GZ:InhoudelijkeGegevens Integrale Zwangerschapskaart Uitbreiding Verloskunde: verschil tussen versies
(→Scenario vrouw 6 kaart 7 - Uitbreiding verloskunde - Casus 2) |
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| Regel 4: | Regel 4: | ||
=Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude> | =Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude> | ||
| − | ==Scenario | + | ==Scenario Uitbreiding verloskunde casus 1== |
<section begin= /> | <section begin= /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 63: | Regel 63: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Lichaamsgewicht | |colspan="3"|Lichaamsgewicht | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|gewicht1 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Lichaamslengte | |colspan="3"|Lichaamslengte | ||
| Regel 298: | Regel 298: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Ernie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
| Regel 305: | Regel 305: | ||
|colspan="6"|<span id="ZV2-Verloskundige" title="Intern ID = ZV2-Verloskundige">Zorgverlener ZV2-Verloskundige</span> | |colspan="6"|<span id="ZV2-Verloskundige" title="Intern ID = ZV2-Verloskundige">Zorgverlener ZV2-Verloskundige</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="18"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgverlener identificatienummer | |colspan="4"|Zorgverlener identificatienummer | ||
| Regel 312: | Regel 312: | ||
|colspan="4"|Zorgverlener identificatienummer | |colspan="4"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|94857623 (in identificerend systeem: AGB-Z) | |style="background-color: white;"|94857623 (in identificerend systeem: AGB-Z) | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"|Loes | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geslachtsnaam | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Achternaam | ||
| + | |style="background-color: white;"|XXX_Korte | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Specialisme | |colspan="4"|Specialisme | ||
| Regel 318: | Regel 332: | ||
|colspan="5"|Contactgegevens | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Telefoonnummers | |colspan="4"|Telefoonnummers | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Telefoonnummer | |colspan="2"|Telefoonnummer | ||
|style="background-color: white;"|0698765432 | |style="background-color: white;"|0698765432 | ||
| + | |-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="2"|Nummer soort | ||
| + | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| Regel 367: | Regel 387: | ||
|colspan="5"|Zwangerschap | |colspan="5"|Zwangerschap | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zwangerschapsduur | |colspan="3"|Zwangerschapsduur | ||
| Regel 380: | Regel 400: | ||
|colspan="4"|Aterme datum items | |colspan="4"|Aterme datum items | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan | + | |rowspan="2"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Bepalings methode | |colspan="2"|Bepalings methode | ||
|style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Datum einde zwangerschap |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 445 dagen |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Definitieve a terme datum observatie | |colspan="5"|Definitieve a terme datum observatie | ||
|-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"|Definitieve a terme waarde | |colspan="3"|Definitieve a terme waarde | ||
|style="background-color: white;"|T - 224 dagen | |style="background-color: white;"|T - 224 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Definitieve a terme methode | ||
| + | |style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Aantal levende kinderen observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Aantal levende kinderen waarde | ||
| + | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Fetal loss observatie | |colspan="5"|Fetal loss observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Fetal loss waarde | |colspan="3"|Fetal loss waarde | ||
| Regel 416: | Regel 434: | ||
|colspan="5"|Voornemens vrouw | |colspan="5"|Voornemens vrouw | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Voorgenomen plaats baring tijdens zwangerschap observatie | |colspan="4"|Voorgenomen plaats baring tijdens zwangerschap observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan | + | |rowspan="2"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Voorgenomen plaats baring waarde | |colspan="2"|Voorgenomen plaats baring waarde | ||
| Regel 430: | Regel 445: | ||
|colspan="5"|Prenatale controle | |colspan="5"|Prenatale controle | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="17"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Contact | |colspan="3"|Contact | ||
|style="background-color: white;"|Zie [[#Contact-445D|Contact: Contact-445D]] | |style="background-color: white;"|Zie [[#Contact-445D|Contact: Contact-445D]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Leven voelen observatie | |colspan="4"|Leven voelen observatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan | + | |rowspan="2"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Leven voelen waarde | |colspan="2"|Leven voelen waarde | ||
