="background-color: white;"|0
+
|style="background-color: white;"|T - 84 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Thuis (code = '169813005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 305 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|59 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|goed (code = '289431008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|70 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 305 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|59 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Infectie
 +
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Wijze einde zwangerschap
+
|colspan="3"|Wijze einde zwangerschap
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum einde zwangerschap
 
−
|style="background-color: white;"|T - 1431 dagen
 
 
|}<section end=zwangerschap_999910413 />
 
|}<section end=zwangerschap_999910413 />
 
=== Bevalling ===
 
=== Bevalling ===
 
<section begin=bevalling_999910413 />
 
<section begin=bevalling_999910413 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Bevalling
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="2" width="25%"| Gegevenselement
+
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Tijdstip begin actieve ontsluiting
+
|colspan="3"|Partusnummer
−
|style="background-color: white;"|T-1432D{21:46}
+
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aantal geboren kinderen
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Risicostatus voor baring
 +
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Interventies begin baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interventie begin baring
 +
|style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Indicatie interventie begin baring
 +
|style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze waarop de baring begon
 +
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip begin actieve ontsluiting
 +
|style="background-color: white;"|T - 86 dagen  om 14:30 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Medicatie nageboortetijdperk groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Medicatie nageboortetijdperk?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort medicatie nageboortetijdperk
 +
|style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Hoeveelheid bloedverlies
+
|colspan="3"|Hoeveelheid bloedverlies
−
|style="background-color: white;"|600 ml
+
|style="background-color: white;"|615 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Conditie perineum postpartum
+
|colspan="3"|Conditie perineum postpartum
−
|style="background-color: white;"|Episiotomiewond (code = '609344008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'SNOMED CT')
 
|}<section end=bevalling_999910413 />
 
|}<section end=bevalling_999910413 />
 
=== Uitkomst per kind ===
 
=== Uitkomst per kind ===
Regel 110: Regel 301:
 
|colspan="6"|Baring
 
|colspan="6"|Baring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="34"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Demografische gegevens
 
|colspan="5"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Identificaties kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bsn kind
 +
|style="background-color: white;"|999910383 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Geslacht medische observatie
 +
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Geboortedatum
 
|colspan="3"|Geboortedatum
−
|style="background-color: white;"|T-1431D
+
|style="background-color: white;"|T - 85 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Rangnummer kind
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Perinatale sterfte?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Kindspecifieke maternale gegevens
 
|colspan="5"|Kindspecifieke maternale gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 85 dagen  om 09:15 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Tijdstip actief meepersen
 
|colspan="3"|Tijdstip actief meepersen
−
|style="background-color: white;"|T-1431D{01:01}
+
|style="background-color: white;"|T - 85 dagen  om 12:13 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Episiotomie?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pijnbestrijding?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Sedatie?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Kindspecifieke uitkomstgegevens
 
|colspan="5"|Kindspecifieke uitkomstgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Type partus
 
|colspan="3"|Type partus
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spontaan (code = '177184002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ligging bij geboorte
 +
|style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zwangerschapsduur
+
|colspan="3"|Supervisor - rol supervisor
−
|style="background-color: white;"|289 dagen
+
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Vaginale kunstverlossing groep
+
|colspan="4"|Lichamelijk onderzoek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Vaginale kunstverlossing
+
|colspan="2"|Geboortegewicht
−
|style="background-color: white;"|Vacuüm (code = '61586001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|3450 gram
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Lichamelijk onderzoek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Apgarscore na 5 min
+
|colspan="3"|Problematiek kind?
−
|style="background-color: white;"|6
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Geboortegewicht
+
|colspan="3"|Kinderarts betrokken?
−
|style="background-color: white;"|4810 gram
+
|style="background-color: white;"|Nee
 
