GZ: InhoudelijkeGegevens Integrale Zwangerschapskaart Echo: verschil tussen versies
(Inhoudelijke gegevens IZK Echo) |
(Volgorde kaarten aangepast) |
||
Regel 461: | Regel 461: | ||
|style="background-color: white;"|4 | |style="background-color: white;"|4 | ||
|}<section end=medisch_onderzoek_ /> | |}<section end=medisch_onderzoek_ /> | ||
− | ==Scenario | + | |
+ | ==Scenario Vrouw7-kaart9-Echo_gegevens== | ||
<section begin= /><section end= /> | <section begin= /><section end= /> | ||
=== Administratief === | === Administratief === | ||
Regel 472: | Regel 473: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|Betaler |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Verzekeraar | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Verzekering | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Begin datum tijd | ||
+ | |style="background-color: white;"|T-119D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Eind datum tijd | ||
+ | |style="background-color: white;"|T+246D | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Verzekeringssoort | ||
+ | |style="background-color: white;"|1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Identificatie nummer | ||
+ | |style="background-color: white;"|1235 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Organisatie naam | ||
+ | |style="background-color: white;"|NN | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Verzekerde nummer | ||
+ | |style="background-color: white;"|12346 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|<span id="Leonie" title="Intern ID = Leonie">Patient Leonie</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="30"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
Regel 481: | Regel 512: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Leonie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
Regel 494: | Regel 525: | ||
|-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_Osse |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
Regel 504: | Regel 535: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Huisnummer | |colspan="3"|Huisnummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1001 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Postcode | |colspan="3"|Postcode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|9999XA |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Woonplaats | |colspan="3"|Woonplaats | ||
Regel 516: | Regel 547: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Officieel adres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Telefoonnummers | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
− | |style="background-color: white;"|06- | + | |style="background-color: white;"|06-12345679 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telecom type | |colspan="2"|Telecom type | ||
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Email adressen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Email adres | ||
+ | |style="background-color: white;"|l.osse@test.nl | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Email soort |
− | |style="background-color: white;"| | + | |style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|999901710 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|13 jun 1998 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht administratief | |colspan="4"|Geslacht administratief | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="EchoGroei" title="Intern ID = EchoGroei">Zorgaanbieder EchoGroei</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
Regel 554: | Regel 592: | ||
|style="background-color: white;"|457 | |style="background-color: white;"|457 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="HelmaGroot" title="Intern ID = HelmaGroot">Zorgverlener HelmaGroot</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="14"| | |rowspan="14"| | ||
Regel 594: | Regel 632: | ||
<section begin=zwangerschapsgegevens_ /> | <section begin=zwangerschapsgegevens_ /> | ||
{| 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="7" | Zwangerschapsgegevens |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
− | |colspan=" | + | |colspan="6" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="7"|Zwangerschap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Pariteit |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Graviditeit |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="6"|Aterme datum items |
|-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=" | + | |colspan="4"|Aterme datum |
− | |style="background-color: white;"|T + | + | |style="background-color: white;"|T + 42 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Bepalings methode |
