GZ: InhoudelijkeGegevens Integrale Zwangerschapskaart Echo: verschil tussen versies

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Regel 4: Regel 4:
  
 
=Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude>
 
=Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude>
==Scenario Vrouw7-kaart8-Echo_gegevens==
+
==Scenario Echo casus 1==
 
<section begin= /><section end= />
 
<section begin= /><section end= />
 
=== Administratief ===
 
=== Administratief ===
Regel 105: Regel 105:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|457
+
|style="background-color: white;"|Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|<span id="HelmaGrootkaart8" title="Intern ID = HelmaGrootkaart8">Zorgverlener HelmaGrootkaart8</span>
 
|colspan="6"|<span id="HelmaGrootkaart8" title="Intern ID = HelmaGrootkaart8">Zorgverlener HelmaGrootkaart8</span>
Regel 158: Regel 158:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgverlener
 
|colspan="2"|Zorgverlener
|style="background-color: white;"|HelmaGrootkaart8
+
|style="background-color: white;"|Zie [[#HelmaGrootkaart8|Zorgverlener: HelmaGrootkaart8]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Status zorgepisode
 
|colspan="3"|Status zorgepisode
|style="background-color: white;"|3
+
|style="background-color: white;"|Afgesloten (code = 'finished' in codeSystem '2.16.840.1.113883.4.642.1.649')
 
|}<section end=zorgverlening_ />
 
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
=== Zwangerschapsgegevens ===
Regel 241: Regel 241:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Observatie methode
 
|colspan="3"|Observatie methode
|style="background-color: white;"|7
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Conclusie waarde
 
|colspan="3"|Conclusie waarde
|style="background-color: white;"|2
+
|style="background-color: white;"|Verdenking afwijking (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.56')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verdenking afwijkingobv waarde
 
|colspan="3"|Verdenking afwijkingobv waarde
|style="background-color: white;"|4
+
|style="background-color: white;"|Afwijking sonomarker (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.200')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Advies waarde
 
|colspan="3"|Advies waarde
|style="background-color: white;"|5
+
|style="background-color: white;"|Verwijzing GUO2 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.57')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Biometrie
 
|colspan="5"|Biometrie
Regel 261: Regel 261:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acwaarde
 
|colspan="2"|Acwaarde
|style="background-color: white;"|151
+
|style="background-color: white;"|151 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acdatum begin tijd
 
|colspan="2"|Acdatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale schedelomvang
 
|colspan="4"|Foetale schedelomvang
Regel 274: Regel 274:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang meetmethode
 
|colspan="2"|Schedelomvang meetmethode
|style="background-color: white;"|2
+
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang waarde
 
|colspan="2"|Schedelomvang waarde
|style="background-color: white;"|168
+
|style="background-color: white;"|168 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang datum tijd
 
|colspan="2"|Schedelomvang datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale femurlengte  fl meting
 
|colspan="4"|Foetale femurlengte  fl meting
Regel 287: Regel 287:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Flwaarde
 
|colspan="2"|Flwaarde
|style="background-color: white;"|31
+
|style="background-color: white;"|31 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Fldatum begin tijd
 
|colspan="2"|Fldatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale biparietale diameter  bpd meting
 
|colspan="4"|Foetale biparietale diameter  bpd meting
Regel 300: Regel 300:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpdwaarde
 
|colspan="2"|Bpdwaarde
|style="background-color: white;"|49
+
|style="background-color: white;"|49 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpddatum begin tijd
 
|colspan="2"|Bpddatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetaal longitudinale blaas diameter  lbd meting
 
|colspan="4"|Foetaal longitudinale blaas diameter  lbd meting
Regel 313: Regel 313:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lbdwaarde
 
|colspan="2"|Lbdwaarde
|style="background-color: white;"|52
+
|style="background-color: white;"|52 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lbddatum begin tijd
 
|colspan="2"|Lbddatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale transcerebellar diameter  tcd meting
 
|colspan="4"|Foetale transcerebellar diameter  tcd meting
Regel 326: Regel 326:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Tcdwaarde
 
|colspan="2"|Tcdwaarde
|style="background-color: white;"|21
+
|style="background-color: white;"|21 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Tcddatum begin tijd
 
|colspan="2"|Tcddatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetaal geschat gewicht  efw meting
 
|colspan="4"|Foetaal geschat gewicht  efw meting
Regel 339: Regel 339:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Efwwaarde
 
|colspan="2"|Efwwaarde
|style="background-color: white;"|320
+
|style="background-color: white;"|320 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Efwdatum begin tijd
 
|colspan="2"|Efwdatum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Bevindingen
 
|colspan="5"|Bevindingen
Regel 356: Regel 356:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Beweging foetus datum tijd
 
|colspan="2"|Beweging foetus datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Beweging foetus waarde
 