|}<section end=uitkomst_per_kind_999910413 />
 
|}<section end=uitkomst_per_kind_999910413 />
−
==Scenario Wouden-2e zwangerschap (voor vrouw met BSN: 999910413)==
+
=== Medisch onderzoek ===
−
<section begin=999910413 />
+
<section begin=medisch_onderzoek_999910413 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Nee
 +
|}<section end=medisch_onderzoek_999910413 />
 +
=== Postnatale fase ===
 +
<section begin=postnatale_fase_999910413 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Kindspecifieke gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Burgerservicenummer
+
|rowspan="7"|
−
|style="background-color: white;"|999910413 (in identificerend systeem: BSN)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Rangnummer kind
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voeding kind groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voeding kind datum
 +
|style="background-color: white;"|T - 81 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Substantie voeding kind
 +
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Substantie voeding kind
 +
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 +
|}<section end=postnatale_fase_999910413 />
 +
==Scenario 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling. (voor vrouw met BSN: 961921821)==
 +
<section begin=961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|961921821 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|11 sep in het jaar: (jaar van T) - 41 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|5689 CZ
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|184 cm
 +
|}<section end=961921821 />
 +
=== Anamnese ===
 +
<section begin=anamnese_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Onder behandeling geweest?
 +
|style="background-color: white;"|Nee
 +
|}<section end=anamnese_961921821 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgverlening
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 332 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 240 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Verwijsdetails
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Datum verwijzing
 +
|style="background-color: white;"|T - 240 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verwijzing van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="6"|Verwijzing naar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Achternaam
+
|colspan="5"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|gynaecoloog 2e lijn (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.15.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type verwijzing
 +
|style="background-color: white;"|Consult (code = '11429006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Redenen van verwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Van 1e naar 2e lijn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zwangerschap
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsel
+
|colspan="2"|Hypertensieve aandoening
−
|style="background-color: white;"|van der
+
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="5"|Perinatale periode
−
|style="background-color: white;"|Wouden
+
|style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
−
|}<section end=999910413 />
+
|}<section end=zorgverlening_961921821 />
 
=== Zorgverlenerzorginstelling ===
 
=== Zorgverlenerzorginstelling ===
−
<section begin=zorgverlenerzorginstelling_999910413 />
+
<section begin=zorgverlenerzorginstelling_961921821 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
Regel 190: Regel 559:
 
|colspan="4"|Zorginstelling
 
|colspan="4"|Zorginstelling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorginstelling lvrid
 
|colspan="2"|Zorginstelling lvrid
−
|style="background-color: white;"|1500
+
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_961921821 />
 +
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 +
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Naam zorginstelling
+
|colspan="3"|Wijze einde zwangerschap
−
|style="background-color: white;"|Verloskundigenpraktijk B
+
|style="background-color: white;"|Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 575 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Zorgverlener
+
|colspan="4"|Diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgverlener lvrid
+
|colspan="2"|Bloedverlies?
−
|style="background-color: white;"|00001111
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Naam zorgverlener
+
|colspan="2"|Hyperemesis gravidarum?
−
|style="background-color: white;"|Janssen
+
|style="background-color: white;"|Ja
−
|}<section end=zorgverlenerzorginstelling_999910413 />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Ja
 +
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 
=== Zwangerschap ===
 
=== Zwangerschap ===
−
<section begin=zwangerschap_999910413 />
+
<section begin=zwangerschap_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 115 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 240 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|155 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|weinig (code = '276372004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|85 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 240 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|155 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hypertensieve aandoening
 +
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Nee
 +
|}<section end=zwangerschap_961921821 />
 +
==Scenario 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling. (voor vrouw met BSN: 961921821)==
 +
<section begin=961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|961921821 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|11 sep in het jaar: (jaar van T) - 41 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|5689 CZ
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|184 cm
 +
|}<section end=961921821 />
 +
=== Anamnese ===
 +
<section begin=anamnese_961921821 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschap
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Anamnese
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|colspan="2" width="25%"| Gegevenselement
Regel 217: Regel 697:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Graviditeit
+
|colspan="2"|Onder behandeling geweest?
 +
|style="background-color: white;"|Nee
 +
|}<section end=anamnese_961921821 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgverlening
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 234 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 84 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Verwijsdetails
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verwijzing van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verwijzing naar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Redenen van verwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Van 1e naar 2e lijn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zwangerschap
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hypertensieve aandoening
 +
|style="background-color: white;"|Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
 +
|}<section end=zorgverlening_961921821 />
 +
=== Zorgverlenerzorginstelling ===
 +
<section begin=zorgverlenerzorginstelling_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorginstelling lvrid
 +
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_961921821 />
 +
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 +
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 575 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gynaecologische aandoening
 +
|style="background-color: white;"|Uterus anomalie (code = '37849005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloedverlies?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hyperemesis gravidarum?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Ja
 +
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 +
=== Zwangerschap ===
 +
<section begin=zwangerschap_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 
|style="background-color: white;"|2
 
