imm:Vprepub-2 TestKwalificatieScripts: verschil tussen versies
(VI-53: Creëer aparte addendum-pagina voor test- en publicatiematerialen) |
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| Regel 4: | Regel 4: | ||
=Addenda voor inhoudelijke gegevens= | =Addenda voor inhoudelijke gegevens= | ||
| − | == | + | <section begin=imm-vab-kwa-1.1-meerderevaccinaties-v303 /> |
| + | ==XXX_Boekwijt== | ||
| − | + | === Bundel=== | |
| − | == | ||
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Patient | |colspan="6"|Patient | ||
| − | |-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"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-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"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Boekwijt | |style="background-color: white;"|XXX_Boekwijt | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900390 (in identificerend systeem: BSN) | |style="background-color: white;"|999900390 (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;"|T - 17 jaar | |style="background-color: white;"|T - 17 jaar | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|vaccin met antigeen van humaan papillomavirus (code = '836379009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|vaccin met antigeen van humaan papillomavirus (code = '836379009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|AHPVA064BB | |style="background-color: white;"|AHPVA064BB | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 7 jaar | |style="background-color: white;"|T - 7 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-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"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000004 (in identificerend systeem: URA) | |style="background-color: white;"|10000004 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-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="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|FF4213 | |style="background-color: white;"|FF4213 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 1 jaar | |style="background-color: white;"|T - 1 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-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"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000004 (in identificerend systeem: URA) | |style="background-color: white;"|20000004 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |}<section end=imm-vab-kwa-1.1-meerderevaccinaties-v303 /> |
| − | === | + | <section begin=imm-vab-kwa-1.2-maximaalbericht-v303 /> |
| + | ==XXX_Boeters== | ||
| + | |||
| + | === Bundel=== | ||
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Patient | |colspan="6"|Patient | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="41"| | |rowspan="41"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="13"| | |rowspan="13"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Brechtje Maria | |style="background-color: white;"|Brechtje Maria | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
|style="background-color: white;"|B.M. | |style="background-color: white;"|B.M. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Brechtje | |style="background-color: white;"|Brechtje | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|van | |style="background-color: white;"|van | ||
| − | |-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_Boeters | |style="background-color: white;"|XXX_Boeters | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam partner | |colspan="4"|Geslachtsnaam partner | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels partner | |colspan="2"|Voorvoegsels partner | ||
|style="background-color: white;"|der | |style="background-color: white;"|der | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam partner | |colspan="2"|Achternaam partner | ||
|style="background-color: white;"|Teeuwen | |style="background-color: white;"|Teeuwen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Titels | |colspan="3"|Titels | ||
|style="background-color: white;"|Barones | |style="background-color: white;"|Barones | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Straat | |colspan="3"|Straat | ||
|style="background-color: white;"|Knolweg | |style="background-color: white;"|Knolweg | ||
| − | |-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;"|1002 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Huisnummerletter | |colspan="3"|Huisnummerletter | ||
|style="background-color: white;"|A | |style="background-color: white;"|A | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Huisnummertoevoeging | |colspan="3"|Huisnummertoevoeging | ||
|style="background-color: white;"|Bis | |style="background-color: white;"|Bis | ||
| − | |-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;"|9999ZZ | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Woonplaats | |colspan="3"|Woonplaats | ||
|style="background-color: white;"|Stitswerd | |style="background-color: white;"|Stitswerd | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Gemeente | |colspan="3"|Gemeente | ||
|style="background-color: white;"|Het Hogeland | |style="background-color: white;"|Het Hogeland | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Land | |colspan="3"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Additionele informatie | |colspan="3"|Additionele informatie | ||
|style="background-color: white;"|Huize Zonneschijn | |style="background-color: white;"|Huize Zonneschijn | ||
| − | |-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;"|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="11"| | |rowspan="11"| | ||
| − | |-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="5"| | |rowspan="5"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"|+31612121212 | |style="background-color: white;"|+31612121212 | ||
| − | |-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 | |colspan="2"|Nummer soort | ||
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Telefoonnummer thuis (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="2"|Toelichting | |colspan="2"|Toelichting | ||
|style="background-color: white;"|Best bereikbaar in ochtend | |style="background-color: white;"|Best bereikbaar in ochtend | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Email adressen | |colspan="4"|Email adressen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Email adres | |colspan="2"|Email adres | ||
|style="background-color: white;"|barones@testmailbarones.nl | |style="background-color: white;"|barones@testmailbarones.nl | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Email soort | |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="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;"|999900407 (in identificerend systeem: BSN) | |style="background-color: white;"|999900407 (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;"|T - 70 jaar | |style="background-color: white;"|T - 70 jaar | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="6" width=" | + | |colspan="6" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Identificatienummer | |colspan="6"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Farmaceutisch product | |colspan="7"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="6"| | |rowspan="6"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Product code | |colspan="5"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Product specificatie | |colspan="6"|Product specificatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Farmaceutische vorm | |colspan="4"|Farmaceutische vorm | ||
|style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Batchnummer | |colspan="5"|Batchnummer | ||
|style="background-color: white;"|ABV3025 | |style="background-color: white;"|ABV3025 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Dosis | |colspan="6"|Dosis | ||
|style="background-color: white;"|0.5 ml | |style="background-color: white;"|0.5 ml | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie datum | |colspan="6"|Vaccinatie datum | ||
|style="background-color: white;"|T - 3 jaar | |style="background-color: white;"|T - 3 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Locatie | |colspan="7"|Locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="35"| | |rowspan="35"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Contactgegevens | |colspan="6"|Contactgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Telefoonnummers | |colspan="5"|Telefoonnummers | ||
| − | |-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="3"|Telefoonnummer | |colspan="3"|Telefoonnummer | ||
|style="background-color: white;"|07032165498 | |style="background-color: white;"|07032165498 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Telecom type | |colspan="3"|Telecom type | ||
|style="background-color: white;"|Land Line (code = 'LL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.22.1">ZIB Telecom ToestelTypes</span>') | |style="background-color: white;"|Land Line (code = 'LL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.22.1">ZIB Telecom ToestelTypes</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Nummer soort | |colspan="3"|Nummer soort | ||
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Toelichting | |colspan="3"|Toelichting | ||
|style="background-color: white;"|doorkiesnummer | |style="background-color: white;"|doorkiesnummer | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Email adressen | |colspan="5"|Email adressen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email adres | |colspan="3"|Email adres | ||
|style="background-color: white;"|bestaatniet@jongflorence.nl | |style="background-color: white;"|bestaatniet@jongflorence.nl | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email soort | |colspan="3"|Email soort | ||
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Adresgegevens | |colspan="6"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Straat | |colspan="4"|Straat | ||
|style="background-color: white;"|Thijssestraat | |style="background-color: white;"|Thijssestraat | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummer | |colspan="4"|Huisnummer | ||