|colspan="2"|Beweging foetus waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie methode
 
|colspan="2"|Observatie methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Vruchtwater meting
 
|colspan="4"|Vruchtwater meting
Regel 369: Regel 369:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet datum tijd
 
|colspan="2"|Meet datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Hoeveelheid vruchtwater waarde
 
|colspan="2"|Hoeveelheid vruchtwater waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|normaal vruchtwatervolume (bevinding) (code = '278092006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Vruchtwatercompartiment waarde
 
|colspan="2"|Vruchtwatercompartiment waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Placenta lokalisatie observatie
 
|colspan="4"|Placenta lokalisatie observatie
Regel 385: Regel 385:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Placenta lokalisatie datum tijd
 
|colspan="2"|Placenta lokalisatie datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Placentalokalisatie waarde
 
|colspan="2"|Placentalokalisatie waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|rechts laterale positie van placenta (bevinding) (code = '7401000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie methode
 
|colspan="2"|Observatie methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Cervixlengte meting
 
|colspan="4"|Cervixlengte meting
Regel 398: Regel 398:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Cervixlengte waarde
 
|colspan="2"|Cervixlengte waarde
|style="background-color: white;"|31
+
|style="background-color: white;"|31 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|7
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Cervixlengte datum begin tijd
 
|colspan="2"|Cervixlengte datum begin tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Navelstreng observatie
 
|colspan="4"|Navelstreng observatie
Regel 411: Regel 411:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Navelstreng datum tijd
 
|colspan="2"|Navelstreng datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Navelstreng waarde
 
|colspan="2"|Navelstreng waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Navelstreng vaten waarde
 
|colspan="2"|Navelstreng vaten waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|drie bloedvaten in navelstreng (bevinding) (code = '29691000146104' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie methode
 
|colspan="2"|Observatie methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Orgaansysteem foetus observatie
 
|colspan="4"|Orgaansysteem foetus observatie
Regel 427: Regel 427:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Orgaansysteem foetus datum tijd
 
|colspan="2"|Orgaansysteem foetus datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie naam
 
|colspan="2"|Observatie naam
|style="background-color: white;"|3
+
|style="background-color: white;"|structuur van wervelkolom (lichaamsstructuur)+structuur van medulla spinalis (lichaamsstructuur) (code = '421060004+2748008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Orgaansysteem foetus waarde
 
|colspan="2"|Orgaansysteem foetus waarde
|style="background-color: white;"|2
+
|style="background-color: white;"|Verdenking afwijking (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie methode
 
|colspan="2"|Observatie methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Probleem wervelkolom ruggemerg
 
|colspan="4"|Probleem wervelkolom ruggemerg
Regel 443: Regel 443:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem type
 
|colspan="2"|Probleem type
|style="background-color: white;"|3
+
|style="background-color: white;"|Klinische bevinding (code = '404684003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem naam
 
|colspan="2"|Probleem naam
|style="background-color: white;"|4
+
|style="background-color: white;"|spina bifida occulta (aandoening) (code = '76916001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem begin datum
 
|colspan="2"|Probleem begin datum
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Probleem status
 
|colspan="2"|Probleem status
|style="background-color: white;"|1
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verificatie status
 
|colspan="2"|Verificatie status
|style="background-color: white;"|1
+
|style="background-color: white;"|Werk (code = '415684004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Sonomarkers observatie
 
|colspan="4"|Sonomarkers observatie
Regel 462: Regel 462:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie datum tijd
 
|colspan="2"|Observatie datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Sonomarker naam
 
|colspan="2"|Sonomarker naam
|style="background-color: white;"|4
+
|style="background-color: white;"|echogeniciteit van foetale darmen bij obstetrische echografie (bevinding) (code = '698598000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Sonomarker waarde
 
|colspan="2"|Sonomarker waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|Geen sonomarker geconstateerd (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.54')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Observatie methode
 
|colspan="2"|Observatie methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Tekst uitslag
 
|colspan="5"|Tekst uitslag
Regel 478: Regel 478:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Tekst uitslag datum tijd
 
|colspan="3"|Tekst uitslag datum tijd
|style="background-color: white;"|T-570D
+
|style="background-color: white;"|T - 570 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Verrichting
 
|colspan="4"|Verrichting
Regel 485: Regel 485:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verrichting onderzoek
 
|colspan="2"|Verrichting onderzoek
|style="background-color: white;"|ttseo
+
|style="background-color: white;"|Zie [[#ttseo|Verrichting onderzoek: ttseo]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Tekst uitslag status
 
|colspan="3"|Tekst uitslag status
|style="background-color: white;"|3
+
|style="background-color: white;"|Definitief (code = 'final' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.16.1">ZIB Laboratoriumuitslag Testuitslag ResultaatStatus</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Tekst uitslag type
 
|colspan="3"|Tekst uitslag type
|style="background-color: white;"|4
+
|style="background-color: white;"|echografie (code = '16310003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|}<section end=medisch_onderzoek_ />
 
|}<section end=medisch_onderzoek_ />
==Scenario Vrouw8-kaart10-Echo_gegevens==
+
==Scenario Echo casus 2==
 