| Regel 463: | Regel 478: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Drugs gebruik status | |colspan="2"|Drugs gebruik status | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|gebruikt geen drugs (code = '228367002' 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"|Tabak gebruik | |colspan="4"|Tabak gebruik | ||
| Regel 471: | Regel 486: | ||
|colspan="2"|Tabak gebruik status | |colspan="2"|Tabak gebruik status | ||
|style="background-color: white;"|heeft nooit gerookt (code = '266919005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|heeft nooit gerookt (code = '266919005' 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"|Probleem zwangerschap | |colspan="5"|Probleem zwangerschap | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Probleem naam | |colspan="3"|Probleem naam | ||
| Regel 494: | Regel 499: | ||
|colspan="3"|Zwangerschapsduur | |colspan="3"|Zwangerschapsduur | ||
|style="background-color: white;"|59 | |style="background-color: white;"|59 | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Probleem status |
| − | | | + | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| − | | | ||
| − | |||
|}<section end=zwangerschapsgegevens_ /> | |}<section end=zwangerschapsgegevens_ /> | ||
=== Bevalling === | === Bevalling === | ||
| Regel 511: | Regel 512: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|Probleem maternaal | + | |colspan="6"|<span id="MaternaalProbleem1" title="Intern ID = MaternaalProbleem1">Probleem maternaal MaternaalProbleem1</span> |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem naam | ||
| + | |style="background-color: white;"|eerstegraads perineumruptuur (aandoening) (code = '57759005' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|279 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="MaternaalProbleem2" title="Intern ID = MaternaalProbleem2">Probleem maternaal MaternaalProbleem2</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Probleem naam | |colspan="4"|Probleem naam | ||
|style="background-color: white;"|toestand patiënt verslechterd (code = '271299001' in codeSystem 'SNOMED CT') | |style="background-color: white;"|toestand patiënt verslechterd (code = '271299001' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem begin datum | ||
| + | |style="background-color: white;"|T - 225 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|279 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Verrichting maternaal | |colspan="6"|Verrichting maternaal | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Indicatie | ||
|-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;;" | ||
| + | |colspan="3"|Probleem maternaal | ||
| + | |style="background-color: white;"|Zie [[#MaternaalProbleem2|Probleem maternaal: MaternaalProbleem2]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verrichting type | |colspan="4"|Verrichting type | ||
| Regel 650: | Regel 674: | ||
|colspan="5"|Demografische gegevens | |colspan="5"|Demografische gegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Patient | |colspan="3"|Patient | ||
|style="background-color: white;"|kind | |style="background-color: white;"|kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Perinatale sterfte observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Overlijdens indicator | ||
| + | |style="background-color: white;"|false | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Lichamelijk onderzoek kind | |colspan="5"|Lichamelijk onderzoek kind | ||
| Regel 680: | Regel 711: | ||
|colspan="7"|Maternale onderzoeksgegevens | |colspan="7"|Maternale onderzoeksgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="23"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Urine bloed en aanvullende onderzoeken | |colspan="6"|Urine bloed en aanvullende onderzoeken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="21"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Psie | |colspan="5"|Psie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="16"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|<span id="Bloed1" title="Intern ID = Bloed1">Laboratorium test bloedgroep Bloed1</span> | |colspan="4"|<span id="Bloed1" title="Intern ID = Bloed1">Laboratorium test bloedgroep Bloed1</span> | ||
| Regel 727: | Regel 758: | ||
|style="background-color: white;"|k[arb'U]/L | |style="background-color: white;"|k[arb'U]/L | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="5"|Laboratorium test hb | |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |colspan="5"|Laboratorium test hb | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 785: | Regel 809: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Lengte datum tijd | |colspan="2"|Lengte datum tijd | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-445D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Patienten context | |colspan="5"|Patienten context | ||
| Regel 801: | Regel 825: | ||
|style="background-color: white;"|4 | |style="background-color: white;"|4 | ||
|}<section end=bouwstenen_ /> | |}<section end=bouwstenen_ /> | ||
| − | ==Scenario | + | ==Scenario Uitgebreide verloskunde casus 2== |
<section begin= /> | <section begin= /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| Regel 815: | Regel 839: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Patient | |colspan="2"|Patient | ||
