Eovd:Vdraft Sandbox: verschil tussen versies

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(tijdelijk voor PDF - BGZ-MSZ)
(Label: Vervangen)
(Versie 279570 van Taco Spitters (overleg) ongedaan gemaakt)
(Label: Ongedaan maken)
 
(2 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
  
 
__NUMBEREDHEADINGS__
 
__NUMBEREDHEADINGS__
−
{{DISPLAYTITLE:Inhoudelijke gegevens BgZ-MSZ: validatie patient E + patient F}}
+
{{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens}}
  
−
{{#lst:BgZ:V2.0_beta_2_AddendInhoudelijkeGegevens|BgZ-msz-kwa-patE-SLB}}  
+
=Addenda voor inhoudelijke gegevens=
−
{{#lst:BgZ:V2.0_beta_2_AddendInhoudelijkeGegevens|BgZ-msz-kwa-patF-SLB}}
+
<section begin=eovd-sobvw-arianne-test />
−
{{#lst:BgZ:V2.0_beta_2_AddendInhoudelijkeGegevens|BgZ-msz-kwa-patF-D1}}
+
==Scenario test - test==
 +
 
 +
=== Administratieve gegevens===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Administratieve gegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="7"|Datum overplaatsing
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Persoonsgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="47"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="33"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|M
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Brekelmans
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1003
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999ZA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Enschede
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gemeente
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land
 +
|style="background-color: white;"|(code = 'Nederland')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|0612344444
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|Bergen@ci.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatienummer
 +
|style="background-color: white;"|999911211 (in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|29 jul 1964
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Begin datum tijd
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Eind datum tijd
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verzekeringssoort
 +
|style="background-color: white;"|Basis verzekerd (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatie nummer
 +
|style="background-color: white;"|(in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Organisatie naam
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Verzekerde nummer
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Sturende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|(in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Organisatie naam
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afdeling specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aanduiding bij nummer
 +
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Organisatie type
 +
|style="background-color: white;"|Ziekenhuis (code = 'V4' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Ontvangende organisatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Organisatie naam
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Organisatie type
 +
|style="background-color: white;"|Ziekenhuis (code = 'V4' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}
 +
=== Algemene patienten context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Algemene patienten context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Gezinssituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gezinssituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Burgerlijke staat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Burgerlijke staat rc
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Burgerlijke staat
 +
|style="background-color: white;"|Gescheiden (huwelijk/geregistreerd partnerschap ontbonden) (code = 'D' in codeSystem '2.16.840.1.113883.5.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Gezinssamenstelling
 +
|style="background-color: white;"|Alleenwonend (code = '105529008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Woonomgeving
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Woonsituatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Woning type
 +
|style="background-color: white;"|Bovenwoning (code = 'BOVENW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Levensovertuiging
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Levensovertuiging rc
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Levensovertuiging
 +
|style="background-color: white;"|Geen geloof (code = 'GeenGeloof' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Communicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Taalvaardigheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Communicatie taal
 +
|style="background-color: white;"|(code = '' in codeSystem 'ISO 639-1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Taalvaardigheid begrijpen
 +
|style="background-color: white;"|Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Taalvaardigheid spreken
 +
|style="background-color: white;"|Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Taalvaardigheid lezen
 +
|style="background-color: white;"|Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')
 +
|}
 +
=== Medische context===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medische context
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Behandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|SpecialismeUZICodelijst (code = '_SpecialismeUZICodelijst' in codeSystem '1.2.3.999.5.999')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Medische diagnose
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem naam
 +
|style="background-color: white;"|(code = 'TODO')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem status
 +
|style="background-color: white;"|(code = 'TODO')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Voorgeschiedenis
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem naam
 +
|style="background-color: white;"|(code = 'TODO')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}
 +
=== Verpleegkundige context zorgplan===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verpleegkundige context zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Afspraken patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geplande zorg activiteit
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Order status
 +
|style="background-color: white;"|Order geplaatst (code = 'new' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Order type
 +
|style="background-color: white;"|Patientcontact (code = '308335008' in codeSystem 'SNOMED CT')
 +
|}
 +
=== Verpleegkundige context specificatie gezondheidstoestand===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="30%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Zelfzorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="27"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot drinken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Drinken
 +
|style="background-color: white;"|Onafhankelijk (code = '19841000146104' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Drink beperkingen
 +