<section begin= /><section end= />
 
<section begin= /><section end= />
 
=== Administratief ===
 
=== Administratief ===
Regel 504: Regel 504:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="Merthe" title="Intern ID = Merthe">Patient Merthe</span>
+
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Begin datum tijd
 +
|style="background-color: white;"|T - 119 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Eind datum tijd
 +
|style="background-color: white;"|T + 246 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verzekeringssoort
 +
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Identificatie nummer
 +
|style="background-color: white;"|1235
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Organisatie naam
 +
|style="background-color: white;"|NN
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verzekerde nummer
 +
|style="background-color: white;"|123456
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|<span id="Leonie" title="Intern ID = Leonie">Patient Leonie</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="27"|
+
|rowspan="30"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 513: Regel 543:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
|style="background-color: white;"|Merthe
+
|style="background-color: white;"|Leonie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|M
+
|style="background-color: white;"|L
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|colspan="3"|Naamgebruik
Regel 526: Regel 556:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Kooijman
+
|style="background-color: white;"|XXX_Osse
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 536: Regel 566:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
|style="background-color: white;"|1002
+
|style="background-color: white;"|1000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999ZZ
+
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 548: Regel 578:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Adres soort
 
|colspan="3"|Adres soort
|style="background-color: white;"|Tijdelijk adres (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|style="background-color: white;"|Woon-/verblijfadres (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="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Telefoonnummers
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
|style="background-color: white;"|06-87654321
+
|style="background-color: white;"|06-12345678
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telecom type
 
|colspan="2"|Telecom type
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Nummer soort
+
|colspan="2"|Email adres
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|style="background-color: white;"|l.osse@test.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' 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="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999901734 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999901710 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|2 apr 2001
+
|style="background-color: white;"|13 jun 1998
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht administratief
 
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="PraktijkGroei" title="Intern ID = PraktijkGroei">Zorgaanbieder PraktijkGroei</span>
+
|colspan="6"|<span id="EchoGroei" title="Intern ID = EchoGroei">Zorgaanbieder EchoGroei</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
Regel 587: Regel 624:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|457
+
|style="background-color: white;"|Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="HelmaH" title="Intern ID = HelmaH">Zorgverlener HelmaH</span>
+
|colspan="6"|<span id="HelmaGroot" title="Intern ID = HelmaGroot">Zorgverlener HelmaGroot</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
Regel 630: Regel 667:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum
 
|colspan="2"|Begin datum
|style="background-color: white;"|T - 13 dagen
+
|style="background-color: white;"|T - 164 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Status zorgepisode
 
|colspan="2"|Status zorgepisode
|style="background-color: white;"|5
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '2.16.840.1.113883.4.642.1.649')
 
|}<section end=zorgverlening_ />
 
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
=== Zwangerschapsgegevens ===
Regel 649: Regel 686:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pariteit
 
|colspan="3"|Pariteit
|style="background-color: white;"|0
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Graviditeit
 
|colspan="3"|Graviditeit
|style="background-color: white;"|1
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Aterme datum items
 
|colspan="4"|Aterme datum items
Regel 659: Regel 696:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Aterme datum
 
|colspan="2"|Aterme datum
|style="background-color: white;"|T + 149 dagen
+
|style="background-color: white;"|T + 42 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bepalings methode
 
|colspan="2"|Bepalings methode
Regel 665: Regel 702:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Datum bepaling
 
|colspan="2"|Datum bepaling
|style="background-color: white;"|T - 13 dagen
+
|style="background-color: white;"|T - 207 dagen
 
|}<section end=zwangerschapsgegevens_ />
 
|}<section end=zwangerschapsgegevens_ />
 
=== Medisch onderzoek ===
 
=== Medisch onderzoek ===
Regel 681: Regel 718:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting start datum
 
|colspan="5"|Verrichting start datum
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting type
 
|colspan="5"|Verrichting type
|style="background-color: white;"|echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
+
|style="background-color: white;"|echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Locatie
 
|colspan="6"|Locatie
Regel 691: Regel 728:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgaanbieder
 
|colspan="4"|Zorgaanbieder
|style="background-color: white;"|Zie [[#PraktijkGroei|Zorgaanbieder: PraktijkGroei]]
+
|style="background-color: white;"|Zie [[#EchoGroei|Zorgaanbieder: EchoGroei]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Uitvoerder
 
|colspan="6"|Uitvoerder
Regel 698: Regel 735:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverlener
 