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Pariteit voor deze zwangerschap
+
|colspan="3"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 115 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 234 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|161 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|verminderd (code = '276369006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|85 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 234 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|161 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gynaecologische aandoening
 +
|style="background-color: white;"|Uterus anomalie (code = '37849005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Partiele mola?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hypertensieve aandoening
 +
|style="background-color: white;"|Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|}<section end=zwangerschap_961921821 />
 +
=== Bevalling ===
 +
<section begin=bevalling_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Partusnummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aantal geboren kinderen
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Risicostatus voor baring
 +
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Interventies begin baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interventie begin baring
 +
|style="background-color: white;"|Primaire sectio caesarea (code = '80771000146107' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Indicatie interventie begin baring
 +
|style="background-color: white;"|acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze waarop de baring begon
 +
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip begin actieve ontsluiting
 +
|style="background-color: white;"|T - 124 dagen  om 14:09 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Medicatie nageboortetijdperk groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Medicatie nageboortetijdperk?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort medicatie nageboortetijdperk
 +
|style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Hoeveelheid bloedverlies
 +
|style="background-color: white;"|980 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Conditie perineum postpartum
 +
|style="background-color: white;"|Gaaf (code = '289854007' in codeSystem 'SNOMED CT')
 +
|}<section end=bevalling_961921821 />
 +
=== Uitkomst per kind ===
 +
<section begin=uitkomst_per_kind_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Uitkomst per kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="51"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Ziekenhuis baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Ziekenhuisnummer lvrid
 +
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Identificaties kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Bsn kind
 +
|style="background-color: white;"|951847624 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht medische observatie
 +
|style="background-color: white;"|mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|T - 122 dagen  om 02:34 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Rangnummer kind
 
|style="background-color: white;"|1
 
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Perinatale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Kindspecifieke maternale gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 124 dagen  om 23:04 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Pijnbestrijding?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Pijnbestrijding
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Wijze einde zwangerschap
+
|rowspan="5"|
−
|style="background-color: white;"|EUG (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Methode
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Methode
 +
|style="background-color: white;"|Epidurale analgesie (code = '18946005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Periode
 +
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Sedatie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Kindspecifieke uitkomstgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type partus
 +
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Ligging bij geboorte
 +
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Supervisor - rol supervisor
 +
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Sectio caesarea group
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Indicatie primaire sectio
 +
|style="background-color: white;"|verdenking foetale nood (code = '444433005:246090004=130955003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Indicatie primaire sectio
 +
|style="background-color: white;"|maternale conditie (code = '418138009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichamelijk onderzoek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Geboortegewicht
 +
|style="background-color: white;"|3620 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Problematiek kind?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Kinderarts betrokken?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Betrokkenheid kinderarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Datum betrokkenheid
 +
|style="background-color: white;"|T - 122 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Reden betrokkenheid
 +
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Type betrokkenheid
 +
|style="background-color: white;"|Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorginstelling lvrid
 +
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=uitkomst_per_kind_961921821 />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_961921821 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum einde zwangerschap
+
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
−
|style="background-color: white;"|T - 1331 dagen
+
|style="background-color: white;"|Rhesus D (code = '112162009' in codeSystem 'SNOMED CT')
−
|}<section end=zwangerschap_999910413 />
+
|}<section end=medisch_onderzoek_961921821 />
−
==Scenario Wouden-3e zwangerschap (voor vrouw met BSN: 999910413)==
+
=== Postnatale fase ===
−
<section begin=999910413 />
+
<section begin=postnatale_fase_961921821 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Diagnoseinterventie postnataal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Burgerservicenummer
+
|colspan="3"|Datum
−
|style="background-color: white;"|999910413 (in identificerend systeem: BSN)
+
|style="background-color: white;"|T - 120 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pathologie vrouw
 +
|style="background-color: white;"|Urineweginfectie (code = '68566005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Naamgegevens
+
|colspan="5"|Kindspecifieke gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Rangnummer kind
 +
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Achternaam
+
|colspan="4"|Voeding kind groep
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Voorvoegsel
+
|colspan="2"|Voeding kind datum
−
|style="background-color: white;"|van der
+
|style="background-color: white;"|T - 86 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Achternaam
+
|colspan="2"|Substantie voeding kind
−
|style="background-color: white;"|Wouden
+
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
−
|}<section end=999910413 />
+
|}<section end=postnatale_fase_961921821 />
 +
==Scenario 3. zorg volledig in 2e lijn, meerling, 1 kind overleden. (voor vrouw met BSN: 895623146)==
 +
<section begin=895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|895623146 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|5 aug in het jaar: (jaar van T) - 30 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|5421 JG
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|167 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vrouwelijke genitale verminking?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type vrouwelijke genitale verminking
 +
|style="background-color: white;"|Type 2 (code = '130621000119105' in codeSystem 'SNOMED CT')
 +
|}<section end=895623146 />
 +
=== Anamnese ===
 +
<section begin=anamnese_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onder behandeling geweest?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Algemene anamnese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Cardiovasculaire aandoening
 +
|style="background-color: white;"|Hartritmestoornis (code = '698247007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Schildklier aandoening
 +
|style="background-color: white;"|Hyperthyreoidie (code = '34486009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Anemie
 +
|style="background-color: white;"|IJzergebrek (code = '87522002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloedtransfusie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Hart (code = '64915003' in codeSystem 'SNOMED CT')
 +
|}<section end=anamnese_895623146 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 297 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 59 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 +
|}<section end=zorgverlening_895623146 />
 