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' 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="4"|Datum bepaling |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 207 dagen |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Prenatale controle | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="16"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Uitwendig onderzoek | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Bevindingen foetus | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="12"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Ligging foetus meting | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Ligging foetus waarde | ||
+ | |style="background-color: white;"|stuit (code = '6096002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Meet datum begin tijd | ||
+ | |style="background-color: white;"|T - 3 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Foetale hartslag hartfrequentie | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="6"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Hartfrequentie datum tijd | ||
+ | |style="background-color: white;"|T - 3 dagen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Hartfrequentie waarde | ||
+ | |style="background-color: white;"|140 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Hartslag meet methode | ||
+ | |style="background-color: white;"|Echo (code = '408808009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Hartslag regelmatigheid | ||
+ | |style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Interpretatie frequentie | ||
+ | |style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|}<section end=zwangerschapsgegevens_ /> | |}<section end=zwangerschapsgegevens_ /> | ||
=== Medisch onderzoek === | === Medisch onderzoek === | ||
Regel 637: | Regel 716: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verrichting start datum | |colspan="5"|Verrichting start datum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verrichting type | |colspan="5"|Verrichting type | ||
− | |style="background-color: white;"|echografie | + | |style="background-color: white;"|echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Locatie | |colspan="6"|Locatie | ||
Regel 647: | Regel 726: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
− | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#EchoGroei|Zorgaanbieder: EchoGroei]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Uitvoerder | |colspan="6"|Uitvoerder | ||
Regel 654: | Regel 733: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgverlener | |colspan="4"|Zorgverlener | ||
− | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#HelmaGroot|Zorgverlener: HelmaGroot]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Foetusspecifieke onderzoeksgegevens | |colspan="7"|Foetusspecifieke onderzoeksgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="43"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Echoscopie | |colspan="6"|Echoscopie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="41"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Biometrie | |colspan="5"|Biometrie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="26"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale buikomtrek ac meting | |colspan="4"|Foetale buikomtrek ac meting | ||
Regel 673: | Regel 752: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Acwaarde | |colspan="2"|Acwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|283 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 679: | Regel 758: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Acdatum begin tijd | |colspan="2"|Acdatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale schedelomvang | |colspan="4"|Foetale schedelomvang | ||
Regel 689: | Regel 768: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Schedelomvang waarde | |colspan="2"|Schedelomvang waarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|314 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Schedelomvang datum tijd | |colspan="2"|Schedelomvang datum tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale femurlengte fl meting | |colspan="4"|Foetale femurlengte fl meting | ||
Regel 699: | Regel 778: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Flwaarde | |colspan="2"|Flwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|57 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 705: | Regel 784: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Fldatum begin tijd | |colspan="2"|Fldatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale biparietale diameter bpd meting | |colspan="4"|Foetale biparietale diameter bpd meting | ||