|colspan="4"|Zorgverlener
|style="background-color: white;"|Zie [[#HelmaH|Zorgverlener: HelmaH]]
+
|style="background-color: white;"|Zie [[#HelmaGroot|Zorgverlener: HelmaGroot]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="41"|
+
|rowspan="53"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Echoscopie
 
|colspan="6"|Echoscopie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="39"|
+
|rowspan="51"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Biometrie
 
|colspan="5"|Biometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="31"|
+
|rowspan="26"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale buikomtrek  ac meting
 
|colspan="4"|Foetale buikomtrek  ac meting
Regel 717: Regel 754:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acwaarde
 
|colspan="2"|Acwaarde
|style="background-color: white;"|49
+
|style="background-color: white;"|283 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acdatum begin tijd
 
|colspan="2"|Acdatum begin tijd
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale schedelomvang
 
|colspan="4"|Foetale schedelomvang
Regel 730: Regel 767:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang meetmethode
 
|colspan="2"|Schedelomvang meetmethode
|style="background-color: white;"|2
+
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang waarde
 
|colspan="2"|Schedelomvang waarde
|style="background-color: white;"|74
+
|style="background-color: white;"|314 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang datum tijd
 
|colspan="2"|Schedelomvang datum tijd
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale femurlengte  fl meting
 
|colspan="4"|Foetale femurlengte  fl meting
Regel 743: Regel 780:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Flwaarde
 
|colspan="2"|Flwaarde
|style="background-color: white;"|7
+
|style="background-color: white;"|57 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Fldatum begin tijd
 
|colspan="2"|Fldatum begin tijd
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale biparietale diameter  bpd meting
 
|colspan="4"|Foetale biparietale diameter  bpd meting
Regel 756: Regel 793:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpdwaarde
 
|colspan="2"|Bpdwaarde
|style="background-color: white;"|17
+
|style="background-color: white;"|88 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpddatum begin tijd
 
|colspan="2"|Bpddatum begin tijd
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetale kruin romp lengte crl meting
+
|colspan="4"|Foetaal geschat gewicht efw meting
 
|-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"|Crlwaarde
+
|colspan="2"|Efwwaarde
|style="background-color: white;"|55
+
|style="background-color: white;"|2450 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Efwdatum begin tijd
 +
|style="background-color: white;"|T - 3 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Bevindingen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Foetale hartslag hartfrequentie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hartfrequentie datum tijd
 +
|style="background-color: white;"|T - 3 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hartfrequentie waarde
 +
|style="background-color: white;"|140
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Crldatum begin tijd
+
|colspan="2"|Hartslag meet methode
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|Echo (code = '408808009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hartslag regelmatigheid
 +
|style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Ligging foetus meting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Ligging foetus waarde
 +
|style="background-color: white;"|stuit (code = '6096002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Meet datum begin tijd
 +
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetale nekplooidikte  nt meting
+
|colspan="4"|Beweging foetus observatie
 
|-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"|Ntwaarde
+
|colspan="2"|Beweging foetus datum tijd
|style="background-color: white;"|2.9
+
|style="background-color: white;"|T - 3 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Meet methode
+
|colspan="2"|Beweging foetus waarde
|style="background-color: white;"|6
+
|style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ntdatum begin tijd
+
|colspan="2"|Observatie methode
|style="background-color: white;"|T-13D
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bevindingen
+
|colspan="4"|Vruchtwater meting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Sonomarkers observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Meet datum tijd
 +
|style="background-color: white;"|T - 3 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Hoeveelheid vruchtwater waarde
 +
|style="background-color: white;"|normaal vruchtwatervolume (bevinding) (code = '278092006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sonomarker naam
+
|colspan="2"|Vruchtwatercompartiment waarde
|style="background-color: white;"|3
+
|style="background-color: white;"|Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sonomarker waarde
+
|colspan="2"|Meet methode
|style="background-color: white;"|1
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|}<section end=medisch_onderzoek_ />
 
|}<section end=medisch_onderzoek_ />
==Scenario Vrouw7-kaart9-Echo_gegevens==
+
==Scenario Echo casus 3==
 
<section begin= /><section end= />
 
<section begin= /><section end= />
 
=== Administratief ===
 
=== Administratief ===
Regel 815: Regel 884:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Betaler
+
|colspan="6"|<span id="Merthe" title="Intern ID = Merthe">Patient Merthe</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|rowspan="27"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Verzekering
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum tijd
 
|style="background-color: white;"|T-119D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Eind datum tijd
 
|style="background-color: white;"|T+246D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Identificatie nummer
 
|style="background-color: white;"|1235
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Organisatie naam
 
|style="background-color: white;"|NN
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verzekerde nummer
 
|style="background-color: white;"|123456
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|<span id="Leonie" title="Intern ID = Leonie">Patient Leonie</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="30"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Naamgegevens
 
|colspan="5"|Naamgegevens
Regel 854: Regel 893:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voornamen
 
|colspan="3"|Voornamen
|style="background-color: white;"|Leonie
+
|style="background-color: white;"|Merthe
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|L
+
|style="background-color: white;"|M
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|colspan="3"|Naamgebruik
Regel 867: Regel 906:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Achternaam
 