=== Zorgverlenerzorginstelling ===
 
=== Zorgverlenerzorginstelling ===
−
<section begin=zorgverlenerzorginstelling_999910413 />
+
<section begin=zorgverlenerzorginstelling_895623146 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
Regel 265: Regel 1.267:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Zorginstelling
 
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorginstelling lvrid
 +
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_895623146 />
 +
=== Zwangerschap ===
 +
<section begin=zwangerschap_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 101 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 225 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|156 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|goed (code = '289431008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|67 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 225 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|156 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bloedverlies?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Infectie
 +
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Afwijkende groei foetus
 +
|style="background-color: white;"|Dysmaturiteit (code = '267258002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Abruptio placentae?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|}<section end=zwangerschap_895623146 />
 +
=== Bevalling ===
 +
<section begin=bevalling_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Partusnummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose bevalling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorginstelling lvrid
+
|colspan="2"|Pprom?
−
|style="background-color: white;"|1504
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verdenking foetale nood?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aantal geboren kinderen
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Risicostatus voor baring
 +
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze waarop de baring begon
 +
|style="background-color: white;"|Spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip begin actieve ontsluiting
 +
|style="background-color: white;"|T - 127 dagen  om 22:09 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Medicatie nageboortetijdperk groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Medicatie nageboortetijdperk?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Hoeveelheid bloedverlies
 +
|style="background-color: white;"|1740 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Conditie perineum postpartum
 +
|style="background-color: white;"|Episiotomiewond (code = '609344008' in codeSystem 'SNOMED CT')
 +
|}<section end=bevalling_895623146 />
 +
=== Uitkomst per kind ===
 +
<section begin=uitkomst_per_kind_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="59"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ziekenhuis baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ziekenhuisnummer lvrid
 +
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Identificaties kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Bsn kind
 +
|style="background-color: white;"|847035116 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht medische observatie
 +
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|T - 126 dagen  om 06:30 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Rangnummer kind
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Perinatale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke maternale gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 127 dagen  om 22:09 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip actief meepersen
 +
|style="background-color: white;"|T - 127 dagen  om 23:49 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Episiotomie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie episiotomie
 +
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Pijnbestrijding?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Pijnbestrijding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Methode
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Methode
 +
|style="background-color: white;"|Overig middel (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Overig middel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Middel
 +
|style="background-color: white;"|Morfinometica (code = '52685006:363701004=404642006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toediening
 +
|style="background-color: white;"|Intraveneus (code = '431215000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Periode
 +
|style="background-color: white;"|tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Sedatie?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke uitkomstgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Type partus
 +
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ligging bij geboorte
 +
|style="background-color: white;"|Aangezicht (code = '21882006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Supervisor - rol supervisor
 +
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Vaginale kunstverlossing groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Vaginale kunstverlossing
 +
|style="background-color: white;"|Forceps (code = '302383004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Succes vaginale kunstverlossing?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Lichamelijk onderzoek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortegewicht
 +
|style="background-color: white;"|2040 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind
 +
|style="background-color: white;"|Geboortetrauma (code = '56110009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kinderarts betrokken?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betrokkenheid kinderarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum betrokkenheid
 +
|style="background-color: white;"|T - 126 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Reden betrokkenheid
 +
|style="background-color: white;"|kunstverlossing (code = '8571000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type betrokkenheid
 +
|style="background-color: white;"|Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorginstelling lvrid
 +
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=uitkomst_per_kind_895623146 />
 +
=== Uitkomst per kind ===
 +
<section begin=uitkomst_per_kind_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="71"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ziekenhuis baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ziekenhuisnummer lvrid
 +
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Identificaties kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Bsn kind
 +
|style="background-color: white;"|847035128 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht medische observatie
 +
|style="background-color: white;"|mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|T - 126 dagen  om 07:02 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Rangnummer kind
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Perinatale sterfte?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Fase perinatale sterfte
 +
|style="background-color: white;"|Postpartum (code = '276506001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datumtijd vaststelling perinatale sterfte
 +