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#Vrouw2-XXX_Swart|Patient: Vrouw2-XXX_Swart]] |
|}<section end= /> | |}<section end= /> | ||
=== Administratief === | === Administratief === | ||
| Regel 826: | Regel 850: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|<span id=" | + | |colspan="6"|<span id="Contact-205D" title="Intern ID = Contact-205D">Contact Contact-205D</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
| Regel 841: | Regel 865: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
| − | |style="background-color: white;"|Zie [[#ZV1- | + | |style="background-color: white;"|Zie [[#ZV1-Groeneboom|Zorgverlener: ZV1-Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Begin datum tijd | |colspan="4"|Begin datum tijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 205 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Eind datum tijd | |colspan="4"|Eind datum tijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 205 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|<span id=" | + | |colspan="6"|<span id="Contact-76D" title="Intern ID = Contact-76D">Contact Contact-76D</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="8"| | |rowspan="8"| | ||
| Regel 864: | Regel 888: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
| − | |style="background-color: white;"|Zie [[#ZV1- | + | |style="background-color: white;"|Zie [[#ZV1-Groeneboom|Zorgverlener: ZV1-Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Begin datum tijd | |colspan="4"|Begin datum tijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 76 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Eind datum tijd | |colspan="4"|Eind datum tijd | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 76 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|<span id=" | + | |colspan="6"|<span id="Contact-5D" title="Intern ID = Contact-5D">Contact Contact-5D</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan="7"| | + | |colspan="4"|Contact type |
| + | |style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Contact soort | ||
| + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contact met | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener | ||
| + | |style="background-color: white;"|Zie [[#ZV1-Groeneboom|Zorgverlener: ZV1-Groeneboom]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Begin datum tijd | ||
| + | |style="background-color: white;"|T - 5 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Eind datum tijd | ||
| + | |style="background-color: white;"|T - 5 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="Vrouw2-XXX_Swart" title="Intern ID = Vrouw2-XXX_Swart">Patient Vrouw2-XXX_Swart</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="20"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Voornamen | |colspan="3"|Voornamen | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Fiona |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|F |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
| Regel 894: | Regel 941: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Swart |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Adresgegevens | |colspan="5"|Adresgegevens | ||
| Regel 916: | Regel 963: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999901448 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
| Regel 927: | Regel 974: | ||
|style="background-color: white;"|Nee | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|<span id="ZA1- | + | |colspan="6"|<span id="ZA1-verloskundigepraktijk" title="Intern ID = ZA1-verloskundigepraktijk">Zorgaanbieder ZA1-verloskundigepraktijk</span> |
|-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="4"|Zorgaanbieder identificatienummer | |colspan="4"|Zorgaanbieder identificatienummer | ||
| − | |style="background-color: white;"|08001234 (in identificerend systeem: | + | |style="background-color: white;"|08001234 (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 | ||
| Regel 962: | Regel 1.009: | ||
|style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"|<span id="ZV1- | + | |colspan="6"|<span id="ZV1-Groeneboom" title="Intern ID = ZV1-Groeneboom">Zorgverlener ZV1-Groeneboom</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="15"| | |rowspan="15"| | ||
| Regel 997: | Regel 1.044: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| − | |style="background-color: white;"|Zie [[#ZA1- | + | |style="background-color: white;"|Zie [[#ZA1-verloskundigepraktijk|Zorgaanbieder: ZA1-verloskundigepraktijk]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgverleners rol | |colspan="4"|Zorgverleners rol | ||
| Regel 1.016: | Regel 1.063: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Begin datum | |colspan="3"|Begin datum | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 205 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Eind datum | |colspan="3"|Eind datum | ||
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 1 dag |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorg episode verantwoordelijke | |colspan="4"|Zorg episode verantwoordelijke | ||
| Regel 1.026: | Regel 1.073: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgverlener | |colspan="2"|Zorgverlener | ||
