jgz:V8 kwalificatie dossieroverdracht Scenario 2 XXX Vooys: verschil tussen versies
(Eerste versie) |
k (JGZ-8.0.1: Move value of element 'Interactie van Wiechen' and remove value of element 'Score spelvraag van wiechentaalonderzoek') |
||
| (2 tussenliggende versies door 2 gebruikers niet weergegeven) | |||
| Regel 11: | Regel 11: | ||
=Overzicht van de dossiergegevens= | =Overzicht van de dossiergegevens= | ||
| + | ===jgz-ontvangen-DOBv4-kwal-XXX_Vooys=== | ||
| + | |||
====R002 dossierinformatie XXX_Vooys==== | ====R002 dossierinformatie XXX_Vooys==== | ||
<section begin=r002_dossierinformatie_XXX_Vooys /> | <section begin=r002_dossierinformatie_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R002 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R002: Dossierinformatie |
|-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 21: | Regel 23: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Dossiernummer | |colspan="2"|Dossiernummer | ||
| − | |style="background-color: white;"|123456788 | + | |style="background-color: white;"|123456788 (in identificerend systeem: 2.16.528.1.1007.3.3.1111.999.2) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Dossier status | |colspan="2"|Dossier status | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Gesloten (code = 'completed' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') |
|}<section end=r002_dossierinformatie_XXX_Vooys /> | |}<section end=r002_dossierinformatie_XXX_Vooys /> | ||
| − | ====R003 | + | ====R003: Persoonsgegevens XXX_Vooys==== |
<section begin=r003_persoonsgegevens_XXX_Vooys /> | <section begin=r003_persoonsgegevens_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R003 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R003: Persoonsgegevens |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 35: | Regel 37: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="3"| | + | |colspan="3"|BSN |
| − | |style="background-color: white;"|999901801 | + | |style="background-color: white;"|999901801 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="3"|Geslachtsnaam | |colspan="3"|Geslachtsnaam | ||
| Regel 45: | Regel 47: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="3"|Geboortedatum | |colspan="3"|Geboortedatum | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 11 jaar |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G001: Adres cliënt |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="8"| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Soort adres | |colspan="2"|Soort adres | ||
| − | |style="background-color: white;"|Woonadres (code = ' | + | |style="background-color: white;"|Woonadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Adres is geheim | |colspan="2"|Adres is geheim | ||
| Regel 70: | Regel 72: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Land | |colspan="2"|Land | ||
| − | |style="background-color: white;"|Nederland (code = '6030' in codeSystem ' | + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|}<section end=r003_persoonsgegevens_XXX_Vooys /> | |}<section end=r003_persoonsgegevens_XXX_Vooys /> | ||
| − | ====R050 | + | ====R050: Zorggegevens XXX_Vooys==== |
<section begin=r050_zorggegevens_XXX_Vooys /> | <section begin=r050_zorggegevens_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R050 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R050: Zorggegevens |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 88: | Regel 83: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G093: Status in zorg |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 97: | Regel 92: | ||
|colspan="2"|Datum start zorg | |colspan="2"|Datum start zorg | ||
|style="background-color: white;"|DOB + 1 maand | |style="background-color: white;"|DOB + 1 maand | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="4"|Groep G092: Zorgbeëindiging | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Zorgbeëindiging | ||
| + | |style="background-color: white;"|Overdracht naar een andere JGZ-organisatie (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.82') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Datum zorgbeëindiging | ||
| + | |style="background-color: white;"|T | ||
|}<section end=r050_zorggegevens_XXX_Vooys /> | |}<section end=r050_zorggegevens_XXX_Vooys /> | ||
| − | ====R005 | + | ====R005: Betrokken JGZ-organisaties XXX_Vooys==== |
<section begin=r005_betrokken_jgzorganisaties_XXX_Vooys /> | <section begin=r005_betrokken_jgzorganisaties_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R005 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R005: Betrokken JGZ-organisaties |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 107: | Regel 112: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G085: Uitvoerende JGZ-organisatie |
|-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"|Uitvoerende | + | |colspan="2"|Uitvoerende JGZ-organisatie URA |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|12345678 (in identificerend systeem: URA) |
|}<section end=r005_betrokken_jgzorganisaties_XXX_Vooys /> | |}<section end=r005_betrokken_jgzorganisaties_XXX_Vooys /> | ||
| − | ====R010 | + | ====R010: Informatie over werkwijze JGZ XXX_Vooys==== |
<section begin=r010_informatie_over_werkwijze_jgz_XXX_Vooys /> | <section begin=r010_informatie_over_werkwijze_jgz_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R010 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R010: Informatie over werkwijze JGZ |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" 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="4"|Groep | + | |colspan="4"|Groep G115: Toestemming gegevensuitwisseling RVP |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Toestemming gegevensuitwisseling | + | |colspan="2"|Toestemming gegevensuitwisseling RVP |
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Toestemmingswijze gegevensuitwisseling | + | |colspan="2"|Toestemmingswijze gegevensuitwisseling RVP |
| − | |style="background-color: white;"|Mondeling (code = '02' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Mondeling (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.423') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Naam bron toestemming gegevensuitwisseling | + | |colspan="2"|Naam bron toestemming gegevensuitwisseling RVP |
|style="background-color: white;"|Valerie Vooys | |style="background-color: white;"|Valerie Vooys | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Bron toestemming gegevensuitwisseling | + | |colspan="2"|Bron toestemming gegevensuitwisseling RVP |
| − | |style="background-color: white;"|Gezaghebbende (Geen toestemming van andere gezaghebbende vereist) (code = '03' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Gezaghebbende (Geen toestemming van andere gezaghebbende vereist) (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.435') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Datum toestemming gegevensuitwisseling RVP | ||
| + | |style="background-color: white;"|DOB + 5 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|JGZ-organisatie URA toestemming gegevensuitwisseling RVP |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|11223344 (in identificerend systeem: URA) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|JGZ-organisatie naam toestemming gegevensuitwisseling RVP |
|style="background-color: white;"|RGC Apeldoorn | |style="background-color: white;"|RGC Apeldoorn | ||
|}<section end=r010_informatie_over_werkwijze_jgz_XXX_Vooys /> | |}<section end=r010_informatie_over_werkwijze_jgz_XXX_Vooys /> | ||
| − | ====R009 | + | ====R009: Externe documenten XXX_Vooys==== |
<section begin=r009_externe_documenten_XXX_Vooys /> | <section begin=r009_externe_documenten_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R009 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R009: Externe documenten |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 157: | Regel 162: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G072: Toegevoegd bestand |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Bestand | |colspan="2"|Bestand | ||
| Regel 169: | Regel 174: | ||
|colspan="2"|Bestandsnaam | |colspan="2"|Bestandsnaam | ||
|style="background-color: white;"|Uitnodigingsbrief.pdf | |style="background-color: white;"|Uitnodigingsbrief.pdf | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Bestand mimetype | ||
| + | |style="background-color: white;"|application/pdf | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Datum bestand | ||
| + | |style="background-color: white;"|T | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="4"|Groep G072: Toegevoegd bestand | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Bestand | ||
| + | |style="background-color: white;"|Ingescand document | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Soort toegevoegd bestand | ||
| + | |style="background-color: white;"|Integraal dossier JGZ (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.303') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Bestandsnaam | ||
| + | |style="background-color: white;"|integraaldossier.pdf | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Bestand mimetype | ||
| + | |style="background-color: white;"|application/pdf | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Datum bestand | |colspan="2"|Datum bestand | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|}<section end=r009_externe_documenten_XXX_Vooys /> | |}<section end=r009_externe_documenten_XXX_Vooys /> | ||
| − | ====R012 | + | ====R012: Erfelijke belasting en ouderkenmerken XXX_Vooys==== |
<section begin=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Vooys /> | <section begin=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R012 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R012_ErfelijkeBelasting"><span id="R012_ErfelijkeBelasting" title="Intern ID = R012_ErfelijkeBelasting">R012: Erfelijke belasting en ouderkenmerken</span></span> |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 182: | Regel 209: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G019: Erfelijke factor(en) in de familie |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="4"| | |rowspan="4"| | ||
| Regel 195: | Regel 222: | ||
|style="background-color: white;"|Gediagnosticeerd en medicatie | |style="background-color: white;"|Gediagnosticeerd en medicatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G020: Kenmerken ouder/verzorger |
|-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"|Kenmerken | + | |colspan="2"|Kenmerken ouder/verzorger |
| − | |style="background-color: white;"|Opvoedingsprobleem (code = '05' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Opvoedingsprobleem (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.5') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Vader/moeder |
