|
|
Regel 18: |
Regel 18: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Persoonidentificatie | | |colspan="5"|Persoonidentificatie |
− | |style="background-color: white;"|999910553 | + | |style="background-color: white;"|Unknown (voorbeeld: nullFlavor="UNK") |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Naamgegevens | | |colspan="6"|Naamgegevens |
Regel 27: |
Regel 27: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Initialen | | |colspan="3"|Initialen |
− | |style="background-color: white;"|W. | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Achternaam | | |colspan="6"|Achternaam |
Regel 40: |
Regel 40: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="3"|Achternaam | | |colspan="3"|Achternaam |
− | |style="background-color: white;"|XXX_Witsiers | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Geslacht | | |colspan="5"|Geslacht |
− | |style="background-color: white;"|M | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="6"|Geboortegegevens | | |colspan="6"|Geboortegegevens |
Regel 50: |
Regel 50: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Geboortedatum | | |colspan="4"|Geboortedatum |
− | |style="background-color: white;"|06-08-1954 | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Geschatte leeftijd | | |colspan="5"|Geschatte leeftijd |
Regel 60: |
Regel 60: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Straat | | |colspan="4"|Straat |
− | |style="background-color: white;"|Hertog Aalbrechtweg | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Huisnummer | | |colspan="4"|Huisnummer |
− | |style="background-color: white;"|8 | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Huisnummerletter | | |colspan="4"|Huisnummerletter |
Regel 72: |
Regel 72: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Postcode | | |colspan="4"|Postcode |
− | |style="background-color: white;"|1823 DB | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Woonplaats | | |colspan="4"|Woonplaats |
− | |style="background-color: white;"|Alkmaar | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Land | | |colspan="4"|Land |
− | |style="background-color: white;"|Nederland | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="4"|Locatiebeschrijving | | |colspan="4"|Locatiebeschrijving |
Regel 251: |
Regel 251: |
| |} | | |} |
| <section end="patient" /> | | <section end="patient" /> |
− |
| |
− | <section begin="WID-controle" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | WID-controle
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|WID-controle uitgevoerd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|WID controle datum
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Documentnummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Document type
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="WID-controle" />
| |
− |
| |
− | <section begin="Incidentgegevens" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Incidentgegevens
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Datum/tijd incident
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Incidentgegevens" />
| |
− |
| |
− | <section begin="Meldingsgegevens" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Meldingsgegevens
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Datum/tijd melding
| |
− | |style="background-color: white;"| T1-15min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Geplande brengtijd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Geplande haaltijd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Wzd/Wvggz maatregel
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Datum/tijd aanvang TVZ
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Medische kladblok meldkamer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;
| |
− | |colspan="5"|Meldkamerurgentie
| |
− | |style="background-color: white;"| A2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Meldingsgegevens" />
| |
− |
| |
− | <section begin="Zorgaanvrager" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zorgaanvrager
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Initialen
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Achternaam
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Telefoonnummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Identificatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type zorgaanvrager
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Zorgaanvrager" />
| |
| | | |
| <section begin="Ritgegevens" /> | | <section begin="Ritgegevens" /> |
Regel 354: |
Regel 263: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Ritnummer | | |colspan="5"|Ritnummer |
− | |style="background-color: white;"| 25-2020-13-1 | + | |style="background-color: white;"| 25-2020-11-1 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Ambulancenummer | | |colspan="5"|Ambulancenummer |
Regel 363: |
Regel 272: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Ambulanceverpleegkundige identificatie | | |colspan="5"|Ambulanceverpleegkundige identificatie |
− | |style="background-color: white;"| 596 | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Ambulancechauffeur identificatie | | |colspan="5"|Ambulancechauffeur identificatie |
− | |style="background-color: white;"| 530 | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;; | | |-style="vertical-align:top; background-color: #E3E3E3;; |
| |colspan="5"|Datum/tijd ritopdracht | | |colspan="5"|Datum/tijd ritopdracht |
− | |style="background-color: white;"| T1-10 min | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Datum/tijd uitruk/vertrek | | |colspan="5"|Datum/tijd uitruk/vertrek |
− | |style="background-color: white;"| T1-10 min | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Datum/tijd aankomst patiënt | | |colspan="5"|Datum/tijd aankomst patiënt |
− | |style="background-color: white;"| T1 | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Datum/tijd vertrek patiënt | | |colspan="5"|Datum/tijd vertrek patiënt |
− | |style="background-color: white;"| T1+2 min (alleen in bericht 2 en 3) | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Verwachte aankomsttijd bestemming | | |colspan="5"|Verwachte aankomsttijd bestemming |
Regel 394: |
Regel 303: |
| |} | | |} |
| <section end="Ritgegevens" /> | | <section end="Ritgegevens" /> |
− |
| |
− | <section begin="Haalgegevens" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Haalgegevens
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Straat
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Huisnummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Huisletter
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Huisnummertoevoeging
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Postcode
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Locatiebeschrijving
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Woonplaats
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Land
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Patiënt vervoerd?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Reden geen vervoer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Tijdstip overlijden patiënt
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Advies behandeling tijdens vervoer aanwezig?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Niet reanimeren verklaring aanwezig?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Trialgegevens
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Ambulance-urgentie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Gewondennummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Triageklasse
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hulpverleners ter plaatse
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="9"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Hulpverlenersnaam
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Type hulpverlener