|style="background-color: white;"|47 | |style="background-color: white;"|47 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummerletter | |colspan="4"|Huisnummerletter | ||
|style="background-color: white;"|x | |style="background-color: white;"|x | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummertoevoeging | |colspan="4"|Huisnummertoevoeging | ||
|style="background-color: white;"|zeta | |style="background-color: white;"|zeta | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Aanduiding bij nummer | |colspan="4"|Aanduiding bij nummer | ||
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | |style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Postcode | |colspan="4"|Postcode | ||
|style="background-color: white;"|2521 ZE | |style="background-color: white;"|2521 ZE | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Woonplaats | |colspan="4"|Woonplaats | ||
|style="background-color: white;"|Den Haag | |style="background-color: white;"|Den Haag | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Gemeente | |colspan="4"|Gemeente | ||
|style="background-color: white;"|'s Gravenhage | |style="background-color: white;"|'s Gravenhage | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Land | |colspan="4"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Additionele informatie | |colspan="4"|Additionele informatie | ||
|style="background-color: white;"|Verkeerde kant van de straat | |style="background-color: white;"|Verkeerde kant van de straat | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgaanbieder | |colspan="6"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="9"| | |rowspan="9"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000005 (in identificerend systeem: URA) | |style="background-color: white;"|10000005 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|GGD test 05 | |style="background-color: white;"|GGD test 05 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Organisatie locatie | |colspan="5"|Organisatie locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie naam | |colspan="3"|Locatie naam | ||
|style="background-color: white;"|GGD test 05 Noord | |style="background-color: white;"|GGD test 05 Noord | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie nummer | |colspan="3"|Locatie nummer | ||
|style="background-color: white;"|5 | |style="background-color: white;"|5 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Toediener | |colspan="7"|Toediener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="29"| | |rowspan="29"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|<span id="Zorgaanbieder1" title="Intern ID = Zorgaanbieder1">Zorgaanbieder Zorgaanbieder1</span> | |colspan="6"|<span id="Zorgaanbieder1" title="Intern ID = Zorgaanbieder1">Zorgaanbieder Zorgaanbieder1</span> | ||
| − | |-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="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000005 (in identificerend systeem: URA) | |style="background-color: white;"|20000005 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk test 05 | |style="background-color: white;"|Huisartsenpraktijk test 05 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgverlener | |colspan="6"|Zorgverlener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="21"| | |rowspan="21"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener identificatienummer | |colspan="4"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|01010101 (in identificerend systeem: UZI Personen) | |style="background-color: white;"|01010101 (in identificerend systeem: UZI Personen) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="13"| | |rowspan="13"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Thomas | |style="background-color: white;"|Thomas | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Tommy | |style="background-color: white;"|Tommy | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|van | |style="background-color: white;"|van | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|Pickles | |style="background-color: white;"|Pickles | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam partner | |colspan="4"|Geslachtsnaam partner | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels partner | |colspan="2"|Voorvoegsels partner | ||
|style="background-color: white;"|van | |style="background-color: white;"|van | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam partner | |colspan="2"|Achternaam partner | ||
|style="background-color: white;"|Carmichael | |style="background-color: white;"|Carmichael | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Titels | |colspan="3"|Titels | ||
|style="background-color: white;"|Prof. dr. | |style="background-color: white;"|Prof. dr. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Medisch specialisten, niet nader gespecificeerd (code = '0300' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Medisch specialisten, niet nader gespecificeerd (code = '0300' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Zorgaanbieder | |colspan="5"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Zorgaanbieder1|Zorgaanbieder: Zorgaanbieder1]] | |style="background-color: white;"|Zie [[#Zorgaanbieder1|Zorgaanbieder: Zorgaanbieder1]] | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener rol | |colspan="4"|Zorgverlener rol | ||
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie aanleiding | |colspan="6"|Vaccinatie aanleiding | ||
|style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' 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"|Ziekte waar tegen gevaccineerd wordt | |colspan="6"|Ziekte waar tegen gevaccineerd wordt | ||
|style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' 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"|Toedieningsweg | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Anatomische locatie | |colspan="7"|Anatomische locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
|style="background-color: white;"|bovenarm (code = '40983000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|bovenarm (code = '40983000' 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="5"|Lateraliteit | |colspan="5"|Lateraliteit | ||
|style="background-color: white;"|links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|links (code = '7771000' 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"|Toelichting | |colspan="6"|Toelichting | ||
|style="background-color: white;"|Geen bijzonderheden | |style="background-color: white;"|Geen bijzonderheden | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Status toediening | |colspan="6"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie indicatie | |colspan="6"|Vaccinatie indicatie | ||
|style="background-color: white;"|Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |} | + | |}<section end=imm-vab-kwa-1.2-maximaalbericht-v303 /> |
| − | === | + | <section begin=imm-vab-test-1.1-meerderevaccinaties-v303 /> |
| + | ==XXX_Biezen== | ||
| + | |||
| + | === Bundel=== | ||
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Patient | |colspan="6"|Patient | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="14"| | |rowspan="14"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="4"| | |rowspan="4"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|XXX_Biezen | |style="background-color: white;"|XXX_Biezen | ||
| − | |-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="5"| | |rowspan="5"| | ||
| − | |-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="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;"|+31612121212 | |style="background-color: white;"|+31612121212 | ||
| − | |-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="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900377 (in identificerend systeem: BSN) | |style="background-color: white;"|999900377 (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;"|T - 20 jaar | |style="background-color: white;"|T - 20 jaar | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|vaccin met antigeen van Streptococcus pneumoniae (code = '836398006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|vaccin met antigeen van Streptococcus pneumoniae (code = '836398006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|18954 | |style="background-color: white;"|18954 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 18 jaar | |style="background-color: white;"|T - 18 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |rowspan=" | + | |rowspan="5"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000001 (in identificerend systeem: URA) | |style="background-color: white;"|10000001 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|GGD test 01 | |style="background-color: white;"|GGD test 01 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3; | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|colspan="4"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-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="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN MODERNA INJVLST 0,5ML (code = '2924536' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN MODERNA INJVLST 0,5ML (code = '2924536' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|3002184 | |style="background-color: white;"|3002184 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 3 jaar | |style="background-color: white;"|T - 3 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-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="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000001 (in identificerend systeem: URA) | |style="background-color: white;"|20000001 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk test 01 | |style="background-color: white;"|Huisartsenpraktijk test 01 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-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="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '206784' in codeSystem '<span title="2.16.840.1.113883.2.4.4.10">G-Standaard PRK</span>') | |style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '206784' in codeSystem '<span title="2.16.840.1.113883.2.4.4.10">G-Standaard PRK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '184284' in codeSystem '<span title="2.16.840.1.113883.2.4.4.1">G-Standaard GPK</span>') | |style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '184284' in codeSystem '<span title="2.16.840.1.113883.2.4.4.1">G-Standaard GPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|018J21ABS | |style="background-color: white;"|018J21ABS | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 2 jaar | |style="background-color: white;"|T - 2 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-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="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000002 (in identificerend systeem: URA) | |style="background-color: white;"|20000002 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk test 02 | |style="background-color: white;"|Huisartsenpraktijk test 02 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="4" width=" | + | |colspan="4" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Farmaceutisch product | |colspan="5"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Product code | |colspan="3"|Product code | ||
