Lab2patient Addendum KWAL: verschil tussen versies
(→Addenda voor inhoudelijke gegevens (Lab2Patient)) |
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| Regel 1: | Regel 1: | ||
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__NUMBEREDHEADINGS__ | __NUMBEREDHEADINGS__ | ||
| Regel 29: | Regel 25: | ||
|} | |} | ||
<section end=overview-LAB /> | <section end=overview-LAB /> | ||
| − | ===KWAL - L2P BLR - | + | ===KWAL - L2P BLR - MAX KC LOINC=== |
| − | <section begin=lu-blr- | + | <section begin=lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /><section begin=patient-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | ||
| Regel 60: | Regel 56: | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
| − | |}<section end=patient-lu-blr- | + | |}<section end=patient-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /><section begin=ag-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| Regel 67: | Regel 63: | ||
|| Waarde | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|AanvraagDatumTijd | ||
| + | |style="background-color: white;"|T - 14 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Aanvraagnummer | ||
| + | |style="background-color: white;"|AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |colspan="6"|Zorgverlener | ||
| Regel 145: | Regel 147: | ||
|colspan="3"|AdresSoort | |colspan="3"|AdresSoort | ||
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |}<section end=ag-lu-blr- | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="5"|RedenAanvraag | ||
| + | |style="background-color: white;"|Evaluatie kaliumuitscheiding bij hypertensie en kaliumsuppletie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vraagstelling | ||
| + | |style="background-color: white;"|Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status | ||
| + | |style="background-color: white;"|completed (code = 'completed' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Opmerking | ||
| + | |style="background-color: white;"|Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | ||
| + | |}<section end=ag-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /><section begin=lr-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| Regel 155: | Regel 169: | ||
|colspan="6"|LaboratoriumUitslag | |colspan="6"|LaboratoriumUitslag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="27"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|LaboratoriumUitslagIdentificatie | |colspan="4"|LaboratoriumUitslagIdentificatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_MaxResultaat_KCLOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|LaboratoriumTest | |colspan="5"|LaboratoriumTest | ||
| Regel 165: | Regel 179: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|IsUitbesteed | |colspan="3"|IsUitbesteed | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestIdentificatie | |colspan="3"|TestIdentificatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|88888 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|IsPointOfCareTest | |colspan="3"|IsPointOfCareTest | ||
| Regel 174: | Regel 188: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestCode | |colspan="3"|TestCode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestDatumTijd | |colspan="3"|TestDatumTijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 12 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslag | |colspan="3"|TestUitslag | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|30 mmol/24h |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslagStatus | |colspan="3"|TestUitslagStatus | ||
| Regel 186: | Regel 200: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ReferentieBovengrens | |colspan="3"|ReferentieBovengrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|125 mmol/24h |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ReferentieOndergrens | |colspan="3"|ReferentieOndergrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|25 mmol/24h |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|InterpretatieVlaggen | |colspan="3"|InterpretatieVlaggen | ||
| Regel 195: | Regel 209: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|UitslagInterpretatie | |colspan="3"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|kaliumuitscheiding is aan de lage kant. Binnen referentiebereik. Klinische evaluatie gewenst in context van suppletie. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Monster | |colspan="5"|Monster | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Monstermateriaal | |colspan="3"|Monstermateriaal | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|24-uurs urine (code = '276833005' in codeSystem 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|AfnameDatumTijd | |colspan="3"|AfnameDatumTijd | ||
| − | |style="background-color: white;"|T - 3 | + | |style="background-color: white;"|T - 13 dagen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Toelichting | ||
| + | |style="background-color: white;"|Monster is door patiënt zelf verzameld en ingeleverd. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ResultaatStatus | |colspan="4"|ResultaatStatus | ||
|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="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;;" | ||
| + | |colspan="4"|Toelichting | ||
| + | |style="background-color: white;"|Onderzoek voltooid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Uitvoerder | |colspan="5"|Uitvoerder | ||
| Regel 220: | Regel 240: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |} | + | |}<section end=lr-lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /><section end=lu-blr-KWAL-l2p-1Maximaal-bericht-3KCLOINC /> |
| + | ===KWAL - L2P BLR - MAX KC NHG=== | ||
| + | <section begin=lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /><section begin=patient-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="4" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|E. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Doppen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999900511 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geboortedatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|24 okt 1963 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslacht |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
| + | |}<section end=patient-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /><section begin=ag-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|AanvraagDatumTijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 14 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Aanvraagnummer |