| − | |style="background-color: white;"|Vader (code = ' | + | |style="background-color: white;"|Vader (code = 'FTH' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>') |
|}<section end=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Vooys /> | |}<section end=r012_erfelijke_belasting_en_ouderkenmerken_XXX_Vooys /> | ||
| − | ====R018 | + | ====R018: Activiteit XXX_Vooys==== |
<section begin=r018_activiteit_XXX_Vooys /> | <section begin=r018_activiteit_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018: Activiteit |
|-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 214: | Regel 241: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Activiteit | + | |colspan="2"|Activiteit ID |
| − | |style="background-color: white;"|01 | + | |style="background-color: white;"|01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Soort activiteit | |colspan="2"|Soort activiteit | ||
| Regel 233: | Regel 260: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Begeleider | |colspan="2"|Begeleider | ||
| − | |style="background-color: white;"|Jeugdbeschermer (voorheen gezinsvoogd) (code = '14' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Jeugdbeschermer (voorheen gezinsvoogd) (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.40.421') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R012 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R012_ErfelijkeBelasting|R012: Erfelijke belasting en ouderkenmerken: R012_ErfelijkeBelasting]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R019 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R019_Terugkerende_anamese_baby|R019: Terugkerende anamnese: R019_Terugkerende_anamese_baby]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R020 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R020_Algemene_Indruk|R020: Algemene indruk: R020_Algemene_Indruk]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R021 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R021_Functioneren_baby|R021: Functioneren: R021_Functioneren_baby]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R023 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R023_HoofdHals|R023: Hoofd/hals: R023_HoofdHals]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R031 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R031_motorisch_functioneren|R031: Motorisch functioneren: R031_motorisch_functioneren]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R034 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R034_Inschatten_verhouding_draaglast_draagkracht|R034: Inschatten verhouding draaglast-draagkracht: R034_Inschatten_verhouding_draaglast_draagkracht]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R040 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R040_Gehoor|R040: Gehooronderzoek: R040_Gehoor]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R041 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R041_Rijksvaccinatieprogramma|R041: Rijksvaccinatieprogramma en andere vaccinaties: R041_Rijksvaccinatieprogramma]] |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R042 | ||
| + | |style="background-color: white;"|Zie [[#R042_van_Wiechen_baby|R042: Van Wiechen ontwikkelingsonderzoek: R042_van_Wiechen_baby]] | ||
|}<section end=r018_activiteit_XXX_Vooys /> | |}<section end=r018_activiteit_XXX_Vooys /> | ||
| − | ====R018 | + | ====R018: Activiteit XXX_Vooys==== |
<section begin=r018_activiteit_XXX_Vooys /> | <section begin=r018_activiteit_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018: Activiteit |
|-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 271: | Regel 301: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Activiteit | + | |colspan="2"|Activiteit ID |
| − | |style="background-color: white;"|02 | + | |style="background-color: white;"|02 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Soort activiteit | |colspan="2"|Soort activiteit | ||
| Regel 278: | Regel 308: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Vorm activiteit | |colspan="2"|Vorm activiteit | ||
| − | |style="background-color: white;"|Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.424') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Datum activiteit | |colspan="2"|Datum activiteit | ||
| Regel 290: | Regel 320: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Indicatie activiteit | |colspan="2"|Indicatie activiteit | ||
| − | |style="background-color: white;"|Ouder-kindrelatie (code = '51' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Ouder-kindrelatie (code = '51' in codeSystem '2.16.840.1.113883.2.4.4.40.373') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Begeleider | |colspan="2"|Begeleider | ||
|style="background-color: white;"|(Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | |style="background-color: white;"|(Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R022 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R022_HuidHaarNagels|R022: Huid/haar/nagels: R022_HuidHaarNagels]] |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R024 | ||
| + | |style="background-color: white;"|Zie [[#R024_Romp|R024: Romp: R024_Romp]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R027 | ||
| + | |style="background-color: white;"|Zie [[#R027_Groei|R027: Groei: R027_Groei]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R032 | ||
| + | |style="background-color: white;"|Zie [[#R032_STO|R032: Spraak- en taalontwikkeling: R032_STO]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R042 |
| − | |style="background-color: white;"|Zie [[#R047_Conclusies|R047 | + | |style="background-color: white;"|Zie [[#R042_van_Wiechen_peuter|R042: Van Wiechen ontwikkelingsonderzoek: R042_van_Wiechen_peuter]] |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R047 | ||
| + | |style="background-color: white;"|Zie [[#R047_Conclusies|R047: Conclusies en vervolgstappen: R047_Conclusies]] | ||
|}<section end=r018_activiteit_XXX_Vooys /> | |}<section end=r018_activiteit_XXX_Vooys /> | ||
| − | ====R018 | + | ====R018: Activiteit XXX_Vooys==== |
<section begin=r018_activiteit_XXX_Vooys /> | <section begin=r018_activiteit_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R018: Activiteit |
|-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 310: | Regel 352: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Activiteit | + | |colspan="2"|Activiteit ID |
| − | |style="background-color: white;"|03 | + | |style="background-color: white;"|03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Soort activiteit | |colspan="2"|Soort activiteit | ||
| Regel 334: | Regel 376: | ||
|style="background-color: white;"|(Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | |style="background-color: white;"|(Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R019 |
| − | |style="background-color: white;"|Zie [[#R019_Terugkerende_anamese_kind|R019 | + | |style="background-color: white;"|Zie [[#R019_Terugkerende_anamese_kind|R019: Terugkerende anamnese: R019_Terugkerende_anamese_kind]] |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Gekoppelde activiteit R021 | ||
| + | |style="background-color: white;"|Zie [[#R021_Functioneren_kind|R021: Functioneren: R021_Functioneren_kind]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R025 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R025_bewegingsapparaat|R025: Bewegingsapparaat: R025_bewegingsapparaat]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R026 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R026_Genitalia_puberteitsontwikkeling|R026: Genitalia/puberteitsontwikkeling: R026_Genitalia_puberteitsontwikkeling]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R030 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R030_psychosociaal_en_cognitief_functioneren|R030: Psychosociaal en cognitief functioneren: R030_psychosociaal_en_cognitief_functioneren]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R038 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R038_visus_en_brilonderzoek|R038: Visus- en oogonderzoek: R038_visus_en_brilonderzoek]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R039 |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#R039_Hartonderzoek|R039: Hartonderzoek: R039_Hartonderzoek]] |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Gekoppelde activiteit R054 |
| − | |style="background-color: white;"|Zie [[#R054_screeningsinstrument|R054 | + | |style="background-color: white;"|Zie [[#R054_screeningsinstrument|R054: Screeningsinstrumenten: R054_screeningsinstrument]] |
|}<section end=r018_activiteit_XXX_Vooys /> | |}<section end=r018_activiteit_XXX_Vooys /> | ||
| − | ====R019 | + | ====R019: Terugkerende anamnese XXX_Vooys==== |
<section begin=r019_terugkerende_anamnese_XXX_Vooys /> | <section begin=r019_terugkerende_anamnese_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R019_Terugkerende_anamese_baby"><span id="R019_Terugkerende_anamese_baby" title="Intern ID = R019_Terugkerende_anamese_baby">R019 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R019_Terugkerende_anamese_baby"><span id="R019_Terugkerende_anamese_baby" title="Intern ID = R019_Terugkerende_anamese_baby">R019: Terugkerende anamnese</span></span> |
|-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 376: | Regel 421: | ||
|style="background-color: white;"|Kunstvoeding (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.307') | |style="background-color: white;"|Kunstvoeding (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.307') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | + | |colspan="2"|Bijzonderheden slapen/waken | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan="2"|Bijzonderheden | ||
|style="background-color: white;"|Slaapt soms door | |style="background-color: white;"|Slaapt soms door | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Bijzonderheden huilen | |colspan="2"|Bijzonderheden huilen | ||
|style="background-color: white;"|Huilt veel | |style="background-color: white;"|Huilt veel | ||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|In de omgeving van de jeugdige wordt wel eens of dagelijks gerookt | |colspan="2"|In de omgeving van de jeugdige wordt wel eens of dagelijks gerookt | ||
| Regel 400: | Regel 436: | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | + | |colspan="2"|Ontvangen (para)medische zorg | |
| − | + | |style="background-color: white;"|Fysiotherapie | |
| − | |||
| − | |colspan="2"|Ontvangen | ||
| − | |style="background-color: white;"| | ||
|}<section end=r019_terugkerende_anamnese_XXX_Vooys /> | |}<section end=r019_terugkerende_anamnese_XXX_Vooys /> | ||