|style="background-color: white;"|anders (code = 'OTH' in codeSystem 'NullFlavor'): HEPATITIS-A-VACCIN | |style="background-color: white;"|anders (code = 'OTH' in codeSystem 'NullFlavor'): HEPATITIS-A-VACCIN | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Batchnummer | |colspan="3"|Batchnummer | ||
|style="background-color: white;"|NullFlavor: UNK | |style="background-color: white;"|NullFlavor: UNK | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie datum | |colspan="4"|Vaccinatie datum | ||
|style="background-color: white;"|T - 1 jaar | |style="background-color: white;"|T - 1 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
| − | |-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"|Adresgegevens | |colspan="4"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Land | |colspan="2"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Toediener | |colspan="5"|Toediener | ||
| − | |-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="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Zorgaanbieder identificatienummer | |colspan="2"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000002 (in identificerend systeem: URA) | |style="background-color: white;"|10000002 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Organisatie naam | |colspan="2"|Organisatie naam | ||
|style="background-color: white;"|GGD test 02 | |style="background-color: white;"|GGD test 02 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Vaccinatie aanleiding | |colspan="4"|Vaccinatie aanleiding | ||
|style="background-color: white;"|Reizigersvaccinatie (verrichting) (code = '14747002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Reizigersvaccinatie (verrichting) (code = '14747002' 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"|Status toediening | |colspan="4"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |}<section end=imm-vab-test-1.1-meerderevaccinaties-v303 /> |
| − | === | + | <section begin=imm-vab-test-1.2-maximaalbericht-v303 /> |
| + | ==XXX_Bevers== | ||
| + | |||
| + | === Bundel=== | ||
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Patient | |colspan="6"|Patient | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="43"| | |rowspan="43"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="14"| | |rowspan="14"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Annemarie | |style="background-color: white;"|Annemarie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
|style="background-color: white;"|A. | |style="background-color: white;"|A. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Anna | |style="background-color: white;"|Anna | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|van de | |style="background-color: white;"|van de | ||
| − | |-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_Bevers | |style="background-color: white;"|XXX_Bevers | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam partner | |colspan="4"|Geslachtsnaam partner | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels partner | |colspan="2"|Voorvoegsels partner | ||
|style="background-color: white;"|de | |style="background-color: white;"|de | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam partner | |colspan="2"|Achternaam partner | ||
|style="background-color: white;"|Boom | |style="background-color: white;"|Boom | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Titels | |colspan="3"|Titels | ||
|style="background-color: white;"|MSc. | |style="background-color: white;"|MSc. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="12"| | |rowspan="12"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Straat | |colspan="3"|Straat | ||
|style="background-color: white;"|Knolweg | |style="background-color: white;"|Knolweg | ||
| − | |-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;"|1002 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Huisnummerletter | |colspan="3"|Huisnummerletter | ||
|style="background-color: white;"|A | |style="background-color: white;"|A | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Huisnummertoevoeging | |colspan="3"|Huisnummertoevoeging | ||
|style="background-color: white;"|bis | |style="background-color: white;"|bis | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Aanduiding bij nummer | |colspan="3"|Aanduiding bij nummer | ||
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | |style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | ||
| − | |-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;"|9999ZZ | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Woonplaats | |colspan="3"|Woonplaats | ||
|style="background-color: white;"|Stitswerd | |style="background-color: white;"|Stitswerd | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Gemeente | |colspan="3"|Gemeente | ||
|style="background-color: white;"|Het Hogeland | |style="background-color: white;"|Het Hogeland | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Land | |colspan="3"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Additionele informatie | |colspan="3"|Additionele informatie | ||
|style="background-color: white;"|Tegenover bloemenwinkel | |style="background-color: white;"|Tegenover bloemenwinkel | ||
| − | |-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;"|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="11"| | |rowspan="11"| | ||
| − | |-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="5"| | |rowspan="5"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"|0612345678 | |style="background-color: white;"|0612345678 | ||
| − | |-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 | |colspan="2"|Nummer soort | ||
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Telefoonnummer thuis (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="2"|Toelichting | |colspan="2"|Toelichting | ||
|style="background-color: white;"|Na 16u bereikbaar | |style="background-color: white;"|Na 16u bereikbaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Email adressen | |colspan="4"|Email adressen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Email adres | |colspan="2"|Email adres | ||
|style="background-color: white;"|test@xxx_vandebevers.nl | |style="background-color: white;"|test@xxx_vandebevers.nl | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Email soort | |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="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;"|999900365 (in identificerend systeem: BSN) | |style="background-color: white;"|999900365 (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;"|T - 60 jaar | |style="background-color: white;"|T - 60 jaar | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="6" width=" | + | |colspan="6" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Identificatienummer | |colspan="6"|Identificatienummer | ||
|style="background-color: white;"|Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Farmaceutisch product | |colspan="7"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="6"| | |rowspan="6"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Product code | |colspan="5"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN MODERNA INJVLST 0,25ML (code = '2978636' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN MODERNA INJVLST 0,25ML (code = '2978636' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Product specificatie | |colspan="6"|Product specificatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Farmaceutische vorm | |colspan="4"|Farmaceutische vorm | ||
|style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Batchnummer | |colspan="5"|Batchnummer | ||
|style="background-color: white;"|216036BS | |style="background-color: white;"|216036BS | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Dosis | |colspan="6"|Dosis | ||
|style="background-color: white;"|0.25 ml | |style="background-color: white;"|0.25 ml | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie datum | |colspan="6"|Vaccinatie datum | ||
|style="background-color: white;"|T - 3 jaar | |style="background-color: white;"|T - 3 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Locatie | |colspan="7"|Locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="34"| | |rowspan="34"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Contactgegevens | |colspan="6"|Contactgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Telefoonnummers | |colspan="5"|Telefoonnummers | ||
| − | |-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="3"|Telefoonnummer | |colspan="3"|Telefoonnummer | ||
|style="background-color: white;"|0612345678 | |style="background-color: white;"|0612345678 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Telecom type | |colspan="3"|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="3"|Nummer soort | |colspan="3"|Nummer soort | ||