| − | |style="background-color: white;"|3. | + | |style="background-color: white;"|AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="15"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgverlenerIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: AGB-Z) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Peter |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Voorvoegsels |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|van |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Pulver |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem '<span title="2.16.840.1.113883.2.4.6.7">Vektis AGB-medische specialismen</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contactgegevens |
|-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="4"| | + | |colspan="4"|Telefoonnummers |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1645645000 |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="15"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ZorgaanbiederIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: URA) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|OrganisatieNaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contactgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|099-12345678 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Dorpstraat |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1234AA |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ons Dorp |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|AdresSoort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Werkadres (code = 'WP' 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=" | + | |colspan="5"|RedenAanvraag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Evaluatie kaliumuitscheiding bij hypertensie en kaliumsuppletie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Vraagstelling |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|kalium urine 24u (code = '3272' in codeSystem '<span title="2.16.840.1.113883.2.4.4.30.45">NHG Tabel 45 Diagnostische bepalingen</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status | ||
| + | |style="background-color: white;"|completed (code = 'completed' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Opmerking |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. |
| + | |}<section end=ag-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /><section begin=lr-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="27"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_MaxResultaat_KCNHG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|LaboratoriumTest | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |rowspan="12"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="3"|IsUitbesteed | ||
| + | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|77777 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|IsPointOfCareTest |
| − | | | + | |style="background-color: white;"|Nee |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|TestCode |
| + | |style="background-color: white;"|kalium urine 24u (code = '3272' in codeSystem '<span title="2.16.840.1.113883.2.4.4.30.45">NHG Tabel 45 Diagnostische bepalingen</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 12 dagen |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|TestUitslag |
| + | |style="background-color: white;"|30 mmol/24h | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslagStatus |
| − | |style="background-color: white;"| | + | |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=" | + | |colspan="3"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|125 mmol/24h |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|ReferentieOndergrens |
| + | |style="background-color: white;"|25 mmol/24h | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|InterpretatieVlaggen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|intermediair (code = '11896004' 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="3"| | + | |colspan="3"|UitslagInterpretatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|kaliumuitscheiding is aan de lage kant. Binnen referentiebereik. Klinische evaluatie gewenst in context van suppletie. |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Monster | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="4"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Monstermateriaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|24-uursurine (code = '276833005' in codeSystem 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|AfnameDatumTijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 13 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Toelichting |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Monster is door patiënt zelf verzameld en ingeleverd. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ResultaatStatus |
|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="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="4"|Toelichting | |
| − | + | |style="background-color: white;"|Onderzoek voltooid | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan="4"| | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Uitvoerder | |colspan="5"|Uitvoerder | ||
| Regel 451: | Regel 456: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |} | + | |}<section end=lr-lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /><section end=lu-blr-KWAL-l2p-1Maximaal-bericht-4KCNHG /> |
| + | ===KWAL - L2P BLR - MIN KC LOINC=== | ||
| + | <section begin=lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /><section begin=patient-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="4" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|E. |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Doppen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999900511 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geboortedatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|24 okt 1963 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslacht |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
| + | |}<section end=patient-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /><section begin=ag-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|AanvraagDatumTijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 14 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Aanvraagnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|AG02 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="15"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgverlenerIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: AGB-Z) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Peter |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Voorvoegsels |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|van |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Pulver |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem '<span title="2.16.840.1.113883.2.4.6.7">Vektis AGB-medische specialismen</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contactgegevens |