|style="background-color: white;"|T - 126 dagen  om 08:10 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke maternale gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 127 dagen  om 23:13 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip actief meepersen
 +
|style="background-color: white;"|T - 126 dagen  om 06:45 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Episiotomie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie episiotomie
 +
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Pijnbestrijding?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Pijnbestrijding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Methode
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Methode
 +
|style="background-color: white;"|Overig middel (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Overig middel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Middel
 +
|style="background-color: white;"|Entonox (code = '426060003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toediening
 +
|style="background-color: white;"|Inhalatie (code = '241717009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Periode
 +
|style="background-color: white;"|tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Sedatie?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke uitkomstgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Type partus
 +
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ligging bij geboorte
 +
|style="background-color: white;"|Volkomen stuit (code = '49168004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Supervisor - rol supervisor
 +
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Vaginale kunstverlossing groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Vaginale kunstverlossing
 +
|style="background-color: white;"|Stuitextractie (code = '416055001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Succes vaginale kunstverlossing?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Overige interventies
 +
|style="background-color: white;"|Opheffen schouderdystocie (code = '237008007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Lichamelijk onderzoek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortegewicht
 +
|style="background-color: white;"|1580 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Congenitale afwijkingen groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Specificatie congenitale afwijking groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specificatie congenitale afwijking
 +
|style="background-color: white;"|spina bifida occulta (code = '76916001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Specificatie congenitale afwijking groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specificatie congenitale afwijking
 +
|style="background-color: white;"|gecompliceerd vitium (code = '94702005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Chromosomale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind
 +
|style="background-color: white;"|Subdurale bloeding (code = '126941005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kinderarts betrokken?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betrokkenheid kinderarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum betrokkenheid
 +
|style="background-color: white;"|T - 126 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Reden betrokkenheid
 +
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type betrokkenheid
 +
|style="background-color: white;"|Overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorginstelling lvrid
 +
|style="background-color: white;"|0001 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=uitkomst_per_kind_895623146 />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Nee
 +
|}<section end=medisch_onderzoek_895623146 />
 +
=== Postnatale fase ===
 +
<section begin=postnatale_fase_895623146 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Kindspecifieke gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Naam zorginstelling
+
|colspan="3"|Rangnummer kind
−
|style="background-color: white;"|Verloskundigenpraktijk A
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Zorgverlener
+
|colspan="4"|Voeding kind groep
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Zorgverlener lvrid
+
|colspan="2"|Voeding kind datum
−
|style="background-color: white;"|00001234
+
|style="background-color: white;"|T - 120 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Substantie voeding kind
 +
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 +
|}<section end=postnatale_fase_895623146 />
 +
==Scenario 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden. (voor vrouw met BSN: 850810711)==
 +
<section begin=850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|850810711 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|6 aug in het jaar: (jaar van T) - 28 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|4589 BA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|162 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vrouwelijke genitale verminking?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type vrouwelijke genitale verminking
 +
|style="background-color: white;"|Type 1 (code = '130631000119108' in codeSystem 'SNOMED CT')
 +
|}<section end=850810711 />
 +
=== Anamnese ===
 +
<section begin=anamnese_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onder behandeling geweest?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Algemene anamnese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Autoimmuun aandoening
 +
|style="background-color: white;"|Reuma (code = '396332003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Urogenitale aandoening
 +
|style="background-color: white;"|Bacteriurie (code = '61373006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Diabetes mellitus?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Mdl aandoening
 +
|style="background-color: white;"|Chronische leveraandoeningen (code = '328383001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Longaandoening
 +
|style="background-color: white;"|Astma (code = '195967001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Appendectomie (code = '80146002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|}<section end=anamnese_850810711 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlening
 +
|-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 start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 147 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 108 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verwijsdetails
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing naar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Naam zorgverlener
+
|colspan="2"|Zorgaanbieder identificatie nummer
−
|style="background-color: white;"|Los
+
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
−
|}<section end=zorgverlenerzorginstelling_999910413 />
+
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Redenen van verwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Van 2e naar 1e lijn
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|}<section end=zorgverlening_850810711 />
 +
=== Zorgverlenerzorginstelling ===
 +
<section begin=zorgverlenerzorginstelling_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorginstelling lvrid
 +
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_850810711 />
 