Regel 712: | Regel 791: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bpdwaarde | |colspan="2"|Bpdwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|88 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 718: | Regel 797: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bpddatum begin tijd | |colspan="2"|Bpddatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Foetaal geschat gewicht efw meting |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Efwwaarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2450 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
|style="background-color: white;"|6 | |style="background-color: white;"|6 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Efwdatum begin tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-3D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Bevindingen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="12"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Beweging foetus observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Beweging foetus datum tijd |
− | |style="background-color: white;"|2 | + | |style="background-color: white;"|T-3D |
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Beweging foetus waarde | ||
+ | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Observatie methode |
|style="background-color: white;"|6 | |style="background-color: white;"|6 | ||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Vruchtwater meting |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |colspan="2"|Meet datum tijd |
+ | |style="background-color: white;"|T-3D | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Hoeveelheid vruchtwater waarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Vruchtwatercompartiment waarde |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Meet methode | ||
+ | |style="background-color: white;"|6 | ||
|}<section end=medisch_onderzoek_ /> | |}<section end=medisch_onderzoek_ /> | ||
− | ==Scenario | + | ==Scenario Vrouw8-kaart10-Echo_gegevens== |
<section begin= /><section end= /> | <section begin= /><section end= /> | ||
=== Administratief === | === Administratief === | ||
Regel 771: | Regel 856: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"| | + | |colspan="6"|<span id="Merthe" title="Intern ID = Merthe">Patient Merthe</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="27"| |
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− | |||
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− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
Regel 810: | Regel 865: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Merthe |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|M |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
Regel 823: | Regel 878: | ||
|-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_Kooijman |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
Regel 833: | Regel 888: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Huisnummer | |colspan="3"|Huisnummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|1002 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Postcode | |colspan="3"|Postcode | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|9999ZZ |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Woonplaats | |colspan="3"|Woonplaats | ||
Regel 845: | Regel 900: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Adres soort | |colspan="3"|Adres soort | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|Tijdelijk adres (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Telefoonnummers | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
− | |style="background-color: white;"|06- | + | |style="background-color: white;"|06-87654321 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telecom type | |colspan="2"|Telecom type | ||
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | + | |colspan="2"|Nummer soort | |
− | + | |style="background-color: white;"|Tijdelijk telefoonnummer (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |
− | |||
− | |||
− | |||
− | |colspan="2"| | ||
− | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|999901734 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|2 apr 2001 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht administratief | |colspan="4"|Geslacht administratief | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="PraktijkGroei" title="Intern ID = PraktijkGroei">Zorgaanbieder PraktijkGroei</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
Regel 890: | Regel 938: | ||