|-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="4"| | + | |colspan="4"|Telefoonnummers |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1645645000 |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="15"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgaanbiederIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: URA) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|OrganisatieNaam | ||
| + | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Telefoonnummers |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|099-12345678 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Dorpstraat |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
| − | |}<section end= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="3"|Postcode | ||
| + | |style="background-color: white;"|1234AA | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Woonplaats | ||
| + | |style="background-color: white;"|Ons Dorp | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|AdresSoort | ||
| + | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|RedenAanvraag | ||
| + | |style="background-color: white;"|Follow-up bij eerder verhoogde ALAT | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vraagstelling | ||
| + | |style="background-color: white;"|Bilirubine [mol/volume] in serum of plasma (code = '14631-6' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status | ||
| + | |style="background-color: white;"|completed (code = 'completed' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Opmerking | ||
| + | |style="background-color: white;"|Eerder lichte stijging ALAT (54 U/L), geen geelzucht. Hercontrole op leverenzymen en bilirubine. Patiënt gebruikt sinds 3 maanden geen alcohol meer | ||
| + | |}<section end=ag-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /><section begin=lr-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="6"|LaboratoriumUitslag | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="15"| | |rowspan="15"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_MinResultaat_KCLOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|IsUitbesteed |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|TestIdentificatie |
| + | |style="background-color: white;"|66666 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bilirubine [mol/volume] in serum of plasma (code = '14631-6' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|TestDatumTijd | ||
| + | |style="background-color: white;"|T - 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|5.4 umol/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslagStatus |
| − | |style="background-color: white;"| | + | |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="5"| | + | |colspan="5"|Uitvoerder |
|-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="4"| | + | |colspan="4"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|OrganisatieType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |}<section end=lr-lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /><section end=lu-blr-KWAL-l2p-2Minimaal-bericht-3KCLOINC /> |
| − | |colspan=" | + | ===KWAL - L2P BLR - MIN KC NHG=== |
| + | <section begin=lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /><section begin=patient-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|E. |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|Geslachtsnaam | |
| − | |||
| − | |||
| − | |||
| − | |colspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Doppen |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Identificatienummer |
| + | |style="background-color: white;"|999900511 (in identificerend systeem: BSN) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geboortedatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|24 okt 1963 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslacht |
| − | |style="background-color: white;"|1 | + | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
| + | |}<section end=patient-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /><section begin=ag-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|AanvraagDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 14 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="5"|Aanvraagnummer |
| − | |style="background-color: | + | |style="background-color: white;"|AG01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="15"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgverlenerIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: AGB-Z) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Peter |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="3"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Voorvoegsels |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|van |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Achternaam |
| + | |style="background-color: white;"|Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem '<span title="2.16.840.1.113883.2.4.6.7">Vektis AGB-medische specialismen</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contactgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1645645000 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="15"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ZorgaanbiederIdentificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|00001111 (in identificerend systeem: URA) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|OrganisatieNaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="4"| |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|099-12345678 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Dorpstraat |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Postcode |