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Osse
+
|style="background-color: white;"|XXX_Kooijman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 877: Regel 916:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Huisnummer
 
|colspan="3"|Huisnummer
|style="background-color: white;"|1000
+
|style="background-color: white;"|1002
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 889: Regel 928:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Adres soort
 
|colspan="3"|Adres soort
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|style="background-color: white;"|Tijdelijk adres (code = 'TMP' 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="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Telefoonnummers
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
|style="background-color: white;"|06-12345678
+
|style="background-color: white;"|06-87654321
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telecom type
 
|colspan="2"|Telecom type
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Nummer soort
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
|colspan="2"|Email adres
 
|style="background-color: white;"|l.osse@test.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Email soort
 
|style="background-color: white;"|Privé e-mailadres (code = 'HP' 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="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999901710 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999901734 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|13 jun 1998
+
|style="background-color: white;"|2 apr 2001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht administratief
 
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="EchoGroei" title="Intern ID = EchoGroei">Zorgaanbieder EchoGroei</span>
+
|colspan="6"|<span id="PraktijkGroei" title="Intern ID = PraktijkGroei">Zorgaanbieder PraktijkGroei</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
Regel 935: Regel 967:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Afdeling specialisme
 
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|457
+
|style="background-color: white;"|Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="HelmaGroot" title="Intern ID = HelmaGroot">Zorgverlener HelmaGroot</span>
+
|colspan="6"|<span id="HelmaH" title="Intern ID = HelmaH">Zorgverlener HelmaH</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
Regel 978: Regel 1.010:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum
 
|colspan="2"|Begin datum
|style="background-color: white;"|T - 164 dagen
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Status zorgepisode
 
|colspan="2"|Status zorgepisode
|style="background-color: white;"|5
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem '2.16.840.1.113883.4.642.1.649')
 
|}<section end=zorgverlening_ />
 
|}<section end=zorgverlening_ />
 
=== Zwangerschapsgegevens ===
 
=== Zwangerschapsgegevens ===
Regel 997: Regel 1.029:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pariteit
 
|colspan="3"|Pariteit
|style="background-color: white;"|1
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Graviditeit
 
|colspan="3"|Graviditeit
|style="background-color: white;"|2
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Aterme datum items
 
|colspan="4"|Aterme datum items
Regel 1.007: Regel 1.039:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Aterme datum
 
|colspan="2"|Aterme datum
|style="background-color: white;"|T + 42 dagen
+
|style="background-color: white;"|T + 149 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bepalings methode
 
|colspan="2"|Bepalings methode
Regel 1.013: Regel 1.045:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Datum bepaling
 
|colspan="2"|Datum bepaling
|style="background-color: white;"|T - 207 dagen
+
|style="background-color: white;"|T - 13 dagen
 
|}<section end=zwangerschapsgegevens_ />
 
|}<section end=zwangerschapsgegevens_ />
 
=== Medisch onderzoek ===
 
=== Medisch onderzoek ===
Regel 1.029: Regel 1.061:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting start datum
 
|colspan="5"|Verrichting start datum
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T-13D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting type
 
|colspan="5"|Verrichting type
|style="background-color: white;"|echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Locatie
 
|colspan="6"|Locatie
Regel 1.039: Regel 1.071:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgaanbieder
 
|colspan="4"|Zorgaanbieder
|style="background-color: white;"|Zie [[#EchoGroei|Zorgaanbieder: EchoGroei]]
+
|style="background-color: white;"|Zie [[#PraktijkGroei|Zorgaanbieder: PraktijkGroei]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Uitvoerder
 
|colspan="6"|Uitvoerder
Regel 1.046: Regel 1.078:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverlener
 
|colspan="4"|Zorgverlener
|style="background-color: white;"|Zie [[#HelmaGroot|Zorgverlener: HelmaGroot]]
+
|style="background-color: white;"|Zie [[#HelmaH|Zorgverlener: HelmaH]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="53"|
+
|rowspan="41"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Echoscopie
 
|colspan="6"|Echoscopie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="51"|
+
|rowspan="39"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Biometrie
 
|colspan="5"|Biometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="26"|
+
|rowspan="31"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale buikomtrek  ac meting
 
|colspan="4"|Foetale buikomtrek  ac meting
Regel 1.065: Regel 1.097:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acwaarde
 
|colspan="2"|Acwaarde
|style="background-color: white;"|283
+
|style="background-color: white;"|49 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Acdatum begin tijd
 
