GZ: InhoudelijkeGegevens Integrale Zwangerschapskaart Echo: verschil tussen versies

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(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 Vrouw8-kaart10-Echo_gegevens==
+
 
 +
==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="Merthe" title="Intern ID = Merthe">Patient Merthe</span>
+
|colspan="6"|Betaler
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verzekeraar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verzekering
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Begin datum tijd
 +
|style="background-color: white;"|T-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="27"|
+
|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;"|Merthe
+
|style="background-color: white;"|Leonie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|M
+
|style="background-color: white;"|L
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|colspan="3"|Naamgebruik
Regel 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;"|XXX_Kooijman
+
|style="background-color: white;"|XXX_Osse
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 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;"|1002
+
|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;"|9999ZZ
+
|style="background-color: white;"|9999XA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 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;"|Tijdelijk adres (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|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="6"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Telefoonnummers
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
|style="background-color: white;"|06-87654321
+
|style="background-color: white;"|06-12345679
 
|-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"|Nummer soort
+
|colspan="2"|Email soort
|style="background-color: white;"|Tijdelijk telefoonnummer (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999901734 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999901710 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|2 apr 2001
+
|style="background-color: white;"|13 jun 1998
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht administratief
 
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="PraktijkGroei" title="Intern ID = PraktijkGroei">Zorgaanbieder PraktijkGroei</span>
+
|colspan="6"|<span id="EchoGroei" title="Intern ID = EchoGroei">Zorgaanbieder EchoGroei</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="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="HelmaH" title="Intern ID = HelmaH">Zorgverlener HelmaH</span>
+
|colspan="6"|<span id="HelmaGroot" title="Intern ID = HelmaGroot">Zorgverlener HelmaGroot</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="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="5" | Zwangerschapsgegevens
+
|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="4" width="25%"| Gegevenselement
+
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zwangerschap
+
|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="3"|Pariteit
+
|colspan="5"|Pariteit
|style="background-color: white;"|0
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Graviditeit
+
|colspan="5"|Graviditeit
|style="background-color: white;"|1
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aterme datum items
+
|colspan="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="2"|Aterme datum
+
|colspan="4"|Aterme datum
|style="background-color: white;"|T + 149 dagen
+
|style="background-color: white;"|T + 42 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bepalings methode
+
|colspan="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="2"|Datum bepaling
+
|colspan="4"|Datum bepaling
|style="background-color: white;"|T - 13 dagen
+
|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-13D
+
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting type
 
|colspan="5"|Verrichting type
|style="background-color: white;"|echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
+
|style="background-color: white;"|echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Locatie
 
|colspan="6"|Locatie
Regel 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 [[#PraktijkGroei|Zorgaanbieder: PraktijkGroei]]
+
|style="background-color: white;"|Zie [[#EchoGroei|Zorgaanbieder: EchoGroei]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Uitvoerder
 
|colspan="6"|Uitvoerder
Regel 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 [[#HelmaH|Zorgverlener: HelmaH]]
+
|style="background-color: white;"|Zie [[#HelmaGroot|Zorgverlener: HelmaGroot]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="41"|
+
|rowspan="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="39"|
+
|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="31"|
+
|rowspan="26"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale buikomtrek  ac meting
 
|colspan="4"|Foetale buikomtrek  ac meting
Regel 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;"|49
+
|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-13D
+
|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;"|74
+
|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-13D
+
|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;"|7
+
|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-13D
+
|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;"|17
+
|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-13D
+
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetale kruin romp lengte crl meting
+
|colspan="4"|Foetaal geschat gewicht efw meting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Crlwaarde
+
|colspan="2"|Efwwaarde
|style="background-color: white;"|55
+
|style="background-color: white;"|2450
 
|-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"|Crldatum begin tijd
+
|colspan="2"|Efwdatum begin tijd
|style="background-color: white;"|T-13D
+
|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"|Foetale nekplooidikte  nt meting
+
|colspan="4"|Beweging foetus observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ntwaarde
+
|colspan="2"|Beweging foetus datum tijd
|style="background-color: white;"|2.9
+
|style="background-color: white;"|T-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"|Meet methode
+
|colspan="2"|Observatie methode
 
|style="background-color: white;"|6
 
|style="background-color: white;"|6
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Ntdatum begin tijd
 
|style="background-color: white;"|T-13D
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bevindingen
+
|colspan="4"|Vruchtwater meting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Sonomarkers observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Meet datum tijd
 +
|style="background-color: white;"|T-3D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sonomarker naam
+
|colspan="2"|Hoeveelheid vruchtwater waarde
|style="background-color: white;"|3
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sonomarker waarde
+
|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 Vrouw7-kaart9-Echo_gegevens==
+
==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"|Betaler
+
|colspan="6"|<span id="Merthe" title="Intern ID = Merthe">Patient Merthe</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|rowspan="27"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verzekeraar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Verzekering
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Begin datum tijd
 
|style="background-color: white;"|T-119D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Eind datum tijd
 
|style="background-color: white;"|T+246D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Verzekeringssoort
 