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Toelichting | |colspan="3"|Toelichting | ||
|style="background-color: white;"|Diensttelefoon | |style="background-color: white;"|Diensttelefoon | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Email adressen | |colspan="5"|Email adressen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email adres | |colspan="3"|Email adres | ||
|style="background-color: white;"|test@GGDtest03.nl | |style="background-color: white;"|test@GGDtest03.nl | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email soort | |colspan="3"|Email soort | ||
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Adresgegevens | |colspan="6"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="10"| | |rowspan="10"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Straat | |colspan="4"|Straat | ||
|style="background-color: white;"|Knolweg | |style="background-color: white;"|Knolweg | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummer | |colspan="4"|Huisnummer | ||
|style="background-color: white;"|1000 | |style="background-color: white;"|1000 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummerletter | |colspan="4"|Huisnummerletter | ||
|style="background-color: white;"|A | |style="background-color: white;"|A | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummertoevoeging | |colspan="4"|Huisnummertoevoeging | ||
|style="background-color: white;"|Bis | |style="background-color: white;"|Bis | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Postcode | |colspan="4"|Postcode | ||
|style="background-color: white;"|9999XA | |style="background-color: white;"|9999XA | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Woonplaats | |colspan="4"|Woonplaats | ||
|style="background-color: white;"|Stitswerd | |style="background-color: white;"|Stitswerd | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Gemeente | |colspan="4"|Gemeente | ||
|style="background-color: white;"|Stitswerd | |style="background-color: white;"|Stitswerd | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Land | |colspan="4"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Additionele informatie | |colspan="4"|Additionele informatie | ||
|style="background-color: white;"|Ingang sporthal aan achterzijde | |style="background-color: white;"|Ingang sporthal aan achterzijde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgaanbieder | |colspan="6"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="9"| | |rowspan="9"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000003 (in identificerend systeem: URA) | |style="background-color: white;"|10000003 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|GGD test 03 | |style="background-color: white;"|GGD test 03 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Organisatie locatie | |colspan="5"|Organisatie locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie naam | |colspan="3"|Locatie naam | ||
|style="background-color: white;"|GGD test 03 zuid | |style="background-color: white;"|GGD test 03 zuid | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie nummer | |colspan="3"|Locatie nummer | ||
|style="background-color: white;"|03 | |style="background-color: white;"|03 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Toediener | |colspan="7"|Toediener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="29"| | |rowspan="29"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|<span id="ZorgaanbiederTest1" title="Intern ID = ZorgaanbiederTest1">Zorgaanbieder ZorgaanbiederTest1</span> | |colspan="6"|<span id="ZorgaanbiederTest1" title="Intern ID = ZorgaanbiederTest1">Zorgaanbieder ZorgaanbiederTest1</span> | ||
| − | |-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="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000003 (in identificerend systeem: URA) | |style="background-color: white;"|20000003 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk test 03 | |style="background-color: white;"|Huisartsenpraktijk test 03 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Huisartsinstelling (code = 'H1' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Huisartsinstelling (code = 'H1' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgverlener | |colspan="6"|Zorgverlener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="21"| | |rowspan="21"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener identificatienummer | |colspan="4"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z) | |style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="13"| | |rowspan="13"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Willem | |style="background-color: white;"|Willem | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Willem | |style="background-color: white;"|Willem | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|de | |style="background-color: white;"|de | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|Wever | |style="background-color: white;"|Wever | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam partner | |colspan="4"|Geslachtsnaam partner | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels partner | |colspan="2"|Voorvoegsels partner | ||
|style="background-color: white;"|van het | |style="background-color: white;"|van het | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam partner | |colspan="2"|Achternaam partner | ||
|style="background-color: white;"|Hof | |style="background-color: white;"|Hof | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Titels | |colspan="3"|Titels | ||
|style="background-color: white;"|MSc. | |style="background-color: white;"|MSc. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Zorgaanbieder | |colspan="5"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#ZorgaanbiederTest1|Zorgaanbieder: ZorgaanbiederTest1]] | |style="background-color: white;"|Zie [[#ZorgaanbiederTest1|Zorgaanbieder: ZorgaanbiederTest1]] | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener rol | |colspan="4"|Zorgverlener rol | ||
|style="background-color: white;"|Uitvoerder (code = 'PRF' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | |style="background-color: white;"|Uitvoerder (code = 'PRF' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie aanleiding | |colspan="6"|Vaccinatie aanleiding | ||
|style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' 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"|Ziekte waar tegen gevaccineerd wordt | |colspan="6"|Ziekte waar tegen gevaccineerd wordt | ||
|style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' 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"|Toedieningsweg | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Anatomische locatie | |colspan="7"|Anatomische locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
|style="background-color: white;"|Bovenbeen (code = '68367000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Bovenbeen (code = '68367000' 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="5"|Lateraliteit | |colspan="5"|Lateraliteit | ||
|style="background-color: white;"|links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|links (code = '7771000' 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"|Status toediening | |colspan="6"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie indicatie | |colspan="6"|Vaccinatie indicatie | ||
|style="background-color: white;"|Overgewicht (bevinding) (code = '238131007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Overgewicht (bevinding) (code = '238131007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Identificatienummer | |colspan="5"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Farmaceutisch product | |colspan="6"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Product code | |colspan="4"|Product code | ||
|style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' 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"|Batchnummer | |colspan="4"|Batchnummer | ||
|style="background-color: white;"|FF4213 | |style="background-color: white;"|FF4213 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Vaccinatie datum | |colspan="5"|Vaccinatie datum | ||
|style="background-color: white;"|T - 2 jaar | |style="background-color: white;"|T - 2 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Locatie | |colspan="6"|Locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="14"| | |rowspan="14"| | ||
| − | |-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="4"| | |rowspan="4"| | ||
| − | |-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="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"|0707654321 | |style="background-color: white;"|0707654321 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="7"| | |rowspan="7"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Straat | |colspan="3"|Straat | ||
|style="background-color: white;"|Knolweg | |style="background-color: white;"|Knolweg | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Huisnummer | |colspan="3"|Huisnummer | ||
|style="background-color: white;"|2001 | |style="background-color: white;"|2001 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Postcode | |colspan="3"|Postcode | ||
|style="background-color: white;"|9999AA | |style="background-color: white;"|9999AA | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Woonplaats | |colspan="3"|Woonplaats | ||
|style="background-color: white;"|Stitswerd | |style="background-color: white;"|Stitswerd | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Land | |colspan="3"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Additionele informatie | |colspan="3"|Additionele informatie | ||
|style="background-color: white;"|Sporthal | |style="background-color: white;"|Sporthal | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Toediener | |colspan="6"|Toediener | ||