| − | ====R019 | + | ====R019: Terugkerende anamnese XXX_Vooys==== |
<section begin=r019_terugkerende_anamnese_XXX_Vooys /> | <section begin=r019_terugkerende_anamnese_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R019_Terugkerende_anamese_kind"><span id="R019_Terugkerende_anamese_kind" title="Intern ID = R019_Terugkerende_anamese_kind">R019 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R019_Terugkerende_anamese_kind"><span id="R019_Terugkerende_anamese_kind" title="Intern ID = R019_Terugkerende_anamese_kind">R019: Terugkerende anamnese</span></span> |
|-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 427: | Regel 460: | ||
|style="background-color: white;"|Nee, zit (nog) niet op zwemles en heeft ook geen schoolzwemmen (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.449') | |style="background-color: white;"|Nee, zit (nog) niet op zwemles en heeft ook geen schoolzwemmen (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.449') | ||
|}<section end=r019_terugkerende_anamnese_XXX_Vooys /> | |}<section end=r019_terugkerende_anamnese_XXX_Vooys /> | ||
| − | ====R020 | + | ====R020: Algemene indruk XXX_Vooys==== |
<section begin=r020_algemene_indruk_XXX_Vooys /> | <section begin=r020_algemene_indruk_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R020_Algemene_Indruk"><span id="R020_Algemene_Indruk" title="Intern ID = R020_Algemene_Indruk">R020 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R020_Algemene_Indruk"><span id="R020_Algemene_Indruk" title="Intern ID = R020_Algemene_Indruk">R020: Algemene indruk</span></span> |
|-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 439: | Regel 472: | ||
|style="background-color: white;"|Kind ziet er een beetje moe uit. Lacht af en toe. | |style="background-color: white;"|Kind ziet er een beetje moe uit. Lacht af en toe. | ||
|}<section end=r020_algemene_indruk_XXX_Vooys /> | |}<section end=r020_algemene_indruk_XXX_Vooys /> | ||
| − | ====R021 | + | ====R021: Functioneren XXX_Vooys==== |
<section begin=r021_functioneren_XXX_Vooys /> | <section begin=r021_functioneren_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R021_Functioneren_baby"><span id="R021_Functioneren_baby" title="Intern ID = R021_Functioneren_baby">R021 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R021_Functioneren_baby"><span id="R021_Functioneren_baby" title="Intern ID = R021_Functioneren_baby">R021: Functioneren</span></span> |
|-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 451: | Regel 484: | ||
|style="background-color: white;"|Overdag onzindelijk voor urine (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.46') | |style="background-color: white;"|Overdag onzindelijk voor urine (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.46') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Soorten | + | |colspan="2"|Soorten genotsmiddelen/verslavingsrisico |
| − | |style="background-color: white;"|Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.313') |
|}<section end=r021_functioneren_XXX_Vooys /> | |}<section end=r021_functioneren_XXX_Vooys /> | ||
| − | ====R021 | + | ====R021: Functioneren XXX_Vooys==== |
<section begin=r021_functioneren_XXX_Vooys /> | <section begin=r021_functioneren_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R021_Functioneren_kind"><span id="R021_Functioneren_kind" title="Intern ID = R021_Functioneren_kind">R021 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R021_Functioneren_kind"><span id="R021_Functioneren_kind" title="Intern ID = R021_Functioneren_kind">R021: Functioneren</span></span> |
|-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 472: | Regel 505: | ||
|style="background-color: white;"|Licht grensoverschrijdend (geel/oranje) (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.445') | |style="background-color: white;"|Licht grensoverschrijdend (geel/oranje) (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.445') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Relatie met ouder/verzorger |
| + | |style="background-color: white;"|Goed | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Genotsmiddelen/verslavingsrisico | ||
|style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Soorten | + | |colspan="2"|Soorten genotsmiddelen/verslavingsrisico |
|style="background-color: white;"|Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.313') | |style="background-color: white;"|Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.313') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Toelichting | + | |colspan="2"|Toelichting genotsmiddelen/verslavingsrisico |
|style="background-color: white;"|Is meerdere uren per dag op social media | |style="background-color: white;"|Is meerdere uren per dag op social media | ||
|}<section end=r021_functioneren_XXX_Vooys /> | |}<section end=r021_functioneren_XXX_Vooys /> | ||
| − | ====R022 | + | ====R022: Huid/haar/nagels XXX_Vooys==== |
<section begin=r022_huidhaarnagels_XXX_Vooys /> | <section begin=r022_huidhaarnagels_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R022 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R022_HuidHaarNagels"><span id="R022_HuidHaarNagels" title="Intern ID = R022_HuidHaarNagels">R022: Huid/haar/nagels</span></span> |
|-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 490: | Regel 526: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Huid/haar/nagels onderzocht |
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end=r022_huidhaarnagels_XXX_Vooys /> | |}<section end=r022_huidhaarnagels_XXX_Vooys /> | ||
| − | ====R023 | + | ====R023: Hoofd/hals XXX_Vooys==== |
<section begin=r023_hoofdhals_XXX_Vooys /> | <section begin=r023_hoofdhals_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R023_HoofdHals"><span id="R023_HoofdHals" title="Intern ID = R023_HoofdHals">R023 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R023_HoofdHals"><span id="R023_HoofdHals" title="Intern ID = R023_HoofdHals">R023: Hoofd/hals</span></span> |
|-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 502: | Regel 538: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Hoofd/hals onderzocht |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Voorkeurshouding | |colspan="2"|Voorkeurshouding | ||
|style="background-color: white;"|Ja, links (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.453') | |style="background-color: white;"|Ja, links (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.453') | ||
|}<section end=r023_hoofdhals_XXX_Vooys /> | |}<section end=r023_hoofdhals_XXX_Vooys /> | ||
| − | ====R024 | + | ====R024: Romp XXX_Vooys==== |
<section begin=r024_romp_XXX_Vooys /> | <section begin=r024_romp_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R024 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R024_Romp"><span id="R024_Romp" title="Intern ID = R024_Romp">R024: Romp</span></span> |
|-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 518: | Regel 554: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Romp onderzocht | |colspan="2"|Romp onderzocht | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|}<section end=r024_romp_XXX_Vooys /> | |}<section end=r024_romp_XXX_Vooys /> | ||
| − | ====R025 | + | ====R025: Bewegingsapparaat XXX_Vooys==== |
<section begin=r025_bewegingsapparaat_XXX_Vooys /> | <section begin=r025_bewegingsapparaat_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R025_bewegingsapparaat"><span id="R025_bewegingsapparaat" title="Intern ID = R025_bewegingsapparaat">R025 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R025_bewegingsapparaat"><span id="R025_bewegingsapparaat" title="Intern ID = R025_bewegingsapparaat">R025: Bewegingsapparaat</span></span> |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 532: | Regel 568: | ||
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G024: Wervelkolom |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 545: | Regel 581: | ||
|style="background-color: white;"|5 mm | |style="background-color: white;"|5 mm | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G119: Scoliose hoekmeting |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 555: | Regel 591: | ||
|style="background-color: white;"|Rechts (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.13') | |style="background-color: white;"|Rechts (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.13') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G026: Heupen |
|-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"|Bijzonderheden heupen | |colspan="2"|Bijzonderheden heupen | ||
| − | |style="background-color: white;"|Bilplooiverschil (code = '03' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Bilplooiverschil (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.22') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G028: Onderste extremiteiten |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 569: | Regel 605: | ||
|style="background-color: white;"|X-benen (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.23') | |style="background-color: white;"|X-benen (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.23') | ||
|}<section end=r025_bewegingsapparaat_XXX_Vooys /> | |}<section end=r025_bewegingsapparaat_XXX_Vooys /> | ||
| − | ====R026 | + | ====R026: Genitalia/puberteitsontwikkeling XXX_Vooys==== |
<section begin=r026_genitaliapuberteitsontwikkeling_XXX_Vooys /> | <section begin=r026_genitaliapuberteitsontwikkeling_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R026_Genitalia_puberteitsontwikkeling"><span id="R026_Genitalia_puberteitsontwikkeling" title="Intern ID = R026_Genitalia_puberteitsontwikkeling">R026 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R026_Genitalia_puberteitsontwikkeling"><span id="R026_Genitalia_puberteitsontwikkeling" title="Intern ID = R026_Genitalia_puberteitsontwikkeling">R026: Genitalia/puberteitsontwikkeling</span></span> |
|-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 578: | Regel 614: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Genitalia/puberteitsontwikkeling |
|style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| Regel 588: | Regel 624: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Datum menarche | |colspan="2"|Datum menarche | ||
| − | |style="background-color: white;"|DOB + | + | |style="background-color: white;"|DOB + 13 jaar |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Beoordeling puberteitsontwikkeling | |colspan="2"|Beoordeling puberteitsontwikkeling | ||
|style="background-color: white;"|Geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.451') | |style="background-color: white;"|Geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.451') | ||
|}<section end=r026_genitaliapuberteitsontwikkeling_XXX_Vooys /> | |}<section end=r026_genitaliapuberteitsontwikkeling_XXX_Vooys /> | ||