=== Zwangerschap ===
 
=== Zwangerschap ===
−
<section begin=zwangerschap_999910413 />
+
<section begin=zwangerschap_850810711 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschap
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschap
Regel 292: Regel 1.956:
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Graviditeit
 
|colspan="2"|Graviditeit
−
|style="background-color: white;"|3
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Pariteit voor deze zwangerschap
 
|colspan="2"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|1
+
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 136 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Maternale sterfte?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Wijze einde zwangerschap
 
|colspan="2"|Wijze einde zwangerschap
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|}<section end=zwangerschap_850810711 />
 +
=== Bevalling ===
 +
<section begin=bevalling_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aantal geboren kinderen
 +
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum einde zwangerschap
+
|colspan="3"|Risicostatus voor baring
−
|style="background-color: white;"|T - 946 dagen
+
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
−
|}<section end=zwangerschap_999910413 />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze waarop de baring begon
 +
|style="background-color: white;"|Spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip begin actieve ontsluiting
 +
|style="background-color: white;"|T - 151 dagen  om 21:09 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Medicatie nageboortetijdperk groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Medicatie nageboortetijdperk?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort medicatie nageboortetijdperk
 +
|style="background-color: white;"|Prostaglandine (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Hoeveelheid bloedverlies
 +
|style="background-color: white;"|1120 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Conditie perineum postpartum
 +
|style="background-color: white;"|3e graads ruptuur (code = '199930000' in codeSystem 'SNOMED CT')
 +
|}<section end=bevalling_850810711 />
 +
=== Uitkomst per kind ===
 +
<section begin=uitkomst_per_kind_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="58"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ziekenhuis baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ziekenhuisnummer lvrid
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Identificaties kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Bsn kind
 +
|style="background-color: white;"|840736526 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht medische observatie
 +
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|T - 150 dagen  om 23:35 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Rangnummer kind
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Perinatale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke maternale gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 151 dagen  om 07:04 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|Bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip actief meepersen
 +
|style="background-color: white;"|T - 150 dagen  om 22:15 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Episiotomie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie episiotomie
 +
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Pijnbestrijding?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Pijnbestrijding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Methode
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Methode
 +
|style="background-color: white;"|Overig middel (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Overig middel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Middel
 +
|style="background-color: white;"|Entonox (code = '426060003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toediening
 +
|style="background-color: white;"|Inhalatie (code = '241717009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Periode
 +
|style="background-color: white;"|tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Sedatie?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke uitkomstgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Type partus
 +
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ligging bij geboorte
 +
|style="background-color: white;"|Kruin (code = '249079005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Supervisor - rol supervisor
 +
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Vaginale kunstverlossing groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Vaginale kunstverlossing
 +
|style="background-color: white;"|Forceps (code = '302383004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Succes vaginale kunstverlossing?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Lichamelijk onderzoek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortegewicht
 +
|style="background-color: white;"|4205 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kinderarts betrokken?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betrokkenheid kinderarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum betrokkenheid
 +
|style="background-color: white;"|T - 150 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Reden betrokkenheid
 +
|style="background-color: white;"|kunstverlossing (code = '8571000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type betrokkenheid
 +
|style="background-color: white;"|Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorginstelling lvrid
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=uitkomst_per_kind_850810711 />
 +
=== Postnatale fase ===
 +
<section begin=postnatale_fase_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Diagnoseinterventie postnataal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Datum
 +
|style="background-color: white;"|T - 146 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pathologie vrouw
 +
|style="background-color: white;"|Embolie (code = '414086009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Diagnoseinterventie postnataal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Datum
 +
|style="background-color: white;"|T - 146 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pathologie vrouw
 +
|style="background-color: white;"|Ontstoken episiotomie (code = '300927001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Kindspecifieke gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voeding kind groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voeding kind datum
 +
|style="background-color: white;"|T - 108 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Substantie voeding kind
 +
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 +
|}<section end=postnatale_fase_850810711 />
 +
==Scenario 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden (voor vrouw met BSN: 850810711)==
 +
<section begin=850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|850810711 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|6 aug in het jaar: (jaar van T) - 28 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|4589 BA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|162 cm
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vrouwelijke genitale verminking?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type vrouwelijke genitale verminking
 +
|style="background-color: white;"|Type 1 (code = '130631000119108' in codeSystem 'SNOMED CT')
 +
|}<section end=850810711 />
 +
=== Anamnese ===
 +
<section begin=anamnese_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onder behandeling geweest?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Algemene anamnese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Autoimmuun aandoening
 +
|style="background-color: white;"|Reuma (code = '396332003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Urogenitale aandoening
 +
|style="background-color: white;"|Bacteriurie (code = '61373006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Diabetes mellitus?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Mdl aandoening
 +
|style="background-color: white;"|Chronische leveraandoeningen (code = '328383001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Longaandoening
 +
|style="background-color: white;"|Astma (code = '195967001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Appendectomie (code = '80146002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type operatie
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|}<section end=anamnese_850810711 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlening
 +
|-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 start zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 332 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 148 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verwijsdetails
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum verwijzing
 +
|style="background-color: white;"|T - 148 dagen  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verwijzing naar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatie nummer
 +
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Redenen van verwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Van 2e naar 1e lijn
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Perinatale periode
 +
|style="background-color: white;"|2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
 +
|}<section end=zorgverlening_850810711 />
 +
=== Zorgverlenerzorginstelling ===
 +
<section begin=zorgverlenerzorginstelling_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorginstelling lvrid
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_850810711 />
 +
=== Zwangerschap ===
 +
<section begin=zwangerschap_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 136 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 239 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|177 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|goed (code = '289431008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|82 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 239 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|177 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Infectie
 +
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|}<section end=zwangerschap_850810711 />
 