|style="background-color: white;"|457 | |style="background-color: white;"|457 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="6"|<span id=" | + | |colspan="6"|<span id="HelmaH" title="Intern ID = HelmaH">Zorgverlener HelmaH</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="14"| | |rowspan="14"| | ||
Regel 930: | Regel 978: | ||
<section begin=zwangerschapsgegevens_ /> | <section begin=zwangerschapsgegevens_ /> | ||
{| 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" | Zwangerschapsgegevens |
|-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"|Zwangerschap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="3"|Pariteit |
+ | |style="background-color: white;"|0 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Graviditeit | ||
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Aterme datum items |
|-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=" | + | |colspan="2"|Aterme datum |
− | |style="background-color: white;"|T + | + | |style="background-color: white;"|T + 149 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="2"|Bepalings methode |
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' 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="2"|Datum bepaling |
− | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 13 dagen |
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|}<section end=zwangerschapsgegevens_ /> | |}<section end=zwangerschapsgegevens_ /> | ||
=== Medisch onderzoek === | === Medisch onderzoek === | ||
Regel 1.014: | Regel 1.021: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verrichting start datum | |colspan="5"|Verrichting start datum | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verrichting type | |colspan="5"|Verrichting type | ||
− | |style="background-color: white;"|echografie | + | |style="background-color: white;"|echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Locatie | |colspan="6"|Locatie | ||
Regel 1.024: | Regel 1.031: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
− | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#PraktijkGroei|Zorgaanbieder: PraktijkGroei]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Uitvoerder | |colspan="6"|Uitvoerder | ||
Regel 1.031: | Regel 1.038: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgverlener | |colspan="4"|Zorgverlener | ||
− | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#HelmaH|Zorgverlener: HelmaH]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="7"|Foetusspecifieke onderzoeksgegevens | |colspan="7"|Foetusspecifieke onderzoeksgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="41"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Echoscopie | |colspan="6"|Echoscopie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="39"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Biometrie | |colspan="5"|Biometrie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |rowspan=" | + | |rowspan="31"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale buikomtrek ac meting | |colspan="4"|Foetale buikomtrek ac meting | ||
Regel 1.050: | Regel 1.057: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Acwaarde | |colspan="2"|Acwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|49 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 1.056: | Regel 1.063: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Acdatum begin tijd | |colspan="2"|Acdatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale schedelomvang | |colspan="4"|Foetale schedelomvang | ||
Regel 1.066: | Regel 1.073: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Schedelomvang waarde | |colspan="2"|Schedelomvang waarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|74 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Schedelomvang datum tijd | |colspan="2"|Schedelomvang datum tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale femurlengte fl meting | |colspan="4"|Foetale femurlengte fl meting | ||
Regel 1.076: | Regel 1.083: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Flwaarde | |colspan="2"|Flwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|7 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 1.082: | Regel 1.089: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Fldatum begin tijd | |colspan="2"|Fldatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Foetale biparietale diameter bpd meting | |colspan="4"|Foetale biparietale diameter bpd meting | ||
Regel 1.089: | Regel 1.096: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bpdwaarde | |colspan="2"|Bpdwaarde | ||
− | |style="background-color: white;"| | + | |style="background-color: white;"|17 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