| − | |-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="5"|Zorgaanbieder | |colspan="5"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Zorgaanbieder identificatienummer | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000006 (in identificerend systeem: URA) | |style="background-color: white;"|10000006 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Organisatie naam | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|GGD test 06 | |style="background-color: white;"|GGD test 06 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Status toediening | |colspan="5"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |} | + | |}<section end=imm-vab-test-1.2-maximaalbericht-v303 /> |
| − | === | + | <section begin=imm-var-kwa-1.2-maximaalbericht-v303 /> |
| + | ==XXX_Bergge== | ||
| + | |||
| + | === Bundel=== | ||
| − | |||
| − | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="5" width=" | + | |colspan="5" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Patient | |colspan="6"|Patient | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="10"| | |rowspan="10"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="6"| | |rowspan="6"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Antoon | |style="background-color: white;"|Antoon | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|van de | |style="background-color: white;"|van de | ||
| − | |-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_Bergge | |style="background-color: white;"|XXX_Bergge | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900353 (in identificerend systeem: BSN) | |style="background-color: white;"|999900353 (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;"|T - 68 jaar | |style="background-color: white;"|T - 68 jaar | ||
| − | |} | + | |} |
| − | + | === Vaccinatie=== | |
| − | + | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Vaccinatie |
| − | |-style="background-color: #1F497D; color: white; text-align:left;" | + | |-style="background-color: #1F497D;; color: white; text-align:left;" |
| − | |colspan="6" width=" | + | |colspan="6" width="30%"| Gegevenselement |
|| Waarde | || Waarde | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Identificatienummer | |colspan="6"|Identificatienummer | ||
|style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |style="background-color: white;"|Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Farmaceutisch product | |colspan="7"|Farmaceutisch product | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="6"| | |rowspan="6"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Product code | |colspan="5"|Product code | ||
|style="background-color: white;"|COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | |style="background-color: white;"|COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Product specificatie | |colspan="6"|Product specificatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Farmaceutische vorm | |colspan="4"|Farmaceutische vorm | ||
|style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |style="background-color: white;"|DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Batchnummer | |colspan="5"|Batchnummer | ||
|style="background-color: white;"|ABV3025 | |style="background-color: white;"|ABV3025 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Dosis | |colspan="6"|Dosis | ||
|style="background-color: white;"|0.5 ml | |style="background-color: white;"|0.5 ml | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie datum | |colspan="6"|Vaccinatie datum | ||
|style="background-color: white;"|T - 3 jaar | |style="background-color: white;"|T - 3 jaar | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Locatie | |colspan="7"|Locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="35"| | |rowspan="35"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Contactgegevens | |colspan="6"|Contactgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Telefoonnummers | |colspan="5"|Telefoonnummers | ||
| − | |-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="3"|Telefoonnummer | |colspan="3"|Telefoonnummer | ||
|style="background-color: white;"|07032165498 | |style="background-color: white;"|07032165498 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Telecom type | |colspan="3"|Telecom type | ||
|style="background-color: white;"|Land Line (code = 'LL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.22.1">ZIB Telecom ToestelTypes</span>') | |style="background-color: white;"|Land Line (code = 'LL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.22.1">ZIB Telecom ToestelTypes</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Nummer soort | |colspan="3"|Nummer soort | ||
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Toelichting | |colspan="3"|Toelichting | ||
|style="background-color: white;"|doorkiesnummer | |style="background-color: white;"|doorkiesnummer | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Email adressen | |colspan="5"|Email adressen | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email adres | |colspan="3"|Email adres | ||
|style="background-color: white;"|bestaatniet@jongflorence.nl | |style="background-color: white;"|bestaatniet@jongflorence.nl | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Email soort | |colspan="3"|Email soort | ||
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Adresgegevens | |colspan="6"|Adresgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="11"| | |rowspan="11"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Straat | |colspan="4"|Straat | ||
|style="background-color: white;"|Thijssestraat | |style="background-color: white;"|Thijssestraat | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummer | |colspan="4"|Huisnummer | ||
|style="background-color: white;"|47 | |style="background-color: white;"|47 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummerletter | |colspan="4"|Huisnummerletter | ||
|style="background-color: white;"|x | |style="background-color: white;"|x | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Huisnummertoevoeging | |colspan="4"|Huisnummertoevoeging | ||
|style="background-color: white;"|zeta | |style="background-color: white;"|zeta | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Aanduiding bij nummer | |colspan="4"|Aanduiding bij nummer | ||
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | |style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Postcode | |colspan="4"|Postcode | ||
|style="background-color: white;"|2521 ZE | |style="background-color: white;"|2521 ZE | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Woonplaats | |colspan="4"|Woonplaats | ||
|style="background-color: white;"|Den Haag | |style="background-color: white;"|Den Haag | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Gemeente | |colspan="4"|Gemeente | ||
|style="background-color: white;"|'s Gravenhage | |style="background-color: white;"|'s Gravenhage | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Land | |colspan="4"|Land | ||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Additionele informatie | |colspan="4"|Additionele informatie | ||
|style="background-color: white;"|Verkeerde kant van de straat | |style="background-color: white;"|Verkeerde kant van de straat | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgaanbieder | |colspan="6"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="9"| | |rowspan="9"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|10000006 (in identificerend systeem: URA) | |style="background-color: white;"|10000006 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|GGD test 06 | |style="background-color: white;"|GGD test 06 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Jeugdgezondheidszorg (code = 'JGZ' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Organisatie locatie | |colspan="5"|Organisatie locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie naam | |colspan="3"|Locatie naam | ||
|style="background-color: white;"|GGD test 06 West | |style="background-color: white;"|GGD test 06 West | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Locatie nummer | |colspan="3"|Locatie nummer | ||
|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="7"|Toediener | |colspan="7"|Toediener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="29"| | |rowspan="29"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|<span id="Zorgaanbieder1" title="Intern ID = Zorgaanbieder1">Zorgaanbieder Zorgaanbieder1</span> | |colspan="6"|<span id="Zorgaanbieder1" title="Intern ID = Zorgaanbieder1">Zorgaanbieder Zorgaanbieder1</span> | ||
| − | |-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="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|20000006 (in identificerend systeem: URA) | |style="background-color: white;"|20000006 (in identificerend systeem: URA) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie naam | |colspan="4"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk test 06 | |style="background-color: white;"|Huisartsenpraktijk test 06 | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Afdeling specialisme | |colspan="4"|Afdeling specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Organisatie type | |colspan="4"|Organisatie type | ||
|style="background-color: white;"|Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |style="background-color: white;"|Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Zorgverlener | |colspan="6"|Zorgverlener | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="21"| | |rowspan="21"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener identificatienummer | |colspan="4"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|02020202 (in identificerend systeem: UZI Personen) | |style="background-color: white;"|02020202 (in identificerend systeem: UZI Personen) | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Naamgegevens | |colspan="5"|Naamgegevens | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="13"| | |rowspan="13"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
|style="background-color: white;"|Peter | |style="background-color: white;"|Peter | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Roepnaam | |colspan="3"|Roepnaam | ||