=== Bevalling ===
 
=== Bevalling ===
−
<section begin=bevalling_999910413 />
+
<section begin=bevalling_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose bevalling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Niet vorderende ontsluiting?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Niet vorderende uitdrijving?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aantal geboren kinderen
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Risicostatus voor baring
 +
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze waarop de baring begon
 +
|style="background-color: white;"|Spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Tijdstip begin actieve ontsluiting
 +
|style="background-color: white;"|T - 151 dagen  om 21:09 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Medicatie nageboortetijdperk groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Medicatie nageboortetijdperk?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Soort medicatie nageboortetijdperk
 +
|style="background-color: white;"|Prostaglandine (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Hoeveelheid bloedverlies
 +
|style="background-color: white;"|1120 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Conditie perineum postpartum
 +
|style="background-color: white;"|3e graads ruptuur (code = '199930000' in codeSystem 'SNOMED CT')
 +
|}<section end=bevalling_850810711 />
 +
=== Uitkomst per kind ===
 +
<section begin=uitkomst_per_kind_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="58"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Werkelijke plaats baring type locatie
 +
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ziekenhuis baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ziekenhuisnummer lvrid
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Identificaties kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Bsn kind
 +
|style="background-color: white;"|840736526 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht medische observatie
 +
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|T - 150 dagen  om 23:35 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Rangnummer kind
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Perinatale sterfte groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Perinatale sterfte?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke maternale gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip breken vliezen
 +
|style="background-color: white;"|T - 151 dagen  om 07:04 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kleur en consistentie vruchtwater
 +
|style="background-color: white;"|Bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Tijdstip actief meepersen
 +
|style="background-color: white;"|T - 150 dagen  om 22:15 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Episiotomie?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie episiotomie
 +
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ruggeprik gewenst niet gekregen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Pijnbestrijding?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Pijnbestrijding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Methode
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Methode
 +
|style="background-color: white;"|Overig middel (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Overig middel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Middel
 +
|style="background-color: white;"|Entonox (code = '426060003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toediening
 +
|style="background-color: white;"|Inhalatie (code = '241717009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Periode
 +
|style="background-color: white;"|tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Sedatie?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Kindspecifieke uitkomstgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Type partus
 +
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Ligging bij geboorte
 +
|style="background-color: white;"|Kruin (code = '249079005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Aanpakker kind - rol aanpakker kind
 +
|style="background-color: white;"|co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Supervisor - rol supervisor
 +
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem 'UZI Rolcodes')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Vaginale kunstverlossing groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Vaginale kunstverlossing
 +
|style="background-color: white;"|Forceps (code = '302383004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Succes vaginale kunstverlossing?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Lichamelijk onderzoek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortegewicht
 +
|style="background-color: white;"|4205 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Problematiek kind?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Kinderarts betrokken?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Betrokkenheid kinderarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum betrokkenheid
 +
|style="background-color: white;"|T - 150 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Reden betrokkenheid
 +
|style="background-color: white;"|kunstverlossing (code = '8571000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Type betrokkenheid
 +
|style="background-color: white;"|Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorginstelling lvrid
 +
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=uitkomst_per_kind_850810711 />
 +
=== Medisch onderzoek ===
 +
<section begin=medisch_onderzoek_850810711 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Nee
 +
|}<section end=medisch_onderzoek_850810711 />
 +
==Scenario 5. zorg volledig 2e lijn, vrouw overleden. (voor vrouw met BSN: 912345676)==
 +
<section begin=912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerservicenummer
 +
|style="background-color: white;"|912345676 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lokale persoonsidentificatie
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|4 maa in het jaar: (jaar van T) - 22 jaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adres - postcode