| + | |style="background-color: white;"|1234AA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ons Dorp |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|AdresSoort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Werkadres (code = 'WP' 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=" | + | |colspan="5"|RedenAanvraag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Follow-up bij eerder verhoogde ALAT |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Vraagstelling |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|bilirubine totaal (code = '111' in codeSystem '<span title="2.16.840.1.113883.2.4.4.30.45">NHG Tabel 45 Diagnostische bepalingen</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Status |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|completed (code = 'completed' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="5"|Opmerking | |
| − | + | |style="background-color: white;"|Eerder lichte stijging ALAT (54 U/L), geen geelzucht. Hercontrole op leverenzymen en bilirubine. Patiënt gebruikt sinds 3 maanden geen alcohol meer | |
| − | |colspan=" | + | |}<section end=ag-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /><section begin=lr-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /> |
| − | + | {| class="wikitable" width="85%" | |
| − | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | |
| − | |||
| − | |||
| − | |style="background-color: white;"| | ||
| − | |}<section end= | ||
| − | |||
| − | <section begin=lu-blr- | ||
| − | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="15"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_MinResultaat_KCNHG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|IsUitbesteed |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|55555 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|bilirubine totaal (code = '111' in codeSystem '<span title="2.16.840.1.113883.2.4.4.30.45">NHG Tabel 45 Diagnostische bepalingen</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 13 dagen |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|5.4 umol/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslagStatus |
| − | |style="background-color: white;"| | + | |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=" | + | |colspan="5"|Uitvoerder |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|OrganisatieType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
| + | |}<section end=lr-lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /><section end=lu-blr-KWAL-l2p-2Minimaal-bericht-4KCNHG /> | ||
| + | ===KWAL - L2P BLR - MAX KC LOINC Correctie=== | ||
| + | <section begin=lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /><section begin=patient-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|E. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan | + | |rowspan="2"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Doppen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999900511 (in identificerend systeem: BSN) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Geboortedatum |
| − | | | + | |style="background-color: white;"|24 okt 1963 |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Geslacht |
| + | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
| + | |}<section end=patient-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /><section begin=ag-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|AanvraagDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 14 dagen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Aanvraagnummer | ||
| + | |style="background-color: white;"|AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|Zorgverlener |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="15"| | |rowspan="15"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ZorgverlenerIdentificatienummer |
| − | |style="background-color: white;"|00001111 (in identificerend systeem: | + | |style="background-color: white;"|00001111 (in identificerend systeem: AGB-Z) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Voornamen |
| + | |style="background-color: white;"|Peter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"|Telefoonnummers | + | |colspan="4"|Geslachtsnaam |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voorvoegsels | ||
| + | |style="background-color: white;"|van | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Achternaam | ||
| + | |style="background-color: white;"|Pulver | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Specialisme | ||
| + | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem '<span title="2.16.840.1.113883.2.4.6.7">Vektis AGB-medische specialismen</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1645645000 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="15"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"|Straat | + | |colspan="4"|ZorgaanbiederIdentificatienummer |
| − | |style="background-color: white;"|Dorpstraat | + | |style="background-color: white;"|00001111 (in identificerend systeem: URA) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|OrganisatieNaam | ||
| + | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Telefoonnummers | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Telefoonnummer | ||
| + | |style="background-color: white;"|099-12345678 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Straat | ||
| + | |style="background-color: white;"|Dorpstraat | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Huisnummer | |colspan="3"|Huisnummer | ||
| Regel 880: | Regel 955: | ||
|colspan="5"|Opmerking | |colspan="5"|Opmerking | ||
|style="background-color: white;"|Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | |style="background-color: white;"|Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | ||
| − | |}<section end=ag-lu-blr- | + | |}<section end=ag-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /><section begin=lr-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| Regel 915: | Regel 990: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslag | |colspan="3"|TestUitslag | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|35 mmol/24h |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslagStatus | |colspan="3"|TestUitslagStatus | ||
| Regel 946: | Regel 1.021: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ResultaatStatus | |colspan="4"|ResultaatStatus | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Gecorrigeerd (code = 'corrected' 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="4"|Toelichting | |colspan="4"|Toelichting | ||
| Regel 961: | Regel 1.036: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |}<section end=lr-lu-blr- | + | |}<section end=lr-lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /><section end=lu-blr-KWAL-l2p-3Maximaal-Correctie-3KCLOINC /> |
| − | ===KWAL - L2P BLR - | + | ===KWAL - L2P BLR - AB KC LOINC=== |
| − | <section begin=lu-blr- | + | <section begin=lu-blr-KWAL-l2p-4AB-3KCLOINC /><section begin=patient-lu-blr-KWAL-l2p-4AB-3KCLOINC /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patient | ||