Regel 1.095: | Regel 1.102: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bpddatum begin tijd | |colspan="2"|Bpddatum begin tijd | ||
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="4"| | + | |colspan="4"|Foetale kruin romp lengte crl meting |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Crlwaarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|55 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Meet methode | |colspan="2"|Meet methode | ||
|style="background-color: white;"|6 | |style="background-color: white;"|6 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Crldatum begin tijd |
− | |style="background-color: white;"|T- | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="4"|Foetale nekplooidikte nt meting |
− | |||
− | |||
− | |||
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Ntwaarde |
− | |style="background-color: white;"| | + | |style="background-color: white;"|2.9 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Meet methode |
− | |style="background-color: white;"| | + | |style="background-color: white;"|6 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Ntdatum begin tijd |
− | |style="background-color: white;"| | + | |style="background-color: white;"|T-13D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan=" | + | |colspan="5"|Bevindingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="5"| | |rowspan="5"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Sonomarkers observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | | | + | |rowspan="3"| |
− | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Sonomarker naam |
− | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
− | |colspan="2"| | + | |colspan="2"|Sonomarker waarde |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
− | |||
− | |||
− | |||
|}<section end=medisch_onderzoek_ /> | |}<section end=medisch_onderzoek_ /> |
Versie van 6 jun 2024 om 13:27
Inhoud
1 Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2
1.1 Scenario Vrouw7-kaart8-Echo_gegevens
1.1.1 Administratief
Administratief | |||||
Gegevenselement | Waarde | ||||
Patient | |||||
Naamgegevens | |||||
Voornamen | Leonie | ||||
Initialen | L | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Osse | ||||
Adresgegevens | |||||
Straat | Knolweg | ||||
Huisnummer | 1000 | ||||
Postcode | 9999XA | ||||
Woonplaats | SITSWERD | ||||
Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
Adres soort | Officieel adres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Contactgegevens | |||||
Telefoonnummers | |||||
Telefoonnummer | 06-12345678 | ||||
Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
Email adressen | |||||
Email adres | l.osse@test.nl | ||||
Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Identificatienummer | 999901710 (in identificerend systeem: BSN) | ||||
Geboortedatum | 13 jun 1998 | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Zorgaanbieder EchopraktijkGroei | |||||
Organisatie naam | Echopraktijk Groei | ||||
Afdeling specialisme | 457 | ||||
Zorgverlener HelmaGrootkaart8 | |||||
Zorgverlener identificatienummer | 654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.31.5.1) | ||||
Naamgegevens | |||||
Voornamen | Helma | ||||
Initialen | H | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | Groot | ||||
Geslachtsnaam partner | |||||
Voorvoegsels partner | de | ||||
Achternaam partner | Vries |
1.1.2 Zwangerschapsgegevens
Zwangerschapsgegevens | |||
Gegevenselement | Waarde | ||
Zwangerschap | |||
Pariteit | 0 | ||
Graviditeit | 1 |
1.1.3 Medisch onderzoek
Medisch onderzoek | ||||||
Gegevenselement | Waarde | |||||
Verrichting onderzoek ttseo | ||||||
Verrichting start datum | T-570D | |||||
Verrichting type | structureel echoscopisch onderzoek tijdens tweede trimester (verrichting) (code = '143701000146108' in codeSystem 'SNOMED CT') | |||||
Locatie | ||||||
Zorgaanbieder | Zie Zorgaanbieder: EchopraktijkGroei | |||||
Uitvoerder | ||||||
Zorgverlener | Zie Zorgverlener: HelmaGrootkaart8 | |||||
Foetusspecifieke onderzoeksgegevens | ||||||
Echoscopie | ||||||
Echografiche bevindingen algemeen observatie | ||||||
Observatie methode | 7 | |||||
Conclusie waarde | 2 | |||||
Verdenking afwijkingobv waarde | 4 | |||||
Advies waarde | 5 | |||||
Biometrie | ||||||
Foetale buikomtrek ac meting | ||||||
Acwaarde | 151 | |||||
Meet methode | 6 | |||||
Acdatum begin tijd | T-570D | |||||
Foetale schedelomvang | ||||||
Schedelomvang meetmethode | 2 | |||||
Schedelomvang waarde | 168 | |||||
Schedelomvang datum tijd | T-570D | |||||
Foetale femurlengte fl meting | ||||||
Flwaarde | 31 | |||||
Meet methode | 6 | |||||
Fldatum begin tijd | T-570D | |||||
Foetale biparietale diameter bpd meting | ||||||