 +
|style="background-color: white;"|9562 GF
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Etniciteit
 +
|style="background-color: white;"|Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Lengte gemeten
 +
|style="background-color: white;"|186 cm
 +
|}<section end=912345676 />
 +
=== Anamnese ===
 +
<section begin=anamnese_912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onder behandeling geweest?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Algemene anamnese
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Cardiovasculaire aandoening
 +
|style="background-color: white;"|Hypertensie (code = '38341003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Diabetes mellitus?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Neurologische aandoening
 +
|style="background-color: white;"|Epilepsie (code = '84757009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Longaandoening
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Orthopedische afwijking
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type stollingsprobleem
 +
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Psychiatrie?
 +
|style="background-color: white;"|Ja
 +
|}<section end=anamnese_912345676 />
 +
=== Zorgverlening ===
 +
<section begin=zorgverlening_912345676 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Bevalling
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|colspan="2" width="25%"| Gegevenselement
Regel 314: Regel 2.753:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Tijdstip begin actieve ontsluiting
+
|colspan="2"|Datum start zorgverantwoordelijkheid
−
|style="background-color: white;"|T-946D{12:41}
+
|style="background-color: white;"|T - 388 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|T - 150 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 +
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 +
|}<section end=zorgverlening_912345676 />
 +
=== Zorgverlenerzorginstelling ===
 +
<section begin=zorgverlenerzorginstelling_912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorginstelling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorginstelling lvrid
 +
|style="background-color: white;"|0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 +
|}<section end=zorgverlenerzorginstelling_912345676 />
 +
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 +
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 940 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Infectie
 +
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zwangerschapscholestase?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Afwijkende groei foetus
 +
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Irregulaire antistoffen?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Eerdere bevalling
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Placenta - geboorte placenta
 +
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Vorige uitkomst per kind - vorige baring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Geboortedatum
 +
|style="background-color: white;"|T - 936 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Kindspecifieke gegevens vorige uitkomsten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type partus
 +
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Percentiel van het geboortegewicht
 +
|style="background-color: white;"|p10 tot p50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Apgarscore na 5 min
 +
|style="background-color: white;"|10
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Congenitale afwijkingen?
 +
|style="background-color: white;"|Nee
 +
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_912345676 />
 +
=== Zwangerschap ===
 +
<section begin=zwangerschap_912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Dossiernummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Definitieve a terme datum
 +
|style="background-color: white;"|T - 163 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Voornemens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 +
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Prenatale controle
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum controle
 +
|style="background-color: white;"|T - 357 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|86 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Leven voelen
 +
|style="background-color: white;"|geen (code = '289432001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Rookgedrag
 +
|style="background-color: white;"|gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Alcoholgebruik
 +
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Drugsgebruik?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewicht gemeten
 +
|style="background-color: white;"|89 kg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|T - 357 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zwangerschapsduur
 +
|style="background-color: white;"|86 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Afwijkende groei foetus
 +
|style="background-color: white;"|Macrosomie (code = '199616008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Abruptio placentae?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Intrauteriene behandeling
 +
|style="background-color: white;"|Selectieve foeticide (code = '265633004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Maternale sterfte?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wijze einde zwangerschap
 +
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 +
|}<section end=zwangerschap_912345676 />
 +
=== Bevalling ===
 +
<section begin=bevalling_912345676 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Partusnummer
 +
|style="background-color: white;"|* [waarde moet gegenereerd worden in het zendende systeem]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Duur actieve ontsluitingsfase ontsluitingsduur
+
|colspan="3"|Aantal geboren kinderen
−
|style="background-color: white;"|
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Hoeveelheid bloedverlies
+
|colspan="3"|Risicostatus voor baring
−
|style="background-color: white;"|400 ml
+
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Interventies begin baring