| Regel 993: | Regel 1.068: | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
| − | |}<section end=patient-lu-blr- | + | |}<section end=patient-lu-blr-KWAL-l2p-4AB-3KCLOINC /><section begin=ag-lu-blr-KWAL-l2p-4AB-3KCLOINC /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Aanvraaggegevens | ||
| Regel 1.000: | Regel 1.075: | ||
|| Waarde | || Waarde | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Zorgverlener | |colspan="6"|Zorgverlener | ||
| Regel 1.084: | Regel 1.153: | ||
|colspan="3"|AdresSoort | |colspan="3"|AdresSoort | ||
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | + | |}<section end=ag-lu-blr-KWAL-l2p-4AB-3KCLOINC /><section begin=lr-lu-blr-KWAL-l2p-4AB-3KCLOINC /> | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |}<section end=ag-lu-blr- | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| Regel 1.106: | Regel 1.163: | ||
|colspan="6"|LaboratoriumUitslag | |colspan="6"|LaboratoriumUitslag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="25"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|LaboratoriumUitslagIdentificatie | |colspan="4"|LaboratoriumUitslagIdentificatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_AB1_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|LaboratoriumTest | |colspan="5"|LaboratoriumTest | ||
| Regel 1.116: | Regel 1.173: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|IsUitbesteed | |colspan="3"|IsUitbesteed | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestIdentificatie | |colspan="3"|TestIdentificatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|99991 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|IsPointOfCareTest | |colspan="3"|IsPointOfCareTest | ||
| Regel 1.125: | Regel 1.182: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestCode | |colspan="3"|TestCode | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|PT-INR [relatieve tijd] in capillair bloed d.m.v. stollingsmethode (code = '46418-0' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestDatumTijd | |colspan="3"|TestDatumTijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 3 jaar |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslag | |colspan="3"|TestUitslag | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|2.7 {INR} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|TestUitslagStatus | |colspan="3"|TestUitslagStatus | ||
| Regel 1.137: | Regel 1.194: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ReferentieBovengrens | |colspan="3"|ReferentieBovengrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3.0 {INR} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|ReferentieOndergrens | |colspan="3"|ReferentieOndergrens | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|2.0 {INR} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|InterpretatieVlaggen | |colspan="3"|InterpretatieVlaggen | ||
| Regel 1.146: | Regel 1.203: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|UitslagInterpretatie | |colspan="3"|UitslagInterpretatie | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Geen afwijkingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Monster | |colspan="5"|Monster | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Monstermateriaal | |colspan="3"|Monstermateriaal | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|AfnameDatumTijd | |colspan="3"|AfnameDatumTijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 3 jaar |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|ResultaatStatus | |colspan="4"|ResultaatStatus | ||
|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="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="5"|Uitvoerder | |colspan="5"|Uitvoerder | ||
| Regel 1.177: | Regel 1.228: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |} | + | |} |
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="25"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_AB2_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|IsUitbesteed |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|99992 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|IsPointOfCareTest |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|TSH [eenheid/volume] in serum of plasma (code = '3016-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 12 maanden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3.8 m[IU]/L |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|TestUitslagStatus |
| + | |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=" | + | |colspan="3"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|4.0 m[IU]/L |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="3"|ReferentieOndergrens |
| + | |style="background-color: white;"|0.4 m[IU]/L | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|InterpretatieVlaggen |
| + | |style="background-color: white;"|intermediair (code = '11896004' 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="3"| | + | |colspan="3"|UitslagInterpretatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Geen afwijkingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Monster |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Monstermateriaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|AfnameDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 12 maanden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ResultaatStatus |
| − | |style="background-color: white;"| | + | |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="5"| | + | |colspan="5"|Uitvoerder |
|-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="4"| | + | |colspan="4"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|OrganisatieType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
| + | |} | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="26"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_AB3_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|KopieIndicator |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|IsUitbesteed |
| + | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|99993 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|IsPointOfCareTest |
| + | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 13 maanden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|65 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestUitslagStatus |
| − | |style="background-color: white;"| | + | |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"| | + | |colspan="3"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|90 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|ReferentieOndergrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|60 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|InterpretatieVlaggen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|intermediair (code = '11896004' 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=" | + | |colspan="3"|UitslagInterpretatie |
| − | + | |style="background-color: white;"|Normale nierfunctie | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | | | ||
| − | | | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Monster |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Monstermateriaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|AfnameDatumTijd |
| + | |style="background-color: white;"|T - 13 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|ResultaatStatus |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|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="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;;" | ||
| Regel 1.359: | Regel 1.381: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |} | + | |} |
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="26"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_AB4_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|KopieIndicator | ||
| + | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|IsUitbesteed |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|99994 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|IsPointOfCareTest |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 8 maanden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|40 mL/min/{1,73_m2} |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|TestUitslagStatus |
| + | |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=" | + | |colspan="3"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|90 mL/min/{1,73_m2} |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|ReferentieOndergrens |
| + | |style="background-color: white;"|60 mL/min/{1,73_m2} | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|InterpretatieVlaggen | ||
| + | |style="background-color: white;"|onder referentiebereik (code = '281300000' 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="3"| | + | |colspan="3"|UitslagInterpretatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Milde nierfunctiestoornis |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Monster |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Monstermateriaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|AfnameDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 8 maanden |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|ResultaatStatus |
| − | |style="background-color: white;"| | + | |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="5"| | + | |colspan="5"|Uitvoerder |
|-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="4"| | + | |colspan="4"|Zorgaanbieder |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|OrganisatieType |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
| + | |} | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Onderzoeksresultaat | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|LaboratoriumUitslag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="26"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|LaboratoriumUitslagIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|KWAL_LAR_blr_AB5_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|KopieIndicator |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|LaboratoriumTest |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|IsUitbesteed |
| + | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|TestIdentificatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|99995 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|IsPointOfCareTest |
| + | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestCode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestDatumTijd |
| − | |style="background-color: white;"|1 | + | |style="background-color: white;"|T - 1 maand |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestUitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|45 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|TestUitslagStatus |
| − | |style="background-color: white;"| | + | |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"| | + | |colspan="3"|ReferentieBovengrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|90 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|ReferentieOndergrens |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|60 mL/min/{1,73_m2} |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|InterpretatieVlaggen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|onder referentiebereik (code = '281300000' 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=" | + | |colspan="3"|UitslagInterpretatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Milde nierfunctiestoornis |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Monster | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="3"| |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Monstermateriaal |
| + | |style="background-color: white;"|Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|AfnameDatumTijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 1 maand |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|ResultaatStatus | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan=" | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|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="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;;" | ||
| Regel 1.541: | Regel 1.537: | ||
|colspan="2"|OrganisatieType | |colspan="2"|OrganisatieType | ||
|style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
| − | |}<section end=lr-lu-blr- | + | |}<section end=lr-lu-blr-KWAL-l2p-4AB-3KCLOINC /><section end=lu-blr-KWAL-l2p-4AB-3KCLOINC /> |
Versie van 20 apr 2026 om 15:16
Inhoud
1 Addenda voor inhoudelijke gegevens (Lab2Patient)
1.1 Overzicht van scenario's voor beschikbaarstellen laboratoriumresultaten
1.1.1 Scenarioset
| Scenario | Beschrijving | Lab uitslag id |
| KWAL - L2P BLR - AB KC LOINC | Dit is het testscenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een maximaal bericht met LOINC testcode voor klinische chemie |
KWAL_LAR_blr_AB1_LOINC KWAL_LAR_blr_AB2_LOINC KWAL_LAR_blr_AB3_LOINC KWAL_LAR_blr_AB4_LOINC KWAL_LAR_blr_AB5_LOINC |
| KWAL - L2P BLR - MAX KC LOINC | Dit is het kwalificatiescenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een maximaal bericht met LOINC testcode voor klinische chemie |