Bpdwaarde | 49 | |||||
Meet methode | 6 | |||||
Bpddatum begin tijd | T-570D | |||||
Foetaal longitudinale blaas diameter lbd meting | ||||||
Lbdwaarde | 52 | |||||
Meet methode | 6 | |||||
Lbddatum begin tijd | T-570D | |||||
Foetale transcerebellar diameter tcd meting | ||||||
Tcdwaarde | 21 | |||||
Meet methode | 6 | |||||
Tcddatum begin tijd | T-570D | |||||
Foetaal geschat gewicht efw meting | ||||||
Efwwaarde | 320 | |||||
Meet methode | 6 | |||||
Efwdatum begin tijd | T-570D | |||||
Bevindingen | ||||||
Ligging foetus meting | ||||||
Beweging foetus observatie | ||||||
Beweging foetus datum tijd | T-570D | |||||
Beweging foetus waarde | 1 | |||||
Observatie methode | 6 | |||||
Vruchtwater meting | ||||||
Meet datum tijd | T-570D | |||||
Hoeveelheid vruchtwater waarde | 1 | |||||
Vruchtwatercompartiment waarde | 1 | |||||
Meet methode | 6 | |||||
Placenta lokalisatie observatie | ||||||
Placenta lokalisatie datum tijd | T-570D | |||||
Placentalokalisatie waarde | 1 | |||||
Observatie methode | 6 | |||||
Cervixlengte meting | ||||||
Cervixlengte waarde | 31 | |||||
Meet methode | 7 | |||||
Cervixlengte datum begin tijd | T-570D | |||||
Navelstreng observatie | ||||||
Navelstreng datum tijd | T-570D | |||||
Navelstreng waarde | 1 | |||||
Navelstreng vaten waarde | 1 | |||||
Observatie methode | 6 | |||||
Orgaansysteem foetus observatie | ||||||
Orgaansysteem foetus datum tijd | T-570D | |||||
Observatie naam | 3 | |||||
Orgaansysteem foetus waarde | 2 | |||||
Observatie methode | 6 | |||||
Probleem wervelkolom ruggemerg | ||||||
Probleem type | 3 | |||||
Probleem naam | 4 | |||||
Probleem begin datum | T-570D | |||||
Probleem status | 1 | |||||
Verificatie status | 1 | |||||
Sonomarkers observatie | ||||||
Observatie datum tijd | T-570D | |||||
Sonomarker naam | 4 | |||||
Sonomarker waarde | 2 | |||||
Observatie methode | 6 | |||||
Tekst uitslag | ||||||
Tekst uitslag datum tijd | T-570D | |||||
Verrichting | ||||||
Verrichting onderzoek | ttseo | |||||
Tekst uitslag status | 3 | |||||
Tekst uitslag type | 4 |
1.2 Scenario Vrouw7-kaart9-Echo_gegevens
1.2.1 Administratief
Administratief | |||||
Gegevenselement | Waarde | ||||
Betaler | |||||
Verzekeraar | |||||
Verzekering | |||||
Begin datum tijd | T-119D | ||||
Eind datum tijd | T+246D | ||||
Verzekeringssoort | 1 | ||||
Identificatie nummer | 1235 | ||||
Organisatie naam | NN | ||||
Verzekerde nummer | 12346 | ||||
Patient Leonie | |||||
Naamgegevens | |||||
Voornamen | Leonie | ||||
Initialen | L | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Osse | ||||
Adresgegevens | |||||
Straat | Knolweg | ||||
Huisnummer | 1001 | ||||
Postcode | 9999XA | ||||
Woonplaats | STITSWERD | ||||
Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
Adres soort | Officieel adres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Contactgegevens | |||||
Telefoonnummers | |||||
Telefoonnummer | 06-12345679 | ||||
Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
Email adressen | |||||
Email adres | l.osse@test.nl | ||||
Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
Identificatienummer | 999901710 (in identificerend systeem: BSN) | ||||
Geboortedatum | 13 jun 1998 | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Zorgaanbieder EchoGroei | |||||
Organisatie naam | Echopraktijk Groei | ||||
Afdeling specialisme | 457 | ||||
Zorgverlener HelmaGroot | |||||
Zorgverlener identificatienummer | 654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.31.5.1) | ||||
Naamgegevens | |||||
Voornamen | Helma | ||||
Initialen | H | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | Groot | ||||
Geslachtsnaam partner | |||||
Voorvoegsels partner | de | ||||
Achternaam partner | Vries |
1.2.2 Zwangerschapsgegevens
Zwangerschapsgegevens | ||||||
Gegevenselement | Waarde | |||||
Zwangerschap | ||||||
Pariteit | 1 | |||||
Graviditeit | 2 | |||||
Aterme datum items | ||||||
Aterme datum | T + 42 dagen | |||||
Bepalings methode | aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT') | |||||
Datum bepaling | T - 207 dagen | |||||
Prenatale controle | ||||||
Uitwendig onderzoek | ||||||
Bevindingen foetus | ||||||
Ligging foetus meting | ||||||
Ligging foetus waarde | stuit (code = '6096002' in codeSystem 'SNOMED CT') | |||||
Meet datum begin tijd | T - 3 dagen | |||||
Foetale hartslag hartfrequentie | ||||||
Hartfrequentie datum tijd | T - 3 dagen | |||||
Hartfrequentie waarde | 140 | |||||
Hartslag meet methode | Echo (code = '408808009' in codeSystem 'SNOMED CT') | |||||
Hartslag regelmatigheid | regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT') | |||||