|style="background-color: white;"|Peer | |style="background-color: white;"|Peer | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.4">ZIB Naamgebruik</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam | |colspan="4"|Geslachtsnaam | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels | |colspan="2"|Voorvoegsels | ||
|style="background-color: white;"|de | |style="background-color: white;"|de | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"|Appel | |style="background-color: white;"|Appel | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Geslachtsnaam partner | |colspan="4"|Geslachtsnaam partner | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Voorvoegsels partner | |colspan="2"|Voorvoegsels partner | ||
|style="background-color: white;"|van | |style="background-color: white;"|van | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="2"|Achternaam partner | |colspan="2"|Achternaam partner | ||
|style="background-color: white;"|Amstel | |style="background-color: white;"|Amstel | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Titels | |colspan="3"|Titels | ||
|style="background-color: white;"|Prof. dr. | |style="background-color: white;"|Prof. dr. | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Zorgaanbieder | |colspan="5"|Zorgaanbieder | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="2"| | |rowspan="2"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Zorgaanbieder1|Zorgaanbieder: Zorgaanbieder1]] | |style="background-color: white;"|Zie [[#Zorgaanbieder1|Zorgaanbieder: Zorgaanbieder1]] | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="4"|Zorgverlener rol | |colspan="4"|Zorgverlener rol | ||
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie aanleiding | |colspan="6"|Vaccinatie aanleiding | ||
|style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' 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"|Ziekte waar tegen gevaccineerd wordt | |colspan="6"|Ziekte waar tegen gevaccineerd wordt | ||
|style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' 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"|Toedieningsweg | |colspan="6"|Toedieningsweg | ||
|style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="7"|Anatomische locatie | |colspan="7"|Anatomische locatie | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|rowspan="3"| | |rowspan="3"| | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="5"|Locatie | |colspan="5"|Locatie | ||
|style="background-color: white;"|bovenarm (code = '40983000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|bovenarm (code = '40983000' 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="5"|Lateraliteit | |colspan="5"|Lateraliteit | ||
|style="background-color: white;"|links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|links (code = '7771000' 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"|Toelichting | |colspan="6"|Toelichting | ||
|style="background-color: white;"|Geen bijzonderheden | |style="background-color: white;"|Geen bijzonderheden | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Status toediening | |colspan="6"|Status toediening | ||
|style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| − | |-style="vertical-align:top; background-color: #E3E3E3;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
|colspan="6"|Vaccinatie indicatie | |colspan="6"|Vaccinatie indicatie | ||
|style="background-color: white;"|Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| − | |}<section end= | + | |}<section end=imm-var-kwa-1.2-maximaalbericht-v303 /> |
| + | <section begin=imm-zibs2020-gegevens_voorbeeldbericht /> | ||
| + | ==imm-zib2020-gegevens_voorbeeldbericht== | ||
| + | |||
| + | === Bundel=== | ||
| + | |||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bundel | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="30%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Patient | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="14"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"|Johanna Petronella Maria | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Initialen | ||
| + | |style="background-color: white;"|J.P.M. | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geslachtsnaam | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voorvoegsels | ||
| + | |style="background-color: white;"|van | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Achternaam | ||
| + | |style="background-color: white;"|Giessen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geslachtsnaam partner | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voorvoegsels partner | ||
| + | |style="background-color: white;"|van der | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Achternaam partner | ||
| + | |style="background-color: white;"|Putten | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geboortedatum | ||
| + | |style="background-color: white;"|28 apr 1934 | ||
| + | |} | ||
| + | === Vaccinatie=== | ||
| + | |||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Vaccinatie | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="30%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Farmaceutisch product | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Product code | ||
| + | |style="background-color: white;"|COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem '<span title="2.16.840.1.113883.2.4.4.7">G-Standaard HPK</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Product code | ||
| + | |style="background-color: white;"|vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Batchnummer | ||
| + | |style="background-color: white;"|18954 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie datum | ||
| + | |style="background-color: white;"|26 aug 2020 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Locatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="14"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Telefoonnummers | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Telefoonnummer | ||
| + | |style="background-color: white;"|+31612345678 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |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="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Land | ||
| + | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|10000006 (in identificerend systeem: URA) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Organisatie naam | ||
| + | |style="background-color: white;"|GGD test 06 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Toediener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|20000006 (in identificerend systeem: URA) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Organisatie naam | ||
| + | |style="background-color: white;"|Huisartsenpraktijk test 06 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie aanleiding | ||
| + | |style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Anatomische locatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Locatie | ||
| + | |style="background-color: white;"|bovenarm (code = '40983000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lateraliteit | ||
| + | |style="background-color: white;"|links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status toediening | ||
| + | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie indicatie | ||
| + | |style="background-color: white;"|Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |} | ||
| + | === Vaccinatie=== | ||
| + | |||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Vaccinatie | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="30%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Identificatienummer | ||
| + | |style="background-color: white;"|Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Farmaceutisch product | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Product code | ||
| + | |style="background-color: white;"|vaccin met uitsluitend antigenen van Corynebacterium diphtheriae, Bordetella pertussis, Clostridium tetani en humaan poliovirus (code = '871878002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Batchnummer | ||
| + | |style="background-color: white;"|C2544AB | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie datum | ||
| + | |style="background-color: white;"|21 jul 2005 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Locatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-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;"|vaccinatielocatie@test.nl | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Email soort | ||
| + | |style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Adresgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Land | ||
| + | |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Additionele informatie | ||
| + | |style="background-color: white;"|Sporthal de Prikkers | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Toediener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorgaanbieder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgaanbieder identificatienummer | ||
| + | |style="background-color: white;"|32320011 (in identificerend systeem: URA) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie aanleiding | ||
| + | |style="background-color: white;"|Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Anatomische locatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Locatie | ||
| + | |style="background-color: white;"|bovenbeen (code = '68367000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lateraliteit | ||
| + | |style="background-color: white;"|links (code = '7771000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Status toediening | ||
| + | |style="background-color: white;"|Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Vaccinatie indicatie | ||
| + | |style="background-color: white;"|Aandoening van long (aandoening) (code = '19829001' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |}<section end=imm-zibs2020-gegevens_voorbeeldbericht /> | ||
Versie van 27 aug 2024 om 15:59
Inhoud
1 Addenda voor inhoudelijke gegevens
1.1 XXX_Boekwijt
1.1.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Boekwijt | ||||
| Identificatienummer | 999900390 (in identificerend systeem: BSN) | ||||
| Geboortedatum | T - 17 jaar | ||||