| − | ====R027 | + | ====R027: Groei XXX_Vooys==== |
<section begin=r027_groei_XXX_Vooys /> | <section begin=r027_groei_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R027 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R027_Groei"><span id="R027_Groei" title="Intern ID = R027_Groei">R027: Groei</span></span> |
|-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 602: | Regel 638: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Conclusie | + | |colspan="2"|Conclusie JGZ-professional lengtegroei |
| − | |style="background-color: white;"|Naar verwachting (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Naar verwachting (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.440') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Welk groeidiagram wordt gebruikt | |colspan="2"|Welk groeidiagram wordt gebruikt | ||
| − | |style="background-color: white;"|Nederlands (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Nederlands (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.443') |
|}<section end=r027_groei_XXX_Vooys /> | |}<section end=r027_groei_XXX_Vooys /> | ||
| − | ====R030 | + | ====R030: Psychosociaal en cognitief functioneren XXX_Vooys==== |
<section begin=r030_psychosociaal_en_cognitief_functioneren_XXX_Vooys /> | <section begin=r030_psychosociaal_en_cognitief_functioneren_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R030_psychosociaal_en_cognitief_functioneren"><span id="R030_psychosociaal_en_cognitief_functioneren" title="Intern ID = R030_psychosociaal_en_cognitief_functioneren">R030 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R030_psychosociaal_en_cognitief_functioneren"><span id="R030_psychosociaal_en_cognitief_functioneren" title="Intern ID = R030_psychosociaal_en_cognitief_functioneren">R030: Psychosociaal en cognitief functioneren</span></span> |
|-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 626: | Regel 662: | ||
|style="background-color: white;"|Leeftijdsadequaat (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.446') | |style="background-color: white;"|Leeftijdsadequaat (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.446') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Bevinding(en) psychosociaal functioneren |
|style="background-color: white;"|Zorgen over sociale vaardigheden/sociaal netwerk (gepest enz.) (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.447') | |style="background-color: white;"|Zorgen over sociale vaardigheden/sociaal netwerk (gepest enz.) (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.447') | ||
|}<section end=r030_psychosociaal_en_cognitief_functioneren_XXX_Vooys /> | |}<section end=r030_psychosociaal_en_cognitief_functioneren_XXX_Vooys /> | ||
| − | ====R031 | + | ====R031: Motorisch functioneren XXX_Vooys==== |
<section begin=r031_motorisch_functioneren_XXX_Vooys /> | <section begin=r031_motorisch_functioneren_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0- | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R031_motorisch_functioneren"><span id="R031_motorisch_functioneren" title="Intern ID = R031_motorisch_functioneren">R031: Motorisch functioneren</span></span> |
|-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 650: | Regel 686: | ||
|style="background-color: white;"|mogelijke verstoring linker pink | |style="background-color: white;"|mogelijke verstoring linker pink | ||
|}<section end=r031_motorisch_functioneren_XXX_Vooys /> | |}<section end=r031_motorisch_functioneren_XXX_Vooys /> | ||
| − | ====R032 | + | ====R032: Spraak- en taalontwikkeling XXX_Vooys==== |
<section begin=r032_spraak_en_taalontwikkeling_XXX_Vooys /> | <section begin=r032_spraak_en_taalontwikkeling_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | R032 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R032_STO"><span id="R032_STO" title="Intern ID = R032_STO">R032: Spraak- en taalontwikkeling</span></span> |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 659: | Regel 695: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="3"|Spraak en taalontwikkeling onderzocht | + | |colspan="3"|Spraak- en taalontwikkeling onderzocht |
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G036: Taal |
|-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"|Taal | |colspan="2"|Taal | ||
| − | |style="background-color: white;"|(code = ' | + | |style="background-color: white;"|Nederlands; Vlaams (code = 'nld' in codeSystem 'ISO 639-2: Codes for the representation of names of languages -- Part 2: Alpha-3 code') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Eerste/tweede taal |
| − | |style="background-color: white;"|Eerste taal (code = '1' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Eerste taal (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.323') |
|}<section end=r032_spraak_en_taalontwikkeling_XXX_Vooys /> | |}<section end=r032_spraak_en_taalontwikkeling_XXX_Vooys /> | ||
| − | ====R034 | + | ====R034: Inschatten verhouding draaglast-draagkracht XXX_Vooys==== |
<section begin=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Vooys /> | <section begin=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R034_Inschatten_verhouding_draaglast_draagkracht"><span id="R034_Inschatten_verhouding_draaglast_draagkracht" title="Intern ID = R034_Inschatten_verhouding_draaglast_draagkracht">R034 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R034_Inschatten_verhouding_draaglast_draagkracht"><span id="R034_Inschatten_verhouding_draaglast_draagkracht" title="Intern ID = R034_Inschatten_verhouding_draaglast_draagkracht">R034: Inschatten verhouding draaglast-draagkracht</span></span> |
|-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 681: | Regel 717: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Balans | + | |colspan="2"|Balans draaglast-draagkracht |
|style="background-color: white;"|Bevorderend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.60') | |style="background-color: white;"|Bevorderend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.60') | ||
|}<section end=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Vooys /> | |}<section end=r034_inschatten_verhouding_draaglastdraagkracht_XXX_Vooys /> | ||
| − | ====R038 | + | ====R038: Visus- en oogonderzoek XXX_Vooys==== |
<section begin=r038_visus_en_oogonderzoek_XXX_Vooys /> | <section begin=r038_visus_en_oogonderzoek_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0- | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R038_visus_en_brilonderzoek"><span id="R038_visus_en_brilonderzoek" title="Intern ID = R038_visus_en_brilonderzoek">R038: Visus- en oogonderzoek</span></span> |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 693: | Regel 729: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="3"| | + | |colspan="3"|Bril/lenzen dragend |
|style="background-color: white;"|Lenzen (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.328') | |style="background-color: white;"|Lenzen (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.328') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G117: Visus |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Soort visuskaart | |colspan="2"|Soort visuskaart | ||
| − | |style="background-color: white;"|LEA 4 meter (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|LEA 4 meter (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.427') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Uitslag visus rechts | |colspan="2"|Uitslag visus rechts | ||
| − | |style="background-color: white;"|0,5 (code = '08' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|0,5 (code = '08' in codeSystem '2.16.840.1.113883.2.4.4.40.428') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Uitslag visus links | |colspan="2"|Uitslag visus links | ||
| − | |style="background-color: white;"|0,4 (code = '07' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|0,4 (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.428') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="3"|Conclusie visusbepaling | |colspan="3"|Conclusie visusbepaling | ||
| Regel 727: | Regel 763: | ||
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|}<section end=r038_visus_en_oogonderzoek_XXX_Vooys /> | |}<section end=r038_visus_en_oogonderzoek_XXX_Vooys /> | ||
| − | ====R039 | + | ====R039: Hartonderzoek XXX_Vooys==== |
<section begin=r039_hartonderzoek_XXX_Vooys /> | <section begin=r039_hartonderzoek_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R039_Hartonderzoek"><span id="R039_Hartonderzoek" title="Intern ID = R039_Hartonderzoek">R039 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="4" | <span id="DOB-4.0.0-KWAL_ontvangen_R039_Hartonderzoek"><span id="R039_Hartonderzoek" title="Intern ID = R039_Hartonderzoek">R039: Hartonderzoek</span></span> |
|-style="background-color: #1F497D; color: white; text-align:left;" | |-style="background-color: #1F497D; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 736: | Regel 772: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="3"|Hart en | + | |colspan="3"|Hart- en Vaatstelsel |
|style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| Regel 742: | Regel 778: | ||
|style="background-color: white;"|Bleekheid (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.454') | |style="background-color: white;"|Bleekheid (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.454') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="4"|Groep | + | |colspan="4"|Groep G044: Geruis intensiteit |
|-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"|Geruis intensiteit | |colspan="2"|Geruis intensiteit | ||
| − | |style="background-color: white;"|Graad 1/6 (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Graad 1/6 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.335') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Methode meting | |colspan="2"|Methode meting | ||
| − | |style="background-color: white;"|Zittend (code = '1' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Zittend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.395') |
|}<section end=r039_hartonderzoek_XXX_Vooys /> | |}<section end=r039_hartonderzoek_XXX_Vooys /> | ||
| − | ====R040 | + | ====R040: Gehooronderzoek XXX_Vooys==== |
<section begin=r040_gehooronderzoek_XXX_Vooys /> | <section begin=r040_gehooronderzoek_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | R040 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R040_Gehoor"><span id="R040_Gehoor" title="Intern ID = R040_Gehoor">R040: Gehooronderzoek</span></span> |
|-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 764: | Regel 800: | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|}<section end=r040_gehooronderzoek_XXX_Vooys /> | |}<section end=r040_gehooronderzoek_XXX_Vooys /> | ||