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Telefoonnummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|E-mailadres
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Haalgegevens" />
| |
| | | |
| <section begin="Bestemmingsgegevens" /> | | <section begin="Bestemmingsgegevens" /> |
Regel 484: |
Regel 315: |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Bestemmingsstatus in bericht op T2 | | |colspan="5"|Bestemmingsstatus in bericht op T2 |
− | |style="background-color: white;"|Actief | + | |style="background-color: white;"|Geannuleerd |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Bestemmingsstatus in bericht op T3 | | |colspan="5"|Bestemmingsstatus in bericht op T3 |
− | |style="background-color: white;"|Overgedragen | + | |style="background-color: white;"| |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Bestemmingscode | | |colspan="5"|Bestemmingscode |
− | |style="background-color: white;"|AGB: 06010860 | + | |style="background-color: white;"|AGB: 06020806 |
| |-style="vertical-align:top; background-color: #E3E3E3;;" | | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| |colspan="5"|Locatie of afdeling | | |colspan="5"|Locatie of afdeling |
Regel 540: |
Regel 371: |
| |} | | |} |
| <section end="Bestemmingsgegevens" /> | | <section end="Bestemmingsgegevens" /> |
− |
| |
− | <section begin="Mechanisme" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Mechanisme
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Mechanisme type
| |
− | |style="background-color: white;"| 35468003 bekneld geraakt tussen voorwerpen (gebeurtenis)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Vervoermiddel patiënt
| |
− | |style="background-color: white;"| 71783008 auto (fysiek object)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Patiënt was bestuurder?
| |
− | |style="background-color: white;"| ja
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Vervoermiddel contra
| |
− | |style="background-color: white;"| 71783008 auto (fysiek object)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Beschermingsmiddelen patiënt (3x)
| |
− | |style="background-color: white;"| 285695004 helm (fysiek object) <br/>
| |
− | 60054005 autogordel (fysiek object)<br/>
| |
− | 102384007 airbag van motorvoertuig (fysiek object)
| |
− |
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Mechanisme" />
| |
− |
| |
− | <section begin="Toestandsbeelden/Werkdiagnose" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" |Toestandsbeelden/Werkdiagnose
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Toestandsbeeld
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Toestandsbeeld code
| |
− | |style="background-color: white;"| 125593007 letsel van aangezicht (aandoening)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Toelichting Toestandsbeeld
| |
− | |style="background-color: white;"| Moeilijk observeren door weersomstandigheden
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Toestandsbeelden/Werkdiagnose" />
| |
− |
| |
− | <section begin="Meetwaarden" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Meetwaarden
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloedsuiker
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Bloedsuiker waarde
| |
− | |style="background-color: white;"| 6 mmol/L
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloedsuikerDatumTijd
| |
− | |style="background-color: white;"| T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloedsuiker
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Bloedsuiker waarde
| |
− | |style="background-color: white;"| 5 mmol/L
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloedsuikerDatumTijd
| |
− | |style="background-color: white;"| T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloedsuiker
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Bloedsuiker waarde
| |
− | |style="background-color: white;"| 6 mmol/L
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloedsuikerDatumTijd
| |
− | |style="background-color: white;"| T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hartritme
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Hartritme observatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartritmeDatumTijd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Toelichting hartritme/ECG
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|O2Saturatie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SpO2waarde
| |
− | |style="background-color: white;"|99%
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|O2SaturatieDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|O2Saturatie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SpO2waarde
| |
− | |style="background-color: white;"|78%
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|O2SaturatieDatumTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|O2Saturatie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SpO2waarde
| |
− | |style="background-color: white;"|98%
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|O2SaturatieDatumTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Capnometrie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2Waarde
| |
− | |style="background-color: white;"|60 mm[Hg] <br/>8,0 kPa
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2CapnometrieDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Capnometrie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2Waarde
| |
− | |style="background-color: white;"|40 mm[Hg] <br/>5,3 kPa
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2CapnometrieDatumTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Capnometrie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2Waarde
| |
− | |style="background-color: white;"|35 mm[Hg] <br/>4,7 kPa
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|CO2CapnometrieDatumTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hartfrequentie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieWaarde
| |
− | |style="background-color: white;"|120/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hartfrequentie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieWaarde
| |
− | |style="background-color: white;"|110/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieDatumTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hartfrequentie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieWaarde
| |
− | |style="background-color: white;"|90/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|HartfrequentieDatumTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloeddruk
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SystolischeBloeddruk
| |
− | |style="background-color: white;"|90 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|DiastolischeBloeddruk
| |
− | |style="background-color: white;"|60 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloeddrukDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloeddruk
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SystolischeBloeddruk
| |
− | |style="background-color: white;"|100 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|DiastolischeBloeddruk
| |
− | |style="background-color: white;"|80 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloeddrukDatumTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bloeddruk
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|SystolischeBloeddruk
| |
− | |style="background-color: white;"|60 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|DiastolischeBloeddruk
| |
− | |style="background-color: white;"|50 mm[Hg]
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|BloeddrukDatumTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Lichaamstemperatuur
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|TemperatuurWaarde
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|TemperatuurDatumTijd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Ademhaling