|style="background-color: white;"|Bereiden (openen/ uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot eten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eten
 +
|style="background-color: white;"|Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Eet beperkingen
 +
|style="background-color: white;"|Naar de mond brengen (code = '289010002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot zich wassen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zich wassen
 +
|style="background-color: white;"|Onafhankelijk (code = '19831000146107' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Te wassen lichaamsdeel
 +
|style="background-color: white;"|Gehele lichaam (code = '38266002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot zich kleden
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zich kleden
 +
|style="background-color: white;"|Onafhankelijk (code = '129035000' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Te kleden lichaamsdeel
 +
|style="background-color: white;"|Gehele lichaam (code = '38266002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot uiterlijke verzorging
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Uiterlijke verzorging
 +
|style="background-color: white;"|Onafhankelijk (code = '704437004' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot toiletgang
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toiletgebruik
 +
|style="background-color: white;"|Onafhankelijk (code = '129062008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorg bij menstruatie
 +
|style="background-color: white;"|Onafhankelijk (code = '19851000146101' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Vermogen tot zelfstandig medicatiegebruik
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zelfstandig medicatiegebruik
 +
|style="background-color: white;"|Onafhankelijk (code = '27901000146106' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Mobiliteit
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Mobiliteit
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lopen
 +
|style="background-color: white;"|Onafhankelijk (code = '165245003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Traplopen
 +
|style="background-color: white;"|Onafhankelijk (code = '165249009' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Houding veranderen
 +
|style="background-color: white;"|Onafhankelijk (code = '19821000146105' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Houding handhaven
 +
|style="background-color: white;"|Onafhankelijk (code = '19811000146100' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Uitvoeren transfer
 +
|style="background-color: white;"|Onafhankelijk (code = '714915006' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|(code = '' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Uitscheiding
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="29"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Blaasfunctie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Urine continentie
 +
|style="background-color: white;"|Incontinent (code = '165232002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Urine katheter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Verblijfskatheter (code = '23973005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Incontinentiemateriaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|(code = '' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Darmfunctie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Feces continentie
 +
|style="background-color: white;"|Incontinent (code = '72042002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Defecatie consistentie
 +
|style="background-color: white;"|Losse harde keutels, zoals noten (code = 'Type 1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Defecatie kleur
 +
|style="background-color: white;"|Normaal (code = '167605001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Stoma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoma type
 +
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Huid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="29"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Brandwond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Brandwond soort
 +
|style="background-color: white;"|Chemisch brandwond (code = '26696002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Dieptegraad
 +
|style="background-color: white;"|1e graad (code = '77140003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Decubitus wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Decubitus categorie
 +
|style="background-color: white;"|Decubitus categorie 1 (code = '421076008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Huidaandoening
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Soort aandoening
 +
|style="background-color: white;"|Huidletsel door incontinentie (code = '402276007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Wond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="14"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Wond soort
 +
|style="background-color: white;"|Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Wond weefsel
 +
|style="background-color: white;"|WondWeefselOncoUlcerCodelijst (code = '_WondWeefselOncoUlcerCodelijst' in codeSystem '1.2.3.999.5.999')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Wond vochtigheid
 +
|style="background-color: white;"|Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Wond rand
 +
|style="background-color: white;"|Epithelisatie (code = '449743005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Drain
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|(code = '' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Zintuigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="24"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Functie horen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Hoor functie
 +
|style="background-color: white;"|Geen gehoorstoornis (code = '162339002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Horen hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|Geen (code = '0' in codeSystem '2.16.840.1.113883.2.4.3.11.22.211')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Anatomische locatie
 +
|style="background-color: white;"|Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Functie zien
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Visuele functie
 +
|style="background-color: white;"|Geen visuele stoornis (code = '45089002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zien hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Product
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Product type
 +
|style="background-color: white;"|geen visuele hulpmiddelen (code = '0' in codeSystem '2.16.840.1.113883.2.4.3.11.22.218')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Mentale status
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Probleem lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Probleem naam
 +
|style="background-color: white;"|desoriëntatie (bevinding) (code = '62476001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Verificatie status
 +
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
 +
|}<section end=eovd-sobvw-arianne-test />