1.1.2 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | vaccin met antigeen van humaan papillomavirus (code = '836379009' in codeSystem 'SNOMED CT') | |||
| Batchnummer | AHPVA064BB | |||
| Vaccinatie datum | T - 7 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 10000004 (in identificerend systeem: URA) | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.1.3 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem 'G-Standaard HPK') | |||
| Product code | vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem 'SNOMED CT') | |||
| Batchnummer | FF4213 | |||
| Vaccinatie datum | T - 1 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 20000004 (in identificerend systeem: URA) | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.2 XXX_Boeters
1.2.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Brechtje Maria | ||||
| Initialen | B.M. | ||||
| Roepnaam | Brechtje | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | XXX_Boeters | ||||
| Geslachtsnaam partner | |||||
| Voorvoegsels partner | der | ||||
| Achternaam partner | Teeuwen | ||||
| Titels | Barones | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1002 | ||||
| Huisnummerletter | A | ||||
| Huisnummertoevoeging | Bis | ||||
| Postcode | 9999ZZ | ||||
| Woonplaats | Stitswerd | ||||
| Gemeente | Het Hogeland | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Additionele informatie | Huize Zonneschijn | ||||
| Adres soort | Officieel adres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31612121212 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Toelichting | Best bereikbaar in ochtend | ||||
| Email adressen | |||||
| Email adres | barones@testmailbarones.nl | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999900407 (in identificerend systeem: BSN) | ||||
| Geboortedatum | T - 70 jaar | ||||
1.2.2 Vaccinatie
| Vaccinatie | ||||||
| Gegevenselement | Waarde | |||||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||||
| Farmaceutisch product | ||||||
| Product code | COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem 'G-Standaard HPK') | |||||
| Product specificatie | ||||||
| Farmaceutische vorm | DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |||||
| Batchnummer | ABV3025 | |||||
| Dosis | 0.5 ml | |||||
| Vaccinatie datum | T - 3 jaar | |||||
| Locatie | ||||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | 07032165498 | |||||
| Telecom type | Land Line (code = 'LL' in codeSystem 'ZIB Telecom ToestelTypes') | |||||
| Nummer soort | Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Toelichting | doorkiesnummer | |||||
| Email adressen | ||||||
| Email adres | bestaatniet@jongflorence.nl | |||||
| Email soort | Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Adresgegevens | ||||||
| Straat | Thijssestraat | |||||
| Huisnummer | 47 | |||||
| Huisnummerletter | x | |||||
| Huisnummertoevoeging | zeta | |||||
| Aanduiding bij nummer | Tegenover (code = 'to' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 2521 ZE | |||||
| Woonplaats | Den Haag | |||||
| Gemeente | 's Gravenhage | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| Additionele informatie | Verkeerde kant van de straat | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatienummer | 10000005 (in identificerend systeem: URA) | |||||
| Organisatie naam | GGD test 05 | |||||
| Afdeling specialisme | GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Jeugdgezondheidszorg (code = 'JGZ' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Organisatie locatie | ||||||
| Locatie naam | GGD test 05 Noord | |||||
| Locatie nummer | 5 | |||||
| Toediener | ||||||
| Zorgaanbieder Zorgaanbieder1 | ||||||
| Zorgaanbieder identificatienummer | 20000005 (in identificerend systeem: URA) | |||||
| Organisatie naam | Huisartsenpraktijk test 05 | |||||
| Afdeling specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Zorgverlener identificatienummer | 01010101 (in identificerend systeem: UZI Personen) | |||||
| Naamgegevens | ||||||
| Voornamen | Thomas | |||||
| Roepnaam | Tommy | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Pickles | |||||
| Geslachtsnaam partner | ||||||
| Voorvoegsels partner | van | |||||
| Achternaam partner | Carmichael | |||||
| Titels | Prof. dr. | |||||
| Specialisme | Medisch specialisten, niet nader gespecificeerd (code = '0300' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | Zie Zorgaanbieder: Zorgaanbieder1 | |||||
| Zorgverlener rol | Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |||||
| Vaccinatie aanleiding | Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem 'SNOMED CT') | |||||
| Ziekte waar tegen gevaccineerd wordt | Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem 'SNOMED CT') | |||||
| Toedieningsweg | intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Anatomische locatie | ||||||
| Locatie | bovenarm (code = '40983000' in codeSystem 'SNOMED CT') | |||||
| Lateraliteit | links (code = '7771000' in codeSystem 'SNOMED CT') | |||||
| Toelichting | Geen bijzonderheden | |||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||||
| Vaccinatie indicatie | Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem 'SNOMED CT') | |||||
1.3 XXX_Biezen
1.3.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Biezen | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31612121212 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999900377 (in identificerend systeem: BSN) | ||||
| Geboortedatum | T - 20 jaar | ||||
1.3.2 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | vaccin met antigeen van Streptococcus pneumoniae (code = '836398006' in codeSystem 'SNOMED CT') | |||
| Batchnummer | 18954 | |||
| Vaccinatie datum | T - 18 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 10000001 (in identificerend systeem: URA) | |||
| Organisatie naam | GGD test 01 | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.3.3 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | COVID-19 VACCIN MODERNA INJVLST 0,5ML (code = '2924536' in codeSystem 'G-Standaard HPK') | |||
| Product code | vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem 'SNOMED CT') | |||
| Batchnummer | 3002184 | |||
| Vaccinatie datum | T - 3 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 20000001 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk test 01 | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.3.4 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '206784' in codeSystem 'G-Standaard PRK') | |||
| Product code | COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem 'G-Standaard HPK') | |||
| Product code | COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '184284' in codeSystem 'G-Standaard GPK') | |||
| Batchnummer | 018J21ABS | |||
| Vaccinatie datum | T - 2 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 20000002 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk test 02 | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.3.5 Vaccinatie
| Vaccinatie | ||||
| Gegevenselement | Waarde | |||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||
| Farmaceutisch product | ||||
| Product code | anders (code = 'OTH' in codeSystem 'NullFlavor'): HEPATITIS-A-VACCIN | |||
| Batchnummer | NullFlavor: UNK | |||
| Vaccinatie datum | T - 1 jaar | |||
| Locatie | ||||
| Adresgegevens | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
| Toediener | ||||
| Zorgaanbieder | ||||
| Zorgaanbieder identificatienummer | 10000002 (in identificerend systeem: URA) | |||
| Organisatie naam | GGD test 02 | |||
| Vaccinatie aanleiding | Reizigersvaccinatie (verrichting) (code = '14747002' in codeSystem 'SNOMED CT') | |||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||
1.4 XXX_Bevers
1.4.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Annemarie | ||||
| Initialen | A. | ||||
| Roepnaam | Anna | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van de | ||||
| Achternaam | XXX_Bevers | ||||
| Geslachtsnaam partner | |||||
| Voorvoegsels partner | de | ||||
| Achternaam partner | Boom | ||||
| Titels | MSc. | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1002 | ||||
| Huisnummerletter | A | ||||
| Huisnummertoevoeging | bis | ||||
| Aanduiding bij nummer | Tegenover (code = 'to' in codeSystem 'ZIB AanduidingBijNummer') | ||||
| Postcode | 9999ZZ | ||||
| Woonplaats | Stitswerd | ||||
| Gemeente | Het Hogeland | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Additionele informatie | Tegenover bloemenwinkel | ||||
| Adres soort | Officieel adres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 0612345678 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Toelichting | Na 16u bereikbaar | ||||
| Email adressen | |||||
| Email adres | test@xxx_vandebevers.nl | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999900365 (in identificerend systeem: BSN) | ||||
| Geboortedatum | T - 60 jaar | ||||
1.4.2 Vaccinatie
| Vaccinatie | ||||||
| Gegevenselement | Waarde | |||||
| Identificatienummer | Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||||
| Farmaceutisch product | ||||||
| Product code | COVID-19 VACCIN MODERNA INJVLST 0,25ML (code = '2978636' in codeSystem 'G-Standaard HPK') | |||||
| Product specificatie | ||||||
| Farmaceutische vorm | DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |||||
| Batchnummer | 216036BS | |||||
| Dosis | 0.25 ml | |||||
| Vaccinatie datum | T - 3 jaar | |||||
| Locatie | ||||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | 0612345678 | |||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | |||||
| Nummer soort | Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Toelichting | Diensttelefoon | |||||
| Email adressen | ||||||
| Email adres | test@GGDtest03.nl | |||||
| Email soort | Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Huisnummerletter | A | |||||
| Huisnummertoevoeging | Bis | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| Gemeente | Stitswerd | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| Additionele informatie | Ingang sporthal aan achterzijde | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatienummer | 10000003 (in identificerend systeem: URA) | |||||