Interpretatie frequentie | normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT') |
1.2.3 Medisch onderzoek
Medisch onderzoek | ||||||
Gegevenselement | Waarde | |||||
Verrichting onderzoek | ||||||
Verrichting start datum | T-3D | |||||
Verrichting type | echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT') | |||||
Locatie | ||||||
Zorgaanbieder | Zie Zorgaanbieder: EchoGroei | |||||
Uitvoerder | ||||||
Zorgverlener | Zie Zorgverlener: HelmaGroot | |||||
Foetusspecifieke onderzoeksgegevens | ||||||
Echoscopie | ||||||
Biometrie | ||||||
Foetale buikomtrek ac meting | ||||||
Acwaarde | 283 | |||||
Meet methode | 6 | |||||
Acdatum begin tijd | T-3D | |||||
Foetale schedelomvang | ||||||
Schedelomvang meetmethode | 2 | |||||
Schedelomvang waarde | 314 | |||||
Schedelomvang datum tijd | T-3D | |||||
Foetale femurlengte fl meting | ||||||
Flwaarde | 57 | |||||
Meet methode | 6 | |||||
Fldatum begin tijd | T-3D | |||||
Foetale biparietale diameter bpd meting | ||||||
Bpdwaarde | 88 | |||||
Meet methode | 6 | |||||
Bpddatum begin tijd | T-3D | |||||
Foetaal geschat gewicht efw meting | ||||||
Efwwaarde | 2450 | |||||
Meet methode | 6 | |||||
Efwdatum begin tijd | T-3D | |||||
Bevindingen | ||||||
Beweging foetus observatie | ||||||
Beweging foetus datum tijd | T-3D | |||||
Beweging foetus waarde | 2 | |||||
Observatie methode | 6 | |||||
Vruchtwater meting | ||||||
Meet datum tijd | T-3D | |||||
Hoeveelheid vruchtwater waarde | 1 | |||||
Vruchtwatercompartiment waarde | 1 | |||||
Meet methode | 6 |
1.3 Scenario Vrouw8-kaart10-Echo_gegevens
1.3.1 Administratief
Administratief | |||||
Gegevenselement | Waarde | ||||
Patient Merthe | |||||
Naamgegevens | |||||
Voornamen | Merthe | ||||
Initialen | M | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | XXX_Kooijman | ||||
Adresgegevens | |||||
Straat | Knolweg | ||||
Huisnummer | 1002 | ||||
Postcode | 9999ZZ | ||||
Woonplaats | STITSWERD | ||||
Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
Adres soort | Tijdelijk adres (code = 'TMP' in codeSystem 'HL7 AddressUse') | ||||
Contactgegevens | |||||
Telefoonnummers | |||||
Telefoonnummer | 06-87654321 | ||||
Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
Nummer soort | Tijdelijk telefoonnummer (code = 'TMP' in codeSystem 'HL7 AddressUse') | ||||
Identificatienummer | 999901734 (in identificerend systeem: BSN) | ||||
Geboortedatum | 2 apr 2001 | ||||
Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
Zorgaanbieder PraktijkGroei | |||||
Organisatie naam | Echopraktijk Groei | ||||
Afdeling specialisme | 457 | ||||
Zorgverlener HelmaH | |||||
Zorgverlener identificatienummer | 654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.31.5.1) | ||||
Naamgegevens | |||||
Voornamen | Helma | ||||
Initialen | H | ||||
Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
Geslachtsnaam | |||||
Achternaam | Groot | ||||
Geslachtsnaam partner | |||||
Voorvoegsels partner | de | ||||
Achternaam partner | Vries |
1.3.2 Zwangerschapsgegevens
Zwangerschapsgegevens | ||||
Gegevenselement | Waarde | |||
Zwangerschap | ||||
Pariteit | 0 | |||
Graviditeit | 1 | |||
Aterme datum items | ||||
Aterme datum | T + 149 dagen | |||
Bepalings methode | aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT') | |||
Datum bepaling | T - 13 dagen |
1.3.3 Medisch onderzoek
Medisch onderzoek | ||||||
Gegevenselement | Waarde | |||||
Verrichting onderzoek | ||||||
Verrichting start datum | T-13D | |||||
Verrichting type | echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem 'SNOMED CT') | |||||
Locatie | ||||||
Zorgaanbieder | Zie Zorgaanbieder: PraktijkGroei | |||||
Uitvoerder | ||||||
Zorgverlener | Zie Zorgverlener: HelmaH | |||||
Foetusspecifieke onderzoeksgegevens | ||||||
Echoscopie | ||||||
Biometrie | ||||||
Foetale buikomtrek ac meting | ||||||
Acwaarde | 49 | |||||
Meet methode | 6 | |||||
Acdatum begin tijd | T-13D | |||||
Foetale schedelomvang | ||||||
Schedelomvang meetmethode | 2 | |||||
Schedelomvang waarde | 74 | |||||
Schedelomvang datum tijd | T-13D | |||||
Foetale femurlengte fl meting | ||||||
Flwaarde | 7 | |||||
Meet methode | 6 | |||||
Fldatum begin tijd | T-13D | |||||
Foetale biparietale diameter bpd meting | ||||||
Bpdwaarde | 17 | |||||
Meet methode | 6 | |||||
Bpddatum begin tijd | T-13D | |||||
Foetale kruin romp lengte crl meting | ||||||
Crlwaarde | 55 | |||||
Meet methode | 6 | |||||
Crldatum begin tijd | T-13D | |||||
Foetale nekplooidikte nt meting | ||||||
Ntwaarde | 2.9 | |||||
Meet methode | 6 | |||||
Ntdatum begin tijd | T-13D | |||||
Bevindingen | ||||||
Sonomarkers observatie | ||||||
Sonomarker naam | 3 | |||||
Sonomarker waarde | 1 |