|colspan="2"|Acdatum begin tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale schedelomvang
 
|colspan="4"|Foetale schedelomvang
Regel 1.078: Regel 1.110:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang meetmethode
 
|colspan="2"|Schedelomvang meetmethode
|style="background-color: white;"|2
+
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang waarde
 
|colspan="2"|Schedelomvang waarde
|style="background-color: white;"|314
+
|style="background-color: white;"|74 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Schedelomvang datum tijd
 
|colspan="2"|Schedelomvang datum tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale femurlengte  fl meting
 
|colspan="4"|Foetale femurlengte  fl meting
Regel 1.091: Regel 1.123:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Flwaarde
 
|colspan="2"|Flwaarde
|style="background-color: white;"|57
+
|style="background-color: white;"|7 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Fldatum begin tijd
 
|colspan="2"|Fldatum begin tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale biparietale diameter  bpd meting
 
|colspan="4"|Foetale biparietale diameter  bpd meting
Regel 1.104: Regel 1.136:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpdwaarde
 
|colspan="2"|Bpdwaarde
|style="background-color: white;"|88
+
|style="background-color: white;"|17 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Bpddatum begin tijd
 
|colspan="2"|Bpddatum begin tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetaal geschat gewicht efw meting
+
|colspan="4"|Foetale kruin romp lengte crl meting
 
|-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"|Efwwaarde
+
|colspan="2"|Crlwaarde
|style="background-color: white;"|2450
+
|style="background-color: white;"|55 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|colspan="2"|Meet methode
|style="background-color: white;"|6
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Efwdatum begin tijd
+
|colspan="2"|Crldatum begin tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bevindingen
+
|colspan="4"|Foetale nekplooidikte nt meting
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Foetale hartslag hartfrequentie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Hartfrequentie datum tijd
 
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Hartfrequentie waarde
 
|style="background-color: white;"|140
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Hartslag meet methode
 
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Hartslag regelmatigheid
 
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="4"|Ligging foetus meting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Ligging foetus waarde
 
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet datum begin tijd
 
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Beweging foetus observatie
 
 
|-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"|Beweging foetus datum tijd
+
|colspan="2"|Ntwaarde
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|2.9 mm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beweging foetus waarde
+
|colspan="2"|Meet methode
|style="background-color: white;"|2
+
|style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie methode
+
|colspan="2"|Ntdatum begin tijd
|style="background-color: white;"|6
+
|style="background-color: white;"|T - 13 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Vruchtwater meting
+
|colspan="5"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Sonomarkers observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Meet datum tijd
+
|rowspan="3"|
|style="background-color: white;"|T-3D
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hoeveelheid vruchtwater waarde
+
|colspan="2"|Sonomarker naam
|style="background-color: white;"|1
+
|style="background-color: white;"|verdikte nekplooi van foetus (bevinding) (code = '459053006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vruchtwatercompartiment waarde
+
|colspan="2"|Sonomarker waarde
|style="background-color: white;"|1
+
|style="background-color: white;"|Geen sonomarker geconstateerd (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.54')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Meet methode
 
|style="background-color: white;"|6
 
 
|}<section end=medisch_onderzoek_ />
 
|}<section end=medisch_onderzoek_ />

Huidige versie van 18 nov 2024 om 16:49



1 Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2

1.1 Scenario Echo casus 1

1.1.1 Administratief

Administratief
Gegevenselement Waarde
Patient
Naamgegevens
Voornamen Leonie
Initialen L
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Osse
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer 06-12345678
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres l.osse@test.nl
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999901710 (in identificerend systeem: BSN)
Geboortedatum 13 jun 1998
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Zorgaanbieder EchopraktijkGroei
Zorgaanbieder identificatienummer 90012345 (in identificerend systeem: AGB-Z)
Organisatie naam Echopraktijk Groei
Afdeling specialisme Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Zorgverlener HelmaGrootkaart8
Zorgverlener identificatienummer 8452962 (in identificerend systeem: UZI Personen)
Naamgegevens
Voornamen Helma
Initialen H
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Groot

1.1.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 705 dagen
Eind datum T - 509 dagen
Zorg episode verantwoordelijke
Zorgverlener Zie Zorgverlener: HelmaGrootkaart8
Status zorgepisode Afgesloten (code = 'finished' in codeSystem '2.16.840.1.113883.4.642.1.649')

1.1.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Zwangerschap
Pariteit 0
Graviditeit 1
Aterme datum items
Aterme datum T - 509 dagen
Bepalings methode aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
Datum bepaling T - 649 dagen