| Organisatie naam | GGD test 03 | |||||
| Afdeling specialisme | GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Jeugdgezondheidszorg (code = 'JGZ' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Organisatie locatie | ||||||
| Locatie naam | GGD test 03 zuid | |||||
| Locatie nummer | 03 | |||||
| Toediener | ||||||
| Zorgaanbieder ZorgaanbiederTest1 | ||||||
| Zorgaanbieder identificatienummer | 20000003 (in identificerend systeem: URA) | |||||
| Organisatie naam | Huisartsenpraktijk test 03 | |||||
| Afdeling specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Huisartsinstelling (code = 'H1' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Zorgverlener identificatienummer | 75131313 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Voornamen | Willem | |||||
| Roepnaam | Willem | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | de | |||||
| Achternaam | Wever | |||||
| Geslachtsnaam partner | ||||||
| Voorvoegsels partner | van het | |||||
| Achternaam partner | Hof | |||||
| Titels | MSc. | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | Zie Zorgaanbieder: ZorgaanbiederTest1 | |||||
| Zorgverlener rol | Uitvoerder (code = 'PRF' in codeSystem 'HL7 ParticipationType') | |||||
| Vaccinatie aanleiding | Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem 'SNOMED CT') | |||||
| Ziekte waar tegen gevaccineerd wordt | Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem 'SNOMED CT') | |||||
| Toedieningsweg | intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Anatomische locatie | ||||||
| Locatie | Bovenbeen (code = '68367000' in codeSystem 'SNOMED CT') | |||||
| Lateraliteit | links (code = '7771000' in codeSystem 'SNOMED CT') | |||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||||
| Vaccinatie indicatie | Overgewicht (bevinding) (code = '238131007' in codeSystem 'SNOMED CT') | |||||
1.4.3 Vaccinatie
| Vaccinatie | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Door systeem gegenereerd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||||
| Farmaceutisch product | |||||
| Product code | vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem 'SNOMED CT') | ||||
| Batchnummer | FF4213 | ||||
| Vaccinatie datum | T - 2 jaar | ||||
| Locatie | |||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 0707654321 | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 2001 | ||||
| Postcode | 9999AA | ||||
| Woonplaats | Stitswerd | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Additionele informatie | Sporthal | ||||
| Toediener | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 10000006 (in identificerend systeem: URA) | ||||
| Organisatie naam | GGD test 06 | ||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||||
1.5 XXX_Bergge
1.5.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Antoon | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van de | ||||
| Achternaam | XXX_Bergge | ||||
| Identificatienummer | 999900353 (in identificerend systeem: BSN) | ||||
| Geboortedatum | T - 68 jaar | ||||
1.5.2 Vaccinatie
| Vaccinatie | ||||||
| Gegevenselement | Waarde | |||||
| Identificatienummer | Door systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | |||||
| Farmaceutisch product | ||||||
| Product code | COVID-19 VACCIN ASTRAZENECA INJVLST (code = '2925508' in codeSystem 'G-Standaard HPK') | |||||
| Product specificatie | ||||||
| Farmaceutische vorm | DISPERSIE VOOR INJECTIE (code = '76' in codeSystem 'G-Standaard Farmaceutische vormen (tabel 6)') | |||||
| Batchnummer | ABV3025 | |||||
| Dosis | 0.5 ml | |||||
| Vaccinatie datum | T - 3 jaar | |||||
| Locatie | ||||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | 07032165498 | |||||
| Telecom type | Land Line (code = 'LL' in codeSystem 'ZIB Telecom ToestelTypes') | |||||
| Nummer soort | Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Toelichting | doorkiesnummer | |||||
| Email adressen | ||||||
| Email adres | bestaatniet@jongflorence.nl | |||||
| Email soort | Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| Adresgegevens | ||||||
| Straat | Thijssestraat | |||||
| Huisnummer | 47 | |||||
| Huisnummerletter | x | |||||
| Huisnummertoevoeging | zeta | |||||
| Aanduiding bij nummer | Tegenover (code = 'to' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 2521 ZE | |||||
| Woonplaats | Den Haag | |||||
| Gemeente | 's Gravenhage | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| Additionele informatie | Verkeerde kant van de straat | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder identificatienummer | 10000006 (in identificerend systeem: URA) | |||||
| Organisatie naam | GGD test 06 | |||||
| Afdeling specialisme | GGD's (instellingen) (code = '3200' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Jeugdgezondheidszorg (code = 'JGZ' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Organisatie locatie | ||||||
| Locatie naam | GGD test 06 West | |||||
| Locatie nummer | 6 | |||||
| Toediener | ||||||
| Zorgaanbieder Zorgaanbieder1 | ||||||
| Zorgaanbieder identificatienummer | 20000006 (in identificerend systeem: URA) | |||||
| Organisatie naam | Huisartsenpraktijk test 06 | |||||
| Afdeling specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Organisatie type | Huisartspraktijk (zelfstandig of groepspraktijk) (code = 'Z3' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Zorgverlener identificatienummer | 02020202 (in identificerend systeem: UZI Personen) | |||||
| Naamgegevens | ||||||
| Voornamen | Peter | |||||
| Roepnaam | Peer | |||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | de | |||||
| Achternaam | Appel | |||||
| Geslachtsnaam partner | ||||||
| Voorvoegsels partner | van | |||||
| Achternaam partner | Amstel | |||||
| Titels | Prof. dr. | |||||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| Zorgaanbieder | Zie Zorgaanbieder: Zorgaanbieder1 | |||||
| Zorgverlener rol | Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | |||||
| Vaccinatie aanleiding | Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem 'SNOMED CT') | |||||
| Ziekte waar tegen gevaccineerd wordt | Aandoening door infectie door 'Severe acute respiratory syndrome'-coronavirus 2 (aandoening) (code = '840539006' in codeSystem 'SNOMED CT') | |||||
| Toedieningsweg | intramusculair (code = '2' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||||
| Anatomische locatie | ||||||
| Locatie | bovenarm (code = '40983000' in codeSystem 'SNOMED CT') | |||||
| Lateraliteit | links (code = '7771000' in codeSystem 'SNOMED CT') | |||||
| Toelichting | Geen bijzonderheden | |||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | |||||
| Vaccinatie indicatie | Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem 'SNOMED CT') | |||||
1.6 imm-zib2020-gegevens_voorbeeldbericht
1.6.1 Bundel
| Bundel | |||||
| Gegevenselement | Waarde | ||||
| Patient | |||||
| Naamgegevens | |||||
| Voornamen | Johanna Petronella Maria | ||||
| Initialen | J.P.M. | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | Giessen | ||||
| Geslachtsnaam partner | |||||
| Voorvoegsels partner | van der | ||||
| Achternaam partner | Putten | ||||
| Geboortedatum | 28 apr 1934 | ||||
1.6.2 Vaccinatie
| Vaccinatie | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||||
| Farmaceutisch product | |||||
| Product code | COVID-19 VACCIN PFIZER INJVLST 0,3ML (code = '2924528' in codeSystem 'G-Standaard HPK') | ||||
| Product code | vaccin tegen 'Severe acute respiratory syndrome'-coronavirus 2 (code = '28531000087107' in codeSystem 'SNOMED CT') | ||||
| Batchnummer | 18954 | ||||
| Vaccinatie datum | 26 aug 2020 | ||||
| Locatie | |||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | +31612345678 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Adresgegevens | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 10000006 (in identificerend systeem: URA) | ||||
| Organisatie naam | GGD test 06 | ||||
| Toediener | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 20000006 (in identificerend systeem: URA) | ||||
| Organisatie naam | Huisartsenpraktijk test 06 | ||||
| Vaccinatie aanleiding | Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem 'SNOMED CT') | ||||
| Anatomische locatie | |||||
| Locatie | bovenarm (code = '40983000' in codeSystem 'SNOMED CT') | ||||
| Lateraliteit | links (code = '7771000' in codeSystem 'SNOMED CT') | ||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||||
| Vaccinatie indicatie | Kwetsbare oudere (bevinding) (code = '404904002' in codeSystem 'SNOMED CT') | ||||
1.6.3 Vaccinatie
| Vaccinatie | |||||
| Gegevenselement | Waarde | ||||
| Identificatienummer | Door het systeem gegenereerd nummer (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.60.131.2) | ||||
| Farmaceutisch product | |||||
| Product code | vaccin met uitsluitend antigenen van Corynebacterium diphtheriae, Bordetella pertussis, Clostridium tetani en humaan poliovirus (code = '871878002' in codeSystem 'SNOMED CT') | ||||
| Batchnummer | C2544AB | ||||
| Vaccinatie datum | 21 jul 2005 | ||||
| Locatie | |||||
| Contactgegevens | |||||
| Email adressen | |||||
| Email adres | vaccinatielocatie@test.nl | ||||
| Email soort | Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Adresgegevens | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Additionele informatie | Sporthal de Prikkers | ||||
| Toediener | |||||
| Zorgaanbieder | |||||
| Zorgaanbieder identificatienummer | 32320011 (in identificerend systeem: URA) | ||||
| Vaccinatie aanleiding | Immunisatie nodig vanuit vaccinatieprogramma (situatie) (code = '159741000146107' in codeSystem 'SNOMED CT') | ||||
| Anatomische locatie | |||||
| Locatie | bovenbeen (code = '68367000' in codeSystem 'SNOMED CT') | ||||
| Lateraliteit | links (code = '7771000' in codeSystem 'SNOMED CT') | ||||
| Status toediening | Completed (code = 'completed' in codeSystem '2.16.840.1.113883.4.642.1.110') | ||||
| Vaccinatie indicatie | Aandoening van long (aandoening) (code = '19829001' in codeSystem 'SNOMED CT') | ||||