Huidige versie van 1 aug 2025 om 10:10



1 Addenda voor inhoudelijke gegevens

1.1 Scenario test - test

1.1.1 Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing
Persoonsgegevens
Patient
Naamgegevens
Naamgegevens
Initialen M
Geslachtsnaam
Achternaam XXX_Brekelmans
Adresgegevens
Adresgegevens
Straat Knolweg
Huisnummer 1003
Postcode 9999ZA
Woonplaats Enschede
Gemeente Stitswerd
Land (code = 'Nederland')
Adres soort Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer 0612344444
Email adressen
Email adres Bergen@ci.nl
Identificatienummer 999911211 (in identificerend systeem: BSN)
Geboortedatum 29 jul 1964
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Begin datum tijd
Eind datum tijd
Verzekeringssoort Basis verzekerd (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Identificatie nummer (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
Organisatie naam
Verzekerde nummer
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer (in identificerend systeem: URA)
Organisatie naam
Afdeling specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Adresgegevens
Adresgegevens
Aanduiding bij nummer Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
Adres soort Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
Organisatie type Ziekenhuis (code = 'V4' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Zorgverlener
Naamgegevens
Naamgegevens
Geslachtsnaam
Achternaam
Ontvangende organisatie
Zorgaanbieder
Organisatie naam
Organisatie type Ziekenhuis (code = 'V4' in codeSystem '2.16.840.1.113883.2.4.15.1060')

1.1.2 Algemene patienten context

Algemene patienten context
Gegevenselement Waarde
Gezinssituatie
Gezinssituatie
Burgerlijke staat
Burgerlijke staat rc
Burgerlijke staat Gescheiden (huwelijk/geregistreerd partnerschap ontbonden) (code = 'D' in codeSystem '2.16.840.1.113883.5.2')
Gezinssamenstelling Alleenwonend (code = '105529008' in codeSystem 'SNOMED CT')
Woonomgeving
Woonsituatie
Woning type Bovenwoning (code = 'BOVENW' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')
Levensovertuiging
Levensovertuiging rc
Levensovertuiging Geen geloof (code = 'GeenGeloof' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
Communicatie
Taalvaardigheid
Communicatie taal (code = in codeSystem 'ISO 639-1')
Taalvaardigheid begrijpen Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')
Taalvaardigheid spreken Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')
Taalvaardigheid lezen Uitstekend (code = 'E' in codeSystem '2.16.840.1.113883.5.61')

1.1.3 Medische context

Medische context
Gegevenselement Waarde
Behandelaar
Zorgverlener
Naamgegevens
Geslachtsnaam
Achternaam
Specialisme SpecialismeUZICodelijst (code = '_SpecialismeUZICodelijst' in codeSystem '1.2.3.999.5.999')
Medische diagnose
Probleem
Probleem naam (code = 'TODO')
Probleem status (code = 'TODO')
Voorgeschiedenis
Probleem
Probleem naam (code = 'TODO')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.1.4 Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Afspraken patient
Geplande zorg activiteit
Order status Order geplaatst (code = 'new' in codeSystem 'HL7 ActStatus')
Order type Patientcontact (code = '308335008' in codeSystem 'SNOMED CT')