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Ademfrequentie
| |
− | |style="background-color: white;"|4/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|AdemhalingDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Ademhaling
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Ademfrequentie
| |
− | |style="background-color: white;"|4/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|AdemhalingDatumTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Ademhaling
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Ademfrequentie
| |
− | |style="background-color: white;"|4/min
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|AdemhalingDatumTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|GlasgowComaScale
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|GlasgowComaScaleDatumTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|GCS_Eyes
| |
− | |style="background-color: white;"|4
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|GCS_Motor
| |
− | |style="background-color: white;"|6
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|GCS_Verbal
| |
− | |style="background-color: white;"|5 (uit 2.16.840.1.113883.2.4.3.11.60.40.4.2.3)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|TotaalScore
| |
− | |style="background-color: white;"|15
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Revised Trauma Score
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreWaarde
| |
− | |style="background-color: white;"|8
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Revised Trauma Score
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreWaarde
| |
− | |style="background-color: white;"|8
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Revised Trauma Score
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreWaarde
| |
− | |style="background-color: white;"|8
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|RevisedTraumaScoreTijd
| |
− | |style="background-color: white;"|T3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Pediatric Trauma Score
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PediatricTraumaScoreWaarde
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PediatricTraumaScoreTijd
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Pijnschaal
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PijnschaalWaarde
| |
− | |style="background-color: white;"|3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PijnschaalTijd
| |
− | |style="background-color: white;"|T1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Pijnschaal
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PijnschaalWaarde
| |
− | |style="background-color: white;"|3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|PijnschaalTijd
| |
− | |style="background-color: white;"|T2
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|APGAR-1
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|APGAR-5
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Meetwaarden" />
| |
− |
| |
− | <section begin="Behandeling" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Behandeling
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Ademhaling en beademing (diagnostisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="2"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Handelingen ademhaling en beademing
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bewustzijn en neurologische status (diagnostisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="2"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Handelingen bewustzijn en neurologische status
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Overige diagnostische handelingen
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="2"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Handelingen overige diagnostisch
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Luchtweg management (therapeutisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Handelingen luchtweg management
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Moeizame intubatie?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Oxygenatie en ventilatie (therapeutisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="7"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Handelingen oxygenatie en ventilatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Beademing machine Fi O2
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Beademing machine AMV
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Beademing machine Freq.
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Beademing machine Peep
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Hoeveelheid zuurstof
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Circulatie (therapeutisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="12"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Handelingen circulatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Pacemaker frequentie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Pacemaker stroomsterkte
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Pacemaker modus
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Cardioversies aantal
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Cardioversie maximale energie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Defibrillaties aantal
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Defibrillatie energie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Return Of Spontaneous Circulation (ROSC)
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| AED aangesloten voor aankomst
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| AED-schokken aantal
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Traumatologie (therapeutisch)
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Handelingen traumatologie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Koelen tijdsduur
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Obstetrie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="2"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Handelingen obstetrie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Wijze van isolatie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="2"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Handelingen isolatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Medicatie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="7"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Medicatie toegediend?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Medicatienaam
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Toegediende hoeveelheid medicatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Tijd medicatietoediening
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Medicatie toedieningsvorm
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| IV medicatiesnelheid
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Infuus
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="5"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Infusen aantal
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Infuusvloeistofcode
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Infuusvloeistoftekst
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Infuushoeveelheid
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Extra informatie behandeling
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Behandeling" />
| |
− |
| |
− | <section begin="Patiëntligging" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Patiëntligging
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type patiëntligging
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Patiëntligging" />
| |
− |
| |
− | <section begin="Primary Survey" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Primary Survey
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Airway
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Airway vrij?