| − | ====R041 | + | ====R041: Rijksvaccinatieprogramma en andere vaccinaties XXX_Vooys==== |
<section begin=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Vooys /> | <section begin=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R041_Rijksvaccinatieprogramma"><span id="R041_Rijksvaccinatieprogramma" title="Intern ID = R041_Rijksvaccinatieprogramma">R041 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R041_Rijksvaccinatieprogramma"><span id="R041_Rijksvaccinatieprogramma" title="Intern ID = R041_Rijksvaccinatieprogramma">R041: Rijksvaccinatieprogramma en andere vaccinaties</span></span> |
|-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 773: | Regel 809: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Contra-indicatie om (nu) te vaccineren |
|style="background-color: white;"|Ja | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|De kinderarts heeft een | + | |colspan="2"|De kinderarts heeft een contra-indicatie voor vaccinatie doorgegeven |
|style="background-color: white;"|Ja (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.455') | |style="background-color: white;"|Ja (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.455') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Toelichting | + | |colspan="2"|Toelichting contra-indicatie om (nu) te vaccineren |
|style="background-color: white;"|Toelichting ontbreekt vanuit kinderarts | |style="background-color: white;"|Toelichting ontbreekt vanuit kinderarts | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Moeder heeft biological gebruikt | |colspan="2"|Moeder heeft biological gebruikt | ||
|style="background-color: white;"|Nee (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.456') | |style="background-color: white;"|Nee (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.456') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Vaccinatieschema DKTP pasgeborene | ||
| + | |style="background-color: white;"|3+1 schema (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.426') | ||
|}<section end=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Vooys /> | |}<section end=r041_rijksvaccinatieprogramma_en_andere_vaccinaties_XXX_Vooys /> | ||
| − | ====R042 | + | ====R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys==== |
<section begin=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | <section begin=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0- | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R042_van_Wiechen_baby"><span id="R042_van_Wiechen_baby" title="Intern ID = R042_van_Wiechen_baby">R042: Van Wiechen ontwikkelingsonderzoek</span></span> |
|-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 794: | Regel 833: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Gedragstoestand | + | |colspan="2"|Gedragstoestand Van Wiechen |
|style="background-color: white;"|Kind maakt een vermoeide indruk (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.341') | |style="background-color: white;"|Kind maakt een vermoeide indruk (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.341') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|1. Ogen fixeren |
| − | |||
| − | |||
| − | |||
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 1 |
|style="background-color: white;"|Het kind reageert op de beweging | |style="background-color: white;"|Het kind reageert op de beweging | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 29 | + | |colspan="2"|29. Reageert op toespreken |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 29 |
|style="background-color: white;"|de onderzoeker heeft de gewenste respons geobserveerd in de interactie tussen ouder en kind | |style="background-color: white;"|de onderzoeker heeft de gewenste respons geobserveerd in de interactie tussen ouder en kind | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|36. Maakt communicatieve gebaren |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 52 | + | |colspan="2"|52. Beweegt armen evenveel |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 52 |
|style="background-color: white;"|Armen worden rechts en links evenveel bewogen | |style="background-color: white;"|Armen worden rechts en links evenveel bewogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 53 | + | |colspan="2"|53. Beweegt benen evenveel |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 53 |
|style="background-color: white;"|gelijk gebruik | |style="background-color: white;"|gelijk gebruik | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 54 | + | |colspan="2"|54. Blijft hangen bij optillen onder de oksels |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 54 |
|style="background-color: white;"|Het kind blijft stevig hangen bij het optillen | |style="background-color: white;"|Het kind blijft stevig hangen bij het optillen | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 55 | + | |colspan="2"|55. Reacties bij optrekken tot zit |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 55 |
|style="background-color: white;"|de ellebogen zijn gebogen | |style="background-color: white;"|de ellebogen zijn gebogen | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 56 | + | |colspan="2"|56. Heft kin even van onderlaag |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 56 |
|style="background-color: white;"|Het kind richt het hoofd even op | |style="background-color: white;"|Het kind richt het hoofd even op | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | + | |colspan="2"|Kolom Van Wiechen onderzoek | |
| − | + | |style="background-color: white;"|8 wkn-2 mnd (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.422') | |
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| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan="2"|Kolom | ||
| − | |style="background-color: white;"|8 wkn-2 mnd (code = '02' in codeSystem '2.16.840.1.113883.2.4. | ||
|}<section end=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | |}<section end=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | ||
| − | ====R042 | + | ====R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys==== |
<section begin=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | <section begin=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0- | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R042_van_Wiechen_peuter"><span id="R042_van_Wiechen_peuter" title="Intern ID = R042_van_Wiechen_peuter">R042: Van Wiechen ontwikkelingsonderzoek</span></span> |
|-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 875: | Regel 893: | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Interactie Van Wiechen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Kind is verlegen of terughoudend zonder actief verzet (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.342') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 39 | + | |colspan="2"|39. Zegt 3 "woorden" met begrip |
|style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 39 |
|style="background-color: white;"|niet consistent | |style="background-color: white;"|niet consistent | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 41 | + | |colspan="2"|41. Zegt "zinnen" van 2 woorden |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| Regel 890: | Regel 908: | ||
|style="background-color: white;"|2 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.457') | |style="background-color: white;"|2 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.457') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 42 | + | |colspan="2"|42. Wijst 6 lichaamsdelen aan bij pop |
|style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 42 |
|style="background-color: white;"|Weet er maar 5 | |style="background-color: white;"|Weet er maar 5 | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Score spelvraag | + | |colspan="2"|Score spelvraag Van Wiechentaalonderzoek |
|style="background-color: white;"|1 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.458') | |style="background-color: white;"|1 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.458') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 43 | + | |colspan="2"|43. Noemt zichzelf "mij" of "ik" |
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 44 | + | |colspan="2"|44. Wijst 5 plaatjes aan in boek |
|style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 44 |
|style="background-color: white;"|Meermaals zelfde plaatje aangewezen | |style="background-color: white;"|Meermaals zelfde plaatje aangewezen | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 45 | + | |colspan="2"|45. Zegt "zinnen" van 3 of meer woorden |
|style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 45 |
|style="background-color: white;"|Moeilijk te herkennen als zinnen | |style="background-color: white;"|Moeilijk te herkennen als zinnen | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 46 | + | |colspan="2"|46. Is verstaanbaar voor bekenden |
|style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| 70 | + | |colspan="2"|68a. Loopt los |
| + | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Opmerking bij VWO 68a | ||
| + | |style="background-color: white;"|n.v.t. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|68b. Loopt goed los | ||
| + | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Opmerking bij VWO 68b | ||
| + | |style="background-color: white;"|n.v.t. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|70. Kan hurken en weer gaan staan zonder steun en zonder hulp van de armen | ||
|style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |style="background-color: white;"|+ (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Opmerking bij | + | |colspan="2"|Opmerking bij VWO 70 |
|style="background-color: white;"|gaat goed | |style="background-color: white;"|gaat goed | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Kolom | + | |colspan="2"|68c. Loopt soepel |
| − | |style="background-color: white;"|2 jaar (code = '13' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|- (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.153') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Opmerking bij VWO 68c | ||
| + | |style="background-color: white;"|slingert | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Kolom Van Wiechen onderzoek | ||
| + | |style="background-color: white;"|2 jaar (code = '13' in codeSystem '2.16.840.1.113883.2.4.4.40.422') | ||
|}<section end=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | |}<section end=r042_van_wiechen_ontwikkelingsonderzoek_XXX_Vooys /> | ||
| − | ====R054 | + | ====R054: Screeningsinstrumenten XXX_Vooys==== |
<section begin=r054_screeningsinstrumenten_XXX_Vooys /> | <section begin=r054_screeningsinstrumenten_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R054_screeningsinstrument"><span id="R054_screeningsinstrument" title="Intern ID = R054_screeningsinstrument">R054 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R054_screeningsinstrument"><span id="R054_screeningsinstrument" title="Intern ID = R054_screeningsinstrument">R054: Screeningsinstrumenten</span></span> |
|-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 938: | Regel 974: | ||
|style="background-color: white;"|SDQ ouders 4-17 jaar (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.40.387') | |style="background-color: white;"|SDQ ouders 4-17 jaar (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.40.387') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|Datum afname SPP |
| + | |style="background-color: white;"|DOB + 13 jaar | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|SPP ingevuld door | ||
|style="background-color: white;"|JGZ-professional (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.388') | |style="background-color: white;"|JGZ-professional (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.388') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Bijzonderheden | + | |colspan="2"|Bijzonderheden SPP |
|style="background-color: white;"|Geen bijzonderheden | |style="background-color: white;"|Geen bijzonderheden | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Overall risicoinschatting | + | |colspan="2"|Conclusie SPP |
| + | |style="background-color: white;"|Geen grote problematiek | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| + | |colspan="2"|Overall risicoinschatting SPARK | ||
|style="background-color: white;"|Laag (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.420') | |style="background-color: white;"|Laag (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.420') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Overall conclusie alle domeinen | + | |colspan="2"|Overall conclusie alle domeinen DMOP |
|style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Waardering domein | + | |colspan="2"|Waardering domein ‘Omstandigheden en gebeurtenissen' (DMOP) |
|style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Waardering domein | + | |colspan="2"|Waardering domein 'Welbevinden kind' (DMOP) |
|style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Waardering domein | + | |colspan="2"|Waardering domein 'Rol partner' (DMOP) |
| − | |style="background-color: white;"|Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.436') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Waardering domein | + | |colspan="2"|Waardering domein 'Competentie ouder' (DMOP) |
|style="background-color: white;"|Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |style="background-color: white;"|Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Waardering domein | + | |colspan="2"|Waardering domein 'Sociale steun' (DMOP) |
|style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |style="background-color: white;"|Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"| | + | |colspan="2"|GIZ-driehoek |
|style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |style="background-color: white;"|Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Bijzonderheden | + | |colspan="2"|Bijzonderheden GIZ-driehoek |
|style="background-color: white;"|Opvoeding (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.441') | |style="background-color: white;"|Opvoeding (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.441') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| Regel 983: | Regel 1.025: | ||
|style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Basiszorg | + | |colspan="2"|Basiszorg / veiligheid |
|style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Opvoeden | |colspan="2"|Opvoeden | ||
| − | |style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Beleving ouderschap | |colspan="2"|Beleving ouderschap | ||
| − | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Onderlinge steun ouders | |colspan="2"|Onderlinge steun ouders | ||
| − | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Gezinsomstandigheden | |colspan="2"|Gezinsomstandigheden | ||
| − | |style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4. | + | |style="background-color: white;"|Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') |
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
|colspan="2"|Netwerk | |colspan="2"|Netwerk | ||
|style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |style="background-color: white;"|Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | ||
|-style="vertical-align:top; background-color: #E3E3E3;" | |-style="vertical-align:top; background-color: #E3E3E3;" | ||
| − | |colspan="2"|Conclusie van de zorgbehoeften | + | |colspan="2"|Conclusie van de zorgbehoeften GIZ |
|style="background-color: white;"|Intensieve zorg (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.442') | |style="background-color: white;"|Intensieve zorg (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.442') | ||
|}<section end=r054_screeningsinstrumenten_XXX_Vooys /> | |}<section end=r054_screeningsinstrumenten_XXX_Vooys /> | ||
| − | ====R047 | + | ====R047: Conclusies en vervolgstappen XXX_Vooys==== |
<section begin=r047_conclusies_en_vervolgstappen_XXX_Vooys /> | <section begin=r047_conclusies_en_vervolgstappen_XXX_Vooys /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R047_Conclusies"><span id="R047_Conclusies" title="Intern ID = R047_Conclusies">R047 | + | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="3" | <span id="DOB-4.0.0-KWAL_ontvangen_R047_Conclusies"><span id="R047_Conclusies" title="Intern ID = R047_Conclusies">R047: Conclusies en vervolgstappen</span></span> |
|-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 1.015: | Regel 1.057: | ||
|colspan="2"|Conclusie | |colspan="2"|Conclusie | ||
|style="background-color: white;"|Kind functioneert goed | |style="background-color: white;"|Kind functioneert goed | ||
| − | |}<section end=r047_conclusies_en_vervolgstappen_XXX_Vooys | + | |}<section end=r047_conclusies_en_vervolgstappen_XXX_Vooys /><section end=DOB-4.0.0-KWAL_ontvangen /> |
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Huidige versie van 24 apr 2026 om 04:13
Inhoud
- 1 Inleiding
- 2 Aandachtspunten voor inhoudelijke gegevens
- 3 Overzicht van de dossiergegevens
- 3.1 jgz-ontvangen-DOBv4-kwal-XXX_Vooys
- 3.1.1 R002 dossierinformatie XXX_Vooys
- 3.1.2 R003: Persoonsgegevens XXX_Vooys
- 3.1.3 R050: Zorggegevens XXX_Vooys
- 3.1.4 R005: Betrokken JGZ-organisaties XXX_Vooys
- 3.1.5 R010: Informatie over werkwijze JGZ XXX_Vooys
- 3.1.6 R009: Externe documenten XXX_Vooys
- 3.1.7 R012: Erfelijke belasting en ouderkenmerken XXX_Vooys
- 3.1.8 R018: Activiteit XXX_Vooys
- 3.1.9 R018: Activiteit XXX_Vooys
- 3.1.10 R018: Activiteit XXX_Vooys
- 3.1.11 R019: Terugkerende anamnese XXX_Vooys
- 3.1.12 R019: Terugkerende anamnese XXX_Vooys
- 3.1.13 R020: Algemene indruk XXX_Vooys
- 3.1.14 R021: Functioneren XXX_Vooys
- 3.1.15 R021: Functioneren XXX_Vooys
- 3.1.16 R022: Huid/haar/nagels XXX_Vooys
- 3.1.17 R023: Hoofd/hals XXX_Vooys
- 3.1.18 R024: Romp XXX_Vooys
- 3.1.19 R025: Bewegingsapparaat XXX_Vooys
- 3.1.20 R026: Genitalia/puberteitsontwikkeling XXX_Vooys
- 3.1.21 R027: Groei XXX_Vooys
- 3.1.22 R030: Psychosociaal en cognitief functioneren XXX_Vooys
- 3.1.23 R031: Motorisch functioneren XXX_Vooys
- 3.1.24 R032: Spraak- en taalontwikkeling XXX_Vooys
- 3.1.25 R034: Inschatten verhouding draaglast-draagkracht XXX_Vooys
- 3.1.26 R038: Visus- en oogonderzoek XXX_Vooys
- 3.1.27 R039: Hartonderzoek XXX_Vooys
- 3.1.28 R040: Gehooronderzoek XXX_Vooys
- 3.1.29 R041: Rijksvaccinatieprogramma en andere vaccinaties XXX_Vooys
- 3.1.30 R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys
- 3.1.31 R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys
- 3.1.32 R054: Screeningsinstrumenten XXX_Vooys
- 3.1.33 R047: Conclusies en vervolgstappen XXX_Vooys
- 3.1 jgz-ontvangen-DOBv4-kwal-XXX_Vooys
1 Inleiding
Dit dossier hoort bij scenario 2: Ontvangen DOB v04.
2 Aandachtspunten voor inhoudelijke gegevens
2.1 Datum T
T is de datum op het moment van het versturen van het bericht. Als ergens staat T – 100D betekent dit: 100 dagen eerder dan de huidige datum.
2.2 DOB
Met 'DOB' wordt in de kwalificatiedossiers 'Date Of Birth' bedoeld.
3 Overzicht van de dossiergegevens
3.1 jgz-ontvangen-DOBv4-kwal-XXX_Vooys
3.1.1 R002 dossierinformatie XXX_Vooys
| R002: Dossierinformatie | ||
| Gegevenselement | Waarde | |
| Dossiernummer | 123456788 (in identificerend systeem: 2.16.528.1.1007.3.3.1111.999.2) | |
| Dossier status | Gesloten (code = 'completed' in codeSystem 'HL7 ActStatus') | |
3.1.2 R003: Persoonsgegevens XXX_Vooys
| R003: Persoonsgegevens | |||
| Gegevenselement | Waarde | ||
| BSN | 999901801 (in identificerend systeem: BSN) | ||
| Geslachtsnaam | XXX_Vooys | ||
| Geslacht | Vrouwelijk (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
| Geboortedatum | T - 11 jaar | ||
| Groep G001: Adres cliënt | |||
| Soort adres | Woonadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||
| Adres is geheim | Nee | ||
| Woonplaats | Stitswerd | ||
| Straatnaam | Knolweg | ||
| Huisnummer | 1000 | ||
| Postcode | 9999 XA | ||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||
3.1.3 R050: Zorggegevens XXX_Vooys
| R050: Zorggegevens | |||
| Gegevenselement | Waarde | ||
| Groep G093: Status in zorg | |||
| Status in zorg | Regulier (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.376') | ||
| Datum start zorg | DOB + 1 maand | ||
| Groep G092: Zorgbeëindiging | |||
| Zorgbeëindiging | Overdracht naar een andere JGZ-organisatie (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.82') | ||
| Datum zorgbeëindiging | T | ||
3.1.4 R005: Betrokken JGZ-organisaties XXX_Vooys
| R005: Betrokken JGZ-organisaties | |||
| Gegevenselement | Waarde | ||
| Groep G085: Uitvoerende JGZ-organisatie | |||
| Uitvoerende JGZ-organisatie URA | 12345678 (in identificerend systeem: URA) | ||
3.1.5 R010: Informatie over werkwijze JGZ XXX_Vooys
| R010: Informatie over werkwijze JGZ | |||
| Gegevenselement | Waarde | ||
| Groep G115: Toestemming gegevensuitwisseling RVP | |||
| Toestemming gegevensuitwisseling RVP | Ja | ||
| Toestemmingswijze gegevensuitwisseling RVP | Mondeling (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.423') | ||
| Naam bron toestemming gegevensuitwisseling RVP | Valerie Vooys | ||
| Bron toestemming gegevensuitwisseling RVP | Gezaghebbende (Geen toestemming van andere gezaghebbende vereist) (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.435') | ||
| Datum toestemming gegevensuitwisseling RVP | DOB + 5 maanden | ||
| JGZ-organisatie URA toestemming gegevensuitwisseling RVP | 11223344 (in identificerend systeem: URA) | ||
| JGZ-organisatie naam toestemming gegevensuitwisseling RVP | RGC Apeldoorn | ||
3.1.6 R009: Externe documenten XXX_Vooys
| R009: Externe documenten | |||
| Gegevenselement | Waarde | ||
| Groep G072: Toegevoegd bestand | |||
| Bestand | Ingescand document | ||
| Soort toegevoegd bestand | Uitnodigingsbrief (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.303') | ||
| Bestandsnaam | Uitnodigingsbrief.pdf | ||
| Bestand mimetype | application/pdf | ||
| Datum bestand | T | ||
| Groep G072: Toegevoegd bestand | |||
| Bestand | Ingescand document | ||
| Soort toegevoegd bestand | Integraal dossier JGZ (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.303') | ||
| Bestandsnaam | integraaldossier.pdf | ||
| Bestand mimetype | application/pdf | ||
| Datum bestand | T | ||
3.1.7 R012: Erfelijke belasting en ouderkenmerken XXX_Vooys
| R012: Erfelijke belasting en ouderkenmerken | |||
| Gegevenselement | Waarde | ||
| Groep G019: Erfelijke factor(en) in de familie | |||
| Erfelijk bepaalde ziekte in de familie | ADHD (code = '16' in codeSystem '2.16.840.1.113883.2.4.4.40.8') | ||
| Familielid | Zus (code = 'NSIS' in codeSystem 'HL7 RoleCode') | ||
| Toelichting erfelijke factor in de familie | Gediagnosticeerd en medicatie | ||
| Groep G020: Kenmerken ouder/verzorger | |||
| Kenmerken ouder/verzorger | Opvoedingsprobleem (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.5') | ||
| Vader/moeder | Vader (code = 'FTH' in codeSystem 'HL7 RoleCode') | ||
3.1.8 R018: Activiteit XXX_Vooys
| R018: Activiteit | ||
| Gegevenselement | Waarde | |
| Activiteit ID | 01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) | |
| Soort activiteit | Contact week 2 t/m 6 maanden (code = '37' in codeSystem '2.16.840.1.113883.2.4.4.40.308') | |
| Vorm activiteit | Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.424') | |
| Datum activiteit | DOB + 2 maanden | |
| Status activiteit | Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434') | |
| Indicatie activiteit | Gewicht (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.40.373') | |
| Begeleider | Jeugdbeschermer (voorheen gezinsvoogd) (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | |
| Gekoppelde activiteit R012 | Zie R012: Erfelijke belasting en ouderkenmerken: R012_ErfelijkeBelasting | |
| Gekoppelde activiteit R019 | Zie R019: Terugkerende anamnese: R019_Terugkerende_anamese_baby | |
| Gekoppelde activiteit R020 | Zie R020: Algemene indruk: R020_Algemene_Indruk | |
| Gekoppelde activiteit R021 | Zie R021: Functioneren: R021_Functioneren_baby | |
| Gekoppelde activiteit R023 | Zie R023: Hoofd/hals: R023_HoofdHals | |
| Gekoppelde activiteit R031 | Zie R031: Motorisch functioneren: R031_motorisch_functioneren | |
| Gekoppelde activiteit R034 | Zie R034: Inschatten verhouding draaglast-draagkracht: R034_Inschatten_verhouding_draaglast_draagkracht | |
| Gekoppelde activiteit R040 | Zie R040: Gehooronderzoek: R040_Gehoor | |
| Gekoppelde activiteit R041 | Zie R041: Rijksvaccinatieprogramma en andere vaccinaties: R041_Rijksvaccinatieprogramma | |
| Gekoppelde activiteit R042 | Zie R042: Van Wiechen ontwikkelingsonderzoek: R042_van_Wiechen_baby | |
3.1.9 R018: Activiteit XXX_Vooys
| R018: Activiteit | ||
| Gegevenselement | Waarde | |
| Activiteit ID | 02 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) | |
| Soort activiteit | Contact 1 tot 4 jaar (code = '39' in codeSystem '2.16.840.1.113883.2.4.4.40.308') | |
| Vorm activiteit | Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.424') | |
| Datum activiteit | DOB + 3 jaar | |
| Status activiteit | Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434') | |
| Verzoeker activiteit | Ouder(s)/verzorger(s) (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.411') | |
| Indicatie activiteit | Ouder-kindrelatie (code = '51' in codeSystem '2.16.840.1.113883.2.4.4.40.373') | |
| Begeleider | (Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | |
| Gekoppelde activiteit R022 | Zie R022: Huid/haar/nagels: R022_HuidHaarNagels | |
| Gekoppelde activiteit R024 | Zie R024: Romp: R024_Romp | |
| Gekoppelde activiteit R027 | Zie R027: Groei: R027_Groei | |
| Gekoppelde activiteit R032 | Zie R032: Spraak- en taalontwikkeling: R032_STO | |
| Gekoppelde activiteit R042 | Zie R042: Van Wiechen ontwikkelingsonderzoek: R042_van_Wiechen_peuter | |
| Gekoppelde activiteit R047 | Zie R047: Conclusies en vervolgstappen: R047_Conclusies | |
3.1.10 R018: Activiteit XXX_Vooys
| R018: Activiteit | ||
| Gegevenselement | Waarde | |
| Activiteit ID | 03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.100.2.2) | |
| Soort activiteit | Contact 12 tot 18 jaar (code = '41' in codeSystem '2.16.840.1.113883.2.4.4.40.308') | |
| Vorm activiteit | Inloopspreekuur (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.424') | |
| Datum activiteit | DOB + 13 jaar | |
| Status activiteit | Gerealiseerd (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.434') | |
| Verzoeker activiteit | Cliënt/jeugdige zelf (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.411') | |
| Indicatie activiteit | Bewegingsapparaat (code = '34' in codeSystem '2.16.840.1.113883.2.4.4.40.373') | |
| Begeleider | (Biologische of adoptief) Vader (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.421') | |
| Gekoppelde activiteit R019 | Zie R019: Terugkerende anamnese: R019_Terugkerende_anamese_kind | |
| Gekoppelde activiteit R021 | Zie R021: Functioneren: R021_Functioneren_kind | |
| Gekoppelde activiteit R025 | Zie R025: Bewegingsapparaat: R025_bewegingsapparaat | |
| Gekoppelde activiteit R026 | Zie R026: Genitalia/puberteitsontwikkeling: R026_Genitalia_puberteitsontwikkeling | |
| Gekoppelde activiteit R030 | Zie R030: Psychosociaal en cognitief functioneren: R030_psychosociaal_en_cognitief_functioneren | |
| Gekoppelde activiteit R038 | Zie R038: Visus- en oogonderzoek: R038_visus_en_brilonderzoek | |
| Gekoppelde activiteit R039 | Zie R039: Hartonderzoek: R039_Hartonderzoek | |
| Gekoppelde activiteit R054 | Zie R054: Screeningsinstrumenten: R054_screeningsinstrument | |
3.1.11 R019: Terugkerende anamnese XXX_Vooys
| R019: Terugkerende anamnese | ||
| Gegevenselement | Waarde | |
| Anamnese | Geen bijzonderheden | |
| Ervaren gezondheid | Goed (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.99') | |
| Voeding en eetgedrag | Krijgt voldoende, wel onzeker hierover | |
| Melkvoeding op dit moment | Kunstvoeding (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.307') | |
| Bijzonderheden slapen/waken | Slaapt soms door | |
| Bijzonderheden huilen | Huilt veel | |
| In de omgeving van de jeugdige wordt wel eens of dagelijks gerookt | Ja, door ouder(s) en andere belangrijke personen in de omgeving (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.448') | |
| Toelichting roken in omgeving van de jeugdige | Roken 5 pakjes per week | |
| Stoppen met roken interventie besproken | Ja | |
| Ontvangen (para)medische zorg | Fysiotherapie | |
3.1.12 R019: Terugkerende anamnese XXX_Vooys
| R019: Terugkerende anamnese | ||
| Gegevenselement | Waarde | |
| Ervaren gezondheid | Goed (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.99') | |
| In de omgeving van de jeugdige wordt wel eens of dagelijks gerookt | Nee (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.448') | |
| Toelichting roken in omgeving van de jeugdige | Ouders zijn gestopt met roken | |
| Jeugdige heeft zwemdiploma | Nee, zit (nog) niet op zwemles en heeft ook geen schoolzwemmen (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.449') | |
3.1.13 R020: Algemene indruk XXX_Vooys
| R020: Algemene indruk | ||
| Gegevenselement | Waarde | |
| Algemene indruk | Kind ziet er een beetje moe uit. Lacht af en toe. | |
3.1.14 R021: Functioneren XXX_Vooys
| R021: Functioneren | ||
| Gegevenselement | Waarde | |
| Zindelijkheid | Overdag onzindelijk voor urine (code = '06' in codeSystem '2.16.840.1.113883.2.4.4.40.46') | |
| Soorten genotsmiddelen/verslavingsrisico | Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.313') | |
3.1.15 R021: Functioneren XXX_Vooys
| R021: Functioneren | ||
| Gegevenselement | Waarde | |
| Seksueel functioneren | Vragen/zorgen over seksuele identiteit (code = '04' in codeSystem '2.16.840.1.113883.2.4.4.40.444') | |
| Toelichting seksueel functioneren | Uitleg gegeven over seksuele identiteit | |
| Conclusie seksueel gedrag | Licht grensoverschrijdend (geel/oranje) (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.445') | |
| Relatie met ouder/verzorger | Goed | |
| Genotsmiddelen/verslavingsrisico | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Soorten genotsmiddelen/verslavingsrisico | Sociale- en ander mediagebruik (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.313') | |
| Toelichting genotsmiddelen/verslavingsrisico | Is meerdere uren per dag op social media | |
3.1.16 R022: Huid/haar/nagels XXX_Vooys
| R022: Huid/haar/nagels | ||
| Gegevenselement | Waarde | |
| Huid/haar/nagels onderzocht | Nee | |
3.1.17 R023: Hoofd/hals XXX_Vooys
| R023: Hoofd/hals | ||
| Gegevenselement | Waarde | |
| Hoofd/hals onderzocht | Ja | |
| Voorkeurshouding | Ja, links (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.453') | |
3.1.18 R024: Romp XXX_Vooys
| R024: Romp | ||
| Gegevenselement | Waarde | |
| Romp onderzocht | Ja | |
3.1.19 R025: Bewegingsapparaat XXX_Vooys
| R025: Bewegingsapparaat | |||
| Gegevenselement | Waarde | ||
| Bewegingsapparaat onderzocht | Ja | ||
| Groep G024: Wervelkolom | |||
| Bijzonderheden wervelkolom | Scoliose houdingsafhankelijk (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.320') | ||
| Lichaamskant bijzonderheden wervelkolom | Links (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.13') | ||
| Hoogteverschil gibbus bij scoliose | 5 mm | ||
| Groep G119: Scoliose hoekmeting | |||
| Scoliose hoekmeting | 10 | ||
| Lichaamskant scoliose hoekmeting | Rechts (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.13') | ||
| Groep G026: Heupen | |||
| Bijzonderheden heupen | Bilplooiverschil (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.22') | ||
| Groep G028: Onderste extremiteiten | |||
| Bijzonderheden onderste extremiteiten | X-benen (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.23') | ||
3.1.20 R026: Genitalia/puberteitsontwikkeling XXX_Vooys
| R026: Genitalia/puberteitsontwikkeling | ||
| Gegevenselement | Waarde | |
| Genitalia/puberteitsontwikkeling | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Borstontwikkeling meisje | M3 (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.45') | |
| Pubesbeharing meisje | P1 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.44') | |
| Datum menarche | DOB + 13 jaar | |
| Beoordeling puberteitsontwikkeling | Geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.451') | |
3.1.21 R027: Groei XXX_Vooys
| R027: Groei | ||
| Gegevenselement | Waarde | |
| Conclusie JGZ-professional lengtegroei | Naar verwachting (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.440') | |
| Welk groeidiagram wordt gebruikt | Nederlands (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.443') | |
3.1.22 R030: Psychosociaal en cognitief functioneren XXX_Vooys
| R030: Psychosociaal en cognitief functioneren | ||
| Gegevenselement | Waarde | |
| Pyschosociaal functioneren en cognitieve ontwikkeling | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Toelichting psychosociaal functioneren en cognitieve ontwikkeling | Maakt uitgebreid en vrolijk contact | |
| Beoordeling cognitieve ontwikkeling | Leeftijdsadequaat (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.446') | |
| Bevinding(en) psychosociaal functioneren | Zorgen over sociale vaardigheden/sociaal netwerk (gepest enz.) (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.447') | |
3.1.23 R031: Motorisch functioneren XXX_Vooys
| R031: Motorisch functioneren | ||
| Gegevenselement | Waarde | |
| Motorisch functioneren | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Bijzonderheden motorisch functioneren | Zet geen kracht op linker hand | |
| Zenuwstelsel | Onderzocht, bijzonderheden (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Bijzonderheden zenuwstelsel | mogelijke verstoring linker pink | |
3.1.24 R032: Spraak- en taalontwikkeling XXX_Vooys
| R032: Spraak- en taalontwikkeling | |||
| Gegevenselement | Waarde | ||
| Spraak- en taalontwikkeling onderzocht | Ja | ||
| Groep G036: Taal | |||
| Taal | Nederlands; Vlaams (code = 'nld' in codeSystem 'ISO 639-2: Codes for the representation of names of languages -- Part 2: Alpha-3 code') | ||
| Eerste/tweede taal | Eerste taal (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.323') | ||
3.1.25 R034: Inschatten verhouding draaglast-draagkracht XXX_Vooys
| R034: Inschatten verhouding draaglast-draagkracht | ||
| Gegevenselement | Waarde | |
| Balans draaglast-draagkracht | Bevorderend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.60') | |
3.1.26 R038: Visus- en oogonderzoek XXX_Vooys
| R038: Visus- en oogonderzoek | |||
| Gegevenselement | Waarde | ||
| Bril/lenzen dragend | Lenzen (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.328') | ||
| Groep G117: Visus | |||
| Soort visuskaart | LEA 4 meter (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.427') | ||
| Uitslag visus rechts | 0,5 (code = '08' in codeSystem '2.16.840.1.113883.2.4.4.40.428') | ||
| Uitslag visus links | 0,4 (code = '07' in codeSystem '2.16.840.1.113883.2.4.4.40.428') | ||
| Conclusie visusbepaling | Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.333') | ||
| Conclusie visus 3 jaar | Voldoende (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.325') | ||
| Cornea lichtreflex rechts | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
| Cornea lichtreflex links | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
| Rode fundusreflex rechts | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
| Rode fundusreflex links | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | ||
3.1.27 R039: Hartonderzoek XXX_Vooys
| R039: Hartonderzoek | |||
| Gegevenselement | Waarde | ||
| Hart- en Vaatstelsel | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | ||
| Risicosignalen hartfunctie | Bleekheid (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.454') | ||
| Groep G044: Geruis intensiteit | |||
| Geruis intensiteit | Graad 1/6 (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.335') | ||
| Methode meting | Zittend (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.395') | ||
3.1.28 R040: Gehooronderzoek XXX_Vooys
| R040: Gehooronderzoek | ||
| Gegevenselement | Waarde | |
| Gehooronderzoek uitgevoerd | Nee | |
3.1.29 R041: Rijksvaccinatieprogramma en andere vaccinaties XXX_Vooys
| R041: Rijksvaccinatieprogramma en andere vaccinaties | ||
| Gegevenselement | Waarde | |
| Contra-indicatie om (nu) te vaccineren | Ja | |
| De kinderarts heeft een contra-indicatie voor vaccinatie doorgegeven | Ja (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.455') | |
| Toelichting contra-indicatie om (nu) te vaccineren | Toelichting ontbreekt vanuit kinderarts | |
| Moeder heeft biological gebruikt | Nee (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.456') | |
| Vaccinatieschema DKTP pasgeborene | 3+1 schema (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.426') | |
3.1.30 R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys
| R042: Van Wiechen ontwikkelingsonderzoek | ||
| Gegevenselement | Waarde | |
| Gedragstoestand Van Wiechen | Kind maakt een vermoeide indruk (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.341') | |
| 1. Ogen fixeren | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 1 | Het kind reageert op de beweging | |
| 29. Reageert op toespreken | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| Opmerking bij VWO 29 | de onderzoeker heeft de gewenste respons geobserveerd in de interactie tussen ouder en kind | |
| 36. Maakt communicatieve gebaren | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| 52. Beweegt armen evenveel | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 52 | Armen worden rechts en links evenveel bewogen | |
| 53. Beweegt benen evenveel | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 53 | gelijk gebruik | |
| 54. Blijft hangen bij optillen onder de oksels | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 54 | Het kind blijft stevig hangen bij het optillen | |
| 55. Reacties bij optrekken tot zit | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 55 | de ellebogen zijn gebogen | |
| 56. Heft kin even van onderlaag | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 56 | Het kind richt het hoofd even op | |
| Kolom Van Wiechen onderzoek | 8 wkn-2 mnd (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.422') | |
3.1.31 R042: Van Wiechen ontwikkelingsonderzoek XXX_Vooys
| R042: Van Wiechen ontwikkelingsonderzoek | ||
| Gegevenselement | Waarde | |
| Interactie Van Wiechen | Kind is verlegen of terughoudend zonder actief verzet (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.342') | |
| 39. Zegt 3 "woorden" met begrip | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| Opmerking bij VWO 39 | niet consistent | |
| 41. Zegt "zinnen" van 2 woorden | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| Score op aanvullende vragen op ontwikkelingskenmerk 41 | 2 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.40.457') | |
| 42. Wijst 6 lichaamsdelen aan bij pop | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| Opmerking bij VWO 42 | Weet er maar 5 | |
| Score spelvraag Van Wiechentaalonderzoek | 1 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.458') | |
| 43. Noemt zichzelf "mij" of "ik" | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| 44. Wijst 5 plaatjes aan in boek | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 44 | Meermaals zelfde plaatje aangewezen | |
| 45. Zegt "zinnen" van 3 of meer woorden | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| Opmerking bij VWO 45 | Moeilijk te herkennen als zinnen | |
| 46. Is verstaanbaar voor bekenden | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.343') | |
| 68a. Loopt los | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 68a | n.v.t. | |
| 68b. Loopt goed los | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 68b | n.v.t. | |
| 70. Kan hurken en weer gaan staan zonder steun en zonder hulp van de armen | + (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 70 | gaat goed | |
| 68c. Loopt soepel | - (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.40.153') | |
| Opmerking bij VWO 68c | slingert | |
| Kolom Van Wiechen onderzoek | 2 jaar (code = '13' in codeSystem '2.16.840.1.113883.2.4.4.40.422') | |
3.1.32 R054: Screeningsinstrumenten XXX_Vooys
| R054: Screeningsinstrumenten | ||
| Gegevenselement | Waarde | |
| Screeningsinstrument psychosociale problematiek | SDQ ouders 4-17 jaar (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.40.387') | |
| Datum afname SPP | DOB + 13 jaar | |
| SPP ingevuld door | JGZ-professional (code = '03' in codeSystem '2.16.840.1.113883.2.4.4.40.388') | |
| Bijzonderheden SPP | Geen bijzonderheden | |
| Conclusie SPP | Geen grote problematiek | |
| Overall risicoinschatting SPARK | Laag (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.40.420') | |
| Overall conclusie alle domeinen DMOP | Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| Waardering domein ‘Omstandigheden en gebeurtenissen' (DMOP) | Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| Waardering domein 'Welbevinden kind' (DMOP) | Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| Waardering domein 'Rol partner' (DMOP) | Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| Waardering domein 'Competentie ouder' (DMOP) | Gaat wel (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| Waardering domein 'Sociale steun' (DMOP) | Goed (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.436') | |
| GIZ-driehoek | Onderzocht, geen bijzonderheden (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.432') | |
| Bijzonderheden GIZ-driehoek | Opvoeding (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.441') | |
| Lichamelijke ontwikkeling | Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Verstandelijke ontwikkeling | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Emotionele ontwikkeling | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Sociale en seksuele ontwikkeling | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Basiszorg / veiligheid | Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Opvoeden | Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Beleving ouderschap | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Onderlinge steun ouders | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Gezinsomstandigheden | Spanning (code = '02' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Netwerk | Normale zorgen (code = '01' in codeSystem '2.16.840.1.113883.2.4.4.40.438') | |
| Conclusie van de zorgbehoeften GIZ | Intensieve zorg (code = '05' in codeSystem '2.16.840.1.113883.2.4.4.40.442') | |
3.1.33 R047: Conclusies en vervolgstappen XXX_Vooys
| R047: Conclusies en vervolgstappen | ||
| Gegevenselement | Waarde | |
| Conclusie | Kind functioneert goed | |