KWAL_LAR_blr_MaxResultaat_KCLOINC |
| KWAL - L2P BLR - MAX KC LOINC Correctie | Dit is het kwalificatiescenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een maximaal bericht met LOINC testcode voor klinische chemie |
KWAL_LAR_blr_MaxResultaat_KCLOINC |
| KWAL - L2P BLR - MAX KC NHG | Dit is het kwalificatiescenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een maximaal bericht met NHG testcode voor klinische chemie |
KWAL_LAR_blr_MaxResultaat_KCNHG |
| KWAL - L2P BLR - MIN KC LOINC | Dit is het kwalificatiescenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een minimaal bericht met LOINC testcode voor klinische chemie |
KWAL_LAR_blr_MinResultaat_KCLOINC |
| KWAL - L2P BLR - MIN KC NHG | Dit is het kwalificatiescenario voor de usecase Lab2Patient transactie "beschikbaarstellen laboratoriumresultaten" voor een minimaal bericht met NHG testcode voor klinische chemie |
KWAL_LAR_blr_MinResultaat_KCNHG |
1.1.2 KWAL - L2P BLR - MAX KC LOINC
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| AanvraagDatumTijd | T - 14 dagen | ||||
| Aanvraagnummer | AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| RedenAanvraag | Evaluatie kaliumuitscheiding bij hypertensie en kaliumsuppletie | ||||
| Vraagstelling | Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem 'LOINC') | ||||
| Status | completed (code = 'completed' in codeSystem 'HL7 ActStatus') | ||||
| Opmerking | Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_MaxResultaat_KCLOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Ja | ||||
| TestIdentificatie | 88888 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 12 dagen | ||||
| TestUitslag | 30 mmol/24h | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 125 mmol/24h | ||||
| ReferentieOndergrens | 25 mmol/24h | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | kaliumuitscheiding is aan de lage kant. Binnen referentiebereik. Klinische evaluatie gewenst in context van suppletie. | ||||
| Monster | |||||
| Monstermateriaal | 24-uurs urine (code = '276833005' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 13 dagen | ||||
| Toelichting | Monster is door patiënt zelf verzameld en ingeleverd. | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Toelichting | Onderzoek voltooid | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
1.1.3 KWAL - L2P BLR - MAX KC NHG
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| AanvraagDatumTijd | T - 14 dagen | ||||
| Aanvraagnummer | AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| RedenAanvraag | Evaluatie kaliumuitscheiding bij hypertensie en kaliumsuppletie | ||||
| Vraagstelling | kalium urine 24u (code = '3272' in codeSystem 'NHG Tabel 45 Diagnostische bepalingen') | ||||
| Status | completed (code = 'completed' in codeSystem 'HL7 ActStatus') | ||||
| Opmerking | Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_MaxResultaat_KCNHG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Ja | ||||
| TestIdentificatie | 77777 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | kalium urine 24u (code = '3272' in codeSystem 'NHG Tabel 45 Diagnostische bepalingen') | ||||
| TestDatumTijd | T - 12 dagen | ||||
| TestUitslag | 30 mmol/24h | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 125 mmol/24h | ||||
| ReferentieOndergrens | 25 mmol/24h | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | kaliumuitscheiding is aan de lage kant. Binnen referentiebereik. Klinische evaluatie gewenst in context van suppletie. | ||||
| Monster | |||||
| Monstermateriaal | 24-uursurine (code = '276833005' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 13 dagen | ||||
| Toelichting | Monster is door patiënt zelf verzameld en ingeleverd. | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Toelichting | Onderzoek voltooid | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
1.1.4 KWAL - L2P BLR - MIN KC LOINC
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| AanvraagDatumTijd | T - 14 dagen | ||||
| Aanvraagnummer | AG02 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| RedenAanvraag | Follow-up bij eerder verhoogde ALAT | ||||
| Vraagstelling | Bilirubine [mol/volume] in serum of plasma (code = '14631-6' in codeSystem 'LOINC') | ||||
| Status | completed (code = 'completed' in codeSystem 'HL7 ActStatus') | ||||
| Opmerking | Eerder lichte stijging ALAT (54 U/L), geen geelzucht. Hercontrole op leverenzymen en bilirubine. Patiënt gebruikt sinds 3 maanden geen alcohol meer | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_MinResultaat_KCLOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Ja | ||||
| TestIdentificatie | 66666 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| TestCode | Bilirubine [mol/volume] in serum of plasma (code = '14631-6' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 13 dagen | ||||
| TestUitslag | 5.4 umol/L | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
1.1.5 KWAL - L2P BLR - MIN KC NHG
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| AanvraagDatumTijd | T - 14 dagen | ||||
| Aanvraagnummer | AG01 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| RedenAanvraag | Follow-up bij eerder verhoogde ALAT | ||||
| Vraagstelling | bilirubine totaal (code = '111' in codeSystem 'NHG Tabel 45 Diagnostische bepalingen') | ||||
| Status | completed (code = 'completed' in codeSystem 'HL7 ActStatus') | ||||
| Opmerking | Eerder lichte stijging ALAT (54 U/L), geen geelzucht. Hercontrole op leverenzymen en bilirubine. Patiënt gebruikt sinds 3 maanden geen alcohol meer | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_MinResultaat_KCNHG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Ja | ||||
| TestIdentificatie | 55555 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| TestCode | bilirubine totaal (code = '111' in codeSystem 'NHG Tabel 45 Diagnostische bepalingen') | ||||
| TestDatumTijd | T - 13 dagen | ||||
| TestUitslag | 5.4 umol/L | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
1.1.6 KWAL - L2P BLR - MAX KC LOINC Correctie
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| AanvraagDatumTijd | T - 14 dagen | ||||
| Aanvraagnummer | AG03 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.25.1.1) | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| RedenAanvraag | Evaluatie kaliumuitscheiding bij hypertensie en kaliumsuppletie | ||||
| Vraagstelling | Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem 'LOINC') | ||||
| Status | completed (code = 'completed' in codeSystem 'HL7 ActStatus') | ||||