| |
− | |style="background-color: white;"| Ja
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Stridor
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Breathing
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Breathing sufficient?
| |
− | |style="background-color: white;"|Ja
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Breathing observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Circulation
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Circulation sufficient?
| |
− | |style="background-color: white;"| Ja
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Capillaire refill > 2 seconde?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Huid observatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Disability
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="7"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|AVPU
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Duur buiten bewustzijn
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Pupil
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|FAST symptomen aanwezig
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Mogelijk trombolyse/trombectomie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Intoxicatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− |
| |
− |
| |
− | |colspan="5"|Toelichting Primary Survey
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Primary Survey" />
| |
− |
| |
− | <section begin="Secondary Survey" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Secondary Survey
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Anamnese
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="7"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Ample
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Code
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Titel
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Omschrijving
| |
− | |style="background-color: white;"|
| |
− |
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Toelichting anamnese
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Infectierisico
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Verdenking infectieziekten?
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Toelichting infectierisico
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Hoofd en gelaat
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Hoofd en gelaat observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Bloedverlies
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Liquorverlies
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Pijnlocatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Nek, hals, CWK
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Nek, hals, CWK observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Thorax
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Thorax observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Pijn bij compressie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Locatie subcutaan emfyseem
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Locatie zwelling / oedeem (2x)
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Rug
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Rug observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Abdomen
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Abdomen observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Locatie druk- / loslaatpijn
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Locatie zwelling / oedeem
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Locatie pulserende zwelling
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Bekken
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Bekken observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"| Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Extremiteiten Armen
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Extremiteit
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Lateraliteit
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Extremiteiten Armen
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Extremiteit
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Lateraliteit
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Extremiteiten Benen
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="6"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Extremiteit
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Lateraliteit
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Observaties (2x)
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="3"|Wond
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Uitscheiding
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Uitscheiding observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Braken
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Incontinent
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Verloskunde/Gynaecologie
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="4"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Verloskunde/Gynaecologie observaties
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Vruchtwaterverlies
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Weeën
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Secondary Survey" />
| |
− |
| |
− | <section begin="Consultgever op afstand" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Consultgever op afstand
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Initialen
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Achternaam
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Telefoonnummer
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Identificatie
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type consultgever
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Toelichting/Afspraken met consultgever
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Consultgever op afstand" />
| |
− |
| |
− | <section begin="Afspraken met patiënt" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Afspraken met patiënt
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Huisarts ingelicht
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Afspraken met patiënt
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Afspraken met patiënt" />
| |
− |
| |
− | <section begin="Bijlagen" />
| |
− | Overdracht T1
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bijlagen
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type Bijlage
| |
− | |style="background-color: white;"|006 intern rapport/overdracht
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlage id
| |
− | |style="background-color: white;"| 9068
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Versie
| |
− | |style="background-color: white;"| 1
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlageset id
| |
− | |style="background-color: white;"| 12
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <br/>
| |
− | Overdracht T2
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bijlagen
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type Bijlage
| |
− | |style="background-color: white;"|006 intern rapport/overdracht
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlage id
| |
− | |style="background-color: white;"| 9068
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Versie
| |
− | |style="background-color: white;"| 3
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlageset id
| |
− | |style="background-color: white;"| 12
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <br/>
| |
− | Overdracht T3
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bijlagen
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Type Bijlage
| |
− | |style="background-color: white;"|006 intern rapport/overdracht
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlage id
| |
− | |style="background-color: white;"| 9068
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Versie
| |
− | |style="background-color: white;"| 6
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Bijlageset id
| |
− | |style="background-color: white;"| 12
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Bijlagen" />
| |
− |
| |
− | <section begin="Toestemmingsgegevens" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toestemmingsgegevens
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="6"|Wetenschappelijk onderzoek
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |rowspan="3"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Beschrijving
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="4"|Informed consent
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Toestemming informeren verwanten
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Toestemmingsgegevens" />
| |
− |
| |
− | <section begin="Toelichtingsgegevens" />
| |
− | {| class="wikitable" width="85%"
| |
− | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toelichtingsgegevens
| |
− | |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
− | |colspan="5" width="25%"| Gegevenselement
| |
− | || Waarde
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |colspan="5"|Toelichting algemeen
| |
− | |style="background-color: white;"|
| |
− | |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
− | |}
| |
− | <section end="Toelichtingsgegevens" />
| |