1.1.5 Verpleegkundige context specificatie gezondheidstoestand

Verpleegkundige context specificatie gezondheidstoestand
Gegevenselement Waarde
Zelfzorg
Vermogen tot drinken
Drinken Onafhankelijk (code = '19841000146104' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Drink beperkingen Bereiden (openen/ uitschenken) (code = '286506008' in codeSystem 'SNOMED CT')
Vermogen tot eten
Eten Onafhankelijk (code = '165224005' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
Eet beperkingen Naar de mond brengen (code = '289010002' in codeSystem 'SNOMED CT')
Vermogen tot zich wassen
Zich wassen Onafhankelijk (code = '19831000146107' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Te wassen lichaamsdeel Gehele lichaam (code = '38266002' in codeSystem 'SNOMED CT')
Vermogen tot zich kleden
Zich kleden Onafhankelijk (code = '129035000' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Te kleden lichaamsdeel Gehele lichaam (code = '38266002' in codeSystem 'SNOMED CT')
Vermogen tot uiterlijke verzorging
Uiterlijke verzorging Onafhankelijk (code = '704437004' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Vermogen tot toiletgang
Toiletgebruik Onafhankelijk (code = '129062008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
Zorg bij menstruatie Onafhankelijk (code = '19851000146101' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Vermogen tot zelfstandig medicatiegebruik
Zelfstandig medicatiegebruik Onafhankelijk (code = '27901000146106' in codeSystem 'SNOMED CT')
Mobiliteit
Mobiliteit
Lopen Onafhankelijk (code = '165245003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Traplopen Onafhankelijk (code = '165249009' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Houding veranderen Onafhankelijk (code = '19821000146105' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Houding handhaven Onafhankelijk (code = '19811000146100' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Uitvoeren transfer Onafhankelijk (code = '714915006' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Medisch hulpmiddel
Medisch hulpmiddel
Product
Product type (code = in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Uitscheiding
Blaasfunctie
Urine continentie Incontinent (code = '165232002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
Urine katheter
Medisch hulpmiddel
Product
Product type Verblijfskatheter (code = '23973005' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Incontinentiemateriaal
Medisch hulpmiddel
Product
Product type (code = in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Darmfunctie
Feces continentie Incontinent (code = '72042002' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '0')
Defecatie consistentie Losse harde keutels, zoals noten (code = 'Type 1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.3.1')
Defecatie kleur Normaal (code = '167605001' in codeSystem 'SNOMED CT')
Stoma
Stoma type urostoma (code = '281601009' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Huid
Brandwond
Brandwond soort Chemisch brandwond (code = '26696002' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Dieptegraad 1e graad (code = '77140003' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
Decubitus wond
Decubitus categorie Decubitus categorie 1 (code = '421076008' in codeSystem '2.16.840.1.113883.6.96 (ordinal = '1')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Huidaandoening
Soort aandoening Huidletsel door incontinentie (code = '402276007' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Wond
Wond soort Chirurgische wond (code = '112633009' in codeSystem 'SNOMED CT')
Wond weefsel WondWeefselOncoUlcerCodelijst (code = '_WondWeefselOncoUlcerCodelijst' in codeSystem '1.2.3.999.5.999')
Wond vochtigheid Droge wond (code = 'DROOG' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.7.3')
Wond rand Epithelisatie (code = '449743005' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Drain
Medisch hulpmiddel
Product
Product type (code = in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Zintuigen
Functie horen
Hoor functie Geen gehoorstoornis (code = '162339002' in codeSystem 'SNOMED CT')
Horen hulpmiddel
Medisch hulpmiddel
Product
Product type Geen (code = '0' in codeSystem '2.16.840.1.113883.2.4.3.11.22.211')
Anatomische locatie Linkeroor (code = '89644007' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Functie zien
Visuele functie Geen visuele stoornis (code = '45089002' in codeSystem 'SNOMED CT')
Zien hulpmiddel
Medisch hulpmiddel
Product
Product type geen visuele hulpmiddelen (code = '0' in codeSystem '2.16.840.1.113883.2.4.3.11.22.218')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Mentale status
Probleem
Probleem lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam desoriëntatie (bevinding) (code = '62476001' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verificatie status Werk (code = '415684004' in codeSystem 'SNOMED CT')
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