| Opmerking | Patiënt gebruikt kaliumsparend diureticum (spironolacton) én kaliumsupplementen. Beoordeeld wordt of er sprake is van kaliumretentie of verhoogde uitscheiding. Ook evaluatie therapietrouw 24-uurs verzameling. | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_MaxResultaat_KCLOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Ja | ||||
| TestIdentificatie | 88888 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | Kalium [mol/tijd] in 24-uursurine (code = '2829-0' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 12 dagen | ||||
| TestUitslag | 35 mmol/24h | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 125 mmol/24h | ||||
| ReferentieOndergrens | 25 mmol/24h | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | kaliumuitscheiding is aan de lage kant. Binnen referentiebereik. Klinische evaluatie gewenst in context van suppletie. | ||||
| Monster | |||||
| Monstermateriaal | 24-uurs urine (code = '276833005' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 13 dagen | ||||
| Toelichting | Monster is door patiënt zelf verzameld en ingeleverd. | ||||
| ResultaatStatus | Gecorrigeerd (code = 'corrected' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Toelichting | Onderzoek voltooid | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
1.1.7 KWAL - L2P BLR - AB KC LOINC
| Patient | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 (in identificerend systeem: BSN) | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
| Aanvraaggegevens | |||||
| Gegevenselement | Waarde | ||||
| Zorgverlener | |||||
| ZorgverlenerIdentificatienummer | 00001111 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Peter | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Pulver | ||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0101' in codeSystem 'Vektis AGB-medische specialismen') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 1645645000 | ||||
| Zorgaanbieder | |||||
| ZorgaanbiederIdentificatienummer | 00001111 (in identificerend systeem: URA) | ||||
| OrganisatieNaam | Huisartsenpraktijk Pulver & Partners | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 099-12345678 | ||||
| Adresgegevens | |||||
| Straat | Dorpstraat | ||||
| Huisnummer | 1 | ||||
| Postcode | 1234AA | ||||
| Woonplaats | Ons Dorp | ||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_AB1_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Nee | ||||
| TestIdentificatie | 99991 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | PT-INR [relatieve tijd] in capillair bloed d.m.v. stollingsmethode (code = '46418-0' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 3 jaar | ||||
| TestUitslag | 2.7 {INR} | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 3.0 {INR} | ||||
| ReferentieOndergrens | 2.0 {INR} | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | Geen afwijkingen | ||||
| Monster | |||||
| Monstermateriaal | Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 3 jaar | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_AB2_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Nee | ||||
| TestIdentificatie | 99992 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | TSH [eenheid/volume] in serum of plasma (code = '3016-3' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 12 maanden | ||||
| TestUitslag | 3.8 m[IU]/L | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 4.0 m[IU]/L | ||||
| ReferentieOndergrens | 0.4 m[IU]/L | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | Geen afwijkingen | ||||
| Monster | |||||
| Monstermateriaal | Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 12 maanden | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_AB3_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| KopieIndicator | Nee | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Nee | ||||
| TestIdentificatie | 99993 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 13 maanden | ||||
| TestUitslag | 65 mL/min/{1,73_m2} | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 90 mL/min/{1,73_m2} | ||||
| ReferentieOndergrens | 60 mL/min/{1,73_m2} | ||||
| InterpretatieVlaggen | intermediair (code = '11896004' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | Normale nierfunctie | ||||
| Monster | |||||
| Monstermateriaal | Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 13 maanden | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_AB4_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| KopieIndicator | Nee | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Nee | ||||
| TestIdentificatie | 99994 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 8 maanden | ||||
| TestUitslag | 40 mL/min/{1,73_m2} | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 90 mL/min/{1,73_m2} | ||||
| ReferentieOndergrens | 60 mL/min/{1,73_m2} | ||||
| InterpretatieVlaggen | onder referentiebereik (code = '281300000' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | Milde nierfunctiestoornis | ||||
| Monster | |||||
| Monstermateriaal | Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 8 maanden | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Onderzoeksresultaat | |||||
| Gegevenselement | Waarde | ||||
| LaboratoriumUitslag | |||||
| LaboratoriumUitslagIdentificatie | KWAL_LAR_blr_AB5_LOINC (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4296.2) | ||||
| KopieIndicator | Nee | ||||
| LaboratoriumTest | |||||
| IsUitbesteed | Nee | ||||
| TestIdentificatie | 99995 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.25.4298.2) | ||||
| IsPointOfCareTest | Nee | ||||
| TestCode | Glomerulaire filtratiesnelheid/1,73 m2.voorspeld [filtratiesnelheid/oppervlakte] in serum of plasma of bloed d.m.v. op creatinine gebaseerde formule van Schwartz (code = '50384-7' in codeSystem 'LOINC') | ||||
| TestDatumTijd | T - 1 maand | ||||
| TestUitslag | 45 mL/min/{1,73_m2} | ||||
| TestUitslagStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| ReferentieBovengrens | 90 mL/min/{1,73_m2} | ||||
| ReferentieOndergrens | 60 mL/min/{1,73_m2} | ||||
| InterpretatieVlaggen | onder referentiebereik (code = '281300000' in codeSystem 'SNOMED CT') | ||||
| UitslagInterpretatie | Milde nierfunctiestoornis | ||||
| Monster | |||||
| Monstermateriaal | Bloed (code = '87612001' in codeSystem 'SNOMED Clinical Terms') | ||||
| AfnameDatumTijd | T - 1 maand | ||||
| ResultaatStatus | Definitief (code = 'final' in codeSystem 'ZIB Laboratoriumuitslag Testuitslag ResultaatStatus') | ||||
| Uitvoerder | |||||
| Zorgaanbieder | |||||
| OrganisatieType | Laboratorium (code = 'L1' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||