1.1.4 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek ttseo
Verrichting start datum T-570D
Verrichting type structureel echoscopisch onderzoek tijdens tweede trimester (verrichting) (code = '143701000146108' in codeSystem 'SNOMED CT')
Locatie
Zorgaanbieder Zie Zorgaanbieder: EchopraktijkGroei
Uitvoerder
Zorgverlener Zie Zorgverlener: HelmaGrootkaart8
Foetusspecifieke onderzoeksgegevens
Echoscopie
Echografiche bevindingen algemeen observatie
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Conclusie waarde Verdenking afwijking (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.56')
Verdenking afwijkingobv waarde Afwijking sonomarker (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.200')
Advies waarde Verwijzing GUO2 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.57')
Biometrie
Foetale buikomtrek ac meting
Acwaarde 151 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Acdatum begin tijd T - 570 dagen
Foetale schedelomvang
Schedelomvang meetmethode Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
Schedelomvang waarde 168 mm
Schedelomvang datum tijd T - 570 dagen
Foetale femurlengte fl meting
Flwaarde 31 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Fldatum begin tijd T - 570 dagen
Foetale biparietale diameter bpd meting
Bpdwaarde 49 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Bpddatum begin tijd T - 570 dagen
Foetaal longitudinale blaas diameter lbd meting
Lbdwaarde 52 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Lbddatum begin tijd T - 570 dagen
Foetale transcerebellar diameter tcd meting
Tcdwaarde 21 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Tcddatum begin tijd T - 570 dagen
Foetaal geschat gewicht efw meting
Efwwaarde 320 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Efwdatum begin tijd T - 570 dagen
Bevindingen
Beweging foetus observatie
Beweging foetus datum tijd T - 570 dagen
Beweging foetus waarde foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Vruchtwater meting
Meet datum tijd T - 570 dagen
Hoeveelheid vruchtwater waarde normaal vruchtwatervolume (bevinding) (code = '278092006' in codeSystem 'SNOMED CT')
Vruchtwatercompartiment waarde Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Placenta lokalisatie observatie
Placenta lokalisatie datum tijd T - 570 dagen
Placentalokalisatie waarde rechts laterale positie van placenta (bevinding) (code = '7401000146107' in codeSystem 'SNOMED CT')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Cervixlengte meting
Cervixlengte waarde 31 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Cervixlengte datum begin tijd T - 570 dagen
Navelstreng observatie
Navelstreng datum tijd T - 570 dagen
Navelstreng waarde Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
Navelstreng vaten waarde drie bloedvaten in navelstreng (bevinding) (code = '29691000146104' in codeSystem 'SNOMED CT')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Orgaansysteem foetus observatie
Orgaansysteem foetus datum tijd T - 570 dagen
Observatie naam structuur van wervelkolom (lichaamsstructuur)+structuur van medulla spinalis (lichaamsstructuur) (code = '421060004+2748008' in codeSystem 'SNOMED CT')
Orgaansysteem foetus waarde Verdenking afwijking (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Probleem wervelkolom ruggemerg
Probleem type Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT')
Probleem naam spina bifida occulta (aandoening) (code = '76916001' in codeSystem 'SNOMED CT')
Probleem begin datum T - 570 dagen
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verificatie status Werk (code = '415684004' in codeSystem 'SNOMED CT')
Sonomarkers observatie
Observatie datum tijd T - 570 dagen
Sonomarker naam echogeniciteit van foetale darmen bij obstetrische echografie (bevinding) (code = '698598000' in codeSystem 'SNOMED CT')
Sonomarker waarde Geen sonomarker geconstateerd (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.54')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Tekst uitslag
Tekst uitslag datum tijd T - 570 dagen
Verrichting
Verrichting onderzoek Zie Verrichting onderzoek: ttseo
Tekst uitslag status Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus')
Tekst uitslag type echografie (code = '16310003' in codeSystem 'SNOMED CT')

1.2 Scenario Echo casus 2

1.2.1 Administratief

Administratief
Gegevenselement Waarde
Betaler
Verzekeraar
Verzekering
Begin datum tijd T - 119 dagen
Eind datum tijd T + 246 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort')
Identificatie nummer 1235
Organisatie naam NN
Verzekerde nummer 123456
Patient Leonie
Naamgegevens
Voornamen Leonie
Initialen L
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Osse
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer 06-12345678
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres l.osse@test.nl
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999901710 (in identificerend systeem: BSN)
Geboortedatum 13 jun 1998
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Zorgaanbieder EchoGroei
Zorgaanbieder identificatienummer 90012345 (in identificerend systeem: AGB-Z)
Organisatie naam Echopraktijk Groei
Afdeling specialisme Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Zorgverlener HelmaGroot
Zorgverlener identificatienummer 654321 (in identificerend systeem: UZI Personen)
Naamgegevens
Voornamen Helma
Initialen H
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Groot

1.2.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 164 dagen
Status zorgepisode Actief (code = 'active' in codeSystem '2.16.840.1.113883.4.642.1.649')

1.2.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Zwangerschap
Pariteit 1
Graviditeit 2
Aterme datum items
Aterme datum T + 42 dagen
Bepalings methode aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
Datum bepaling T - 207 dagen

1.2.4 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-3D
Verrichting type echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT')
Locatie
Zorgaanbieder Zie Zorgaanbieder: EchoGroei
Uitvoerder
Zorgverlener Zie Zorgverlener: HelmaGroot
Foetusspecifieke onderzoeksgegevens
Echoscopie
Biometrie
Foetale buikomtrek ac meting
Acwaarde 283 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Acdatum begin tijd T - 3 dagen
Foetale schedelomvang
Schedelomvang meetmethode Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
Schedelomvang waarde 314 mm
Schedelomvang datum tijd T - 3 dagen
Foetale femurlengte fl meting
Flwaarde 57 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Fldatum begin tijd T - 3 dagen
Foetale biparietale diameter bpd meting
Bpdwaarde 88 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Bpddatum begin tijd T - 3 dagen
Foetaal geschat gewicht efw meting
Efwwaarde 2450 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Efwdatum begin tijd T - 3 dagen
Bevindingen
Foetale hartslag hartfrequentie
Hartfrequentie datum tijd T - 3 dagen
Hartfrequentie waarde 140
Hartslag meet methode Echo (code = '408808009' in codeSystem 'SNOMED CT')
Hartslag regelmatigheid regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
Ligging foetus meting
Ligging foetus waarde stuit (code = '6096002' in codeSystem 'SNOMED CT')
Meet datum begin tijd T - 3 dagen
Beweging foetus observatie
Beweging foetus datum tijd T - 3 dagen
Beweging foetus waarde zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
Observatie methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Vruchtwater meting
Meet datum tijd T - 3 dagen
Hoeveelheid vruchtwater waarde normaal vruchtwatervolume (bevinding) (code = '278092006' in codeSystem 'SNOMED CT')
Vruchtwatercompartiment waarde Geen bijzonderheden (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.55')
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')

1.3 Scenario Echo casus 3

1.3.1 Administratief

Administratief
Gegevenselement Waarde
Patient Merthe
Naamgegevens
Voornamen Merthe
Initialen M
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Kooijman
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999ZZ
Woonplaats STITSWERD
Land Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
Adres soort Tijdelijk adres (code = 'TMP' in codeSystem 'HL7 AddressUse')
Contactgegevens
Telefoonnummers
Telefoonnummer 06-87654321
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999901734 (in identificerend systeem: BSN)
Geboortedatum 2 apr 2001
Geslacht administratief Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Zorgaanbieder PraktijkGroei
Zorgaanbieder identificatienummer 90012345 (in identificerend systeem: AGB-Z)
Organisatie naam Echopraktijk Groei
Afdeling specialisme Echoscopie (code = '9018' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Zorgverlener HelmaH
Zorgverlener identificatienummer 654321 (in identificerend systeem: UZI Personen)
Naamgegevens
Voornamen Helma
Initialen H
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik')
Geslachtsnaam
Achternaam XXX_Groot

1.3.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Zorg episode
Begin datum T - 13 dagen
Status zorgepisode Actief (code = 'active' in codeSystem '2.16.840.1.113883.4.642.1.649')

1.3.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Zwangerschap
Pariteit 0
Graviditeit 1
Aterme datum items
Aterme datum T + 149 dagen
Bepalings methode aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
Datum bepaling T - 13 dagen

1.3.4 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Verrichting onderzoek
Verrichting start datum T-13D
Verrichting type echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem 'SNOMED CT')
Locatie
Zorgaanbieder Zie Zorgaanbieder: PraktijkGroei
Uitvoerder
Zorgverlener Zie Zorgverlener: HelmaH
Foetusspecifieke onderzoeksgegevens
Echoscopie
Biometrie
Foetale buikomtrek ac meting
Acwaarde 49 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Acdatum begin tijd T - 13 dagen
Foetale schedelomvang
Schedelomvang meetmethode Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
Schedelomvang waarde 74 mm
Schedelomvang datum tijd T - 13 dagen
Foetale femurlengte fl meting
Flwaarde 7 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Fldatum begin tijd T - 13 dagen
Foetale biparietale diameter bpd meting
Bpdwaarde 17 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Bpddatum begin tijd T - 13 dagen
Foetale kruin romp lengte crl meting
Crlwaarde 55 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Crldatum begin tijd T - 13 dagen
Foetale nekplooidikte nt meting
Ntwaarde 2.9 mm
Meet methode echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT')
Ntdatum begin tijd T - 13 dagen
Bevindingen
Sonomarkers observatie
Sonomarker naam verdikte nekplooi van foetus (bevinding) (code = '459053006' in codeSystem 'SNOMED CT')
Sonomarker waarde Geen sonomarker geconstateerd (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.54')