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Identificatie nummer
 
|style="background-color: white;"|1235
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Organisatie naam
 
|style="background-color: white;"|NN
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verzekerde nummer
 
|style="background-color: white;"|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;;"
 
|rowspan="30"|
 
 
|-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;"|Leonie
+
|style="background-color: white;"|Merthe
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Initialen
 
|colspan="3"|Initialen
|style="background-color: white;"|L
+
|style="background-color: white;"|M
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgebruik
 
|colspan="3"|Naamgebruik
Regel 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;"|XXX_Osse
+
|style="background-color: white;"|XXX_Kooijman
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Adresgegevens
 
|colspan="5"|Adresgegevens
Regel 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;"|1001
+
|style="background-color: white;"|1002
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Postcode
 
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
+
|style="background-color: white;"|9999ZZ
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Woonplaats
 
|colspan="3"|Woonplaats
Regel 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;"|Officieel adres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
+
|style="background-color: white;"|Tijdelijk adres (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Contactgegevens
 
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Telefoonnummers
 
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telefoonnummer
 
|colspan="2"|Telefoonnummer
|style="background-color: white;"|06-12345679
+
|style="background-color: white;"|06-87654321
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Telecom type
 
|colspan="2"|Telecom type
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Email adressen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Nummer soort
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Tijdelijk telefoonnummer (code = 'TMP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
|colspan="2"|Email adres
 
|style="background-color: white;"|l.osse@test.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Email soort
 
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatienummer
 
|colspan="4"|Identificatienummer
|style="background-color: white;"|999901710 (in identificerend systeem: BSN)
+
|style="background-color: white;"|999901734 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|13 jun 1998
+
|style="background-color: white;"|2 apr 2001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht administratief
 
|colspan="4"|Geslacht administratief
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|<span id="EchoGroei" title="Intern ID = EchoGroei">Zorgaanbieder EchoGroei</span>
+
|colspan="6"|<span id="PraktijkGroei" title="Intern ID = PraktijkGroei">Zorgaanbieder PraktijkGroei</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="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="HelmaGroot" title="Intern ID = HelmaGroot">Zorgverlener HelmaGroot</span>
+
|colspan="6"|<span id="HelmaH" title="Intern ID = HelmaH">Zorgverlener HelmaH</span>
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="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="7" | Zwangerschapsgegevens
+
|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="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Zwangerschap
+
|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="5"|Pariteit
+
|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;;"
 
|colspan="5"|Graviditeit
 
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Aterme datum items
+
|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="4"|Aterme datum
+
|colspan="2"|Aterme datum
|style="background-color: white;"|T + 42 dagen
+
|style="background-color: white;"|T + 149 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bepalings methode
+
|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="4"|Datum bepaling
+
|colspan="2"|Datum bepaling
|style="background-color: white;"|T - 207 dagen
+
|style="background-color: white;"|T - 13 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 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-3D
+
|style="background-color: white;"|T-13D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Verrichting type
 
|colspan="5"|Verrichting type
|style="background-color: white;"|echografie voor foetale presentatie (verrichting) (code = '169228004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|echografie ter bepaling van geschatte datum van partus (verrichting) (code = '133601000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Locatie
 
|colspan="6"|Locatie
Regel 1.024: 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 [[#EchoGroei|Zorgaanbieder: EchoGroei]]
+
|style="background-color: white;"|Zie [[#PraktijkGroei|Zorgaanbieder: PraktijkGroei]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Uitvoerder
 
|colspan="6"|Uitvoerder
Regel 1.031: 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 [[#HelmaGroot|Zorgverlener: HelmaGroot]]
+
|style="background-color: white;"|Zie [[#HelmaH|Zorgverlener: HelmaH]]
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|colspan="7"|Foetusspecifieke onderzoeksgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="43"|
+
|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="41"|
+
|rowspan="39"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Biometrie
 
|colspan="5"|Biometrie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="26"|
+
|rowspan="31"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Foetale buikomtrek  ac meting
 
|colspan="4"|Foetale buikomtrek  ac meting
Regel 1.050: 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;"|283
+
|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-3D
+
|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;"|314
+
|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-3D
+
|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;"|57
+
|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-3D
+
|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;"|88
+
|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-3D
+
|style="background-color: white;"|T-13D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Foetaal geschat gewicht efw meting
+
|colspan="4"|Foetale kruin romp lengte crl meting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Efwwaarde
+
|colspan="2"|Crlwaarde
|style="background-color: white;"|2450
+
|style="background-color: white;"|55
 
|-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"|Efwdatum begin tijd
+
|colspan="2"|Crldatum begin tijd
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|T-13D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bevindingen
+
|colspan="4"|Foetale nekplooidikte nt meting
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"  
 
|colspan="4"|Beweging foetus observatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beweging foetus datum tijd
+
|colspan="2"|Ntwaarde
|style="background-color: white;"|T-3D
+
|style="background-color: white;"|2.9
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beweging foetus waarde
+
|colspan="2"|Meet methode
|style="background-color: white;"|2
+
|style="background-color: white;"|6
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Observatie methode
+
|colspan="2"|Ntdatum begin tijd
|style="background-color: white;"|6
+
|style="background-color: white;"|T-13D
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Vruchtwater meting
+
|colspan="5"|Bevindingen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Sonomarkers observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Meet datum tijd
+
|rowspan="3"|
|style="background-color: white;"|T-3D
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Hoeveelheid vruchtwater waarde
+
|colspan="2"|Sonomarker naam
|style="background-color: white;"|1
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vruchtwatercompartiment waarde
+
|colspan="2"|Sonomarker waarde
 
|style="background-color: white;"|1
 
|style="background-color: white;"|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_ />

Versie van 6 jun 2024 om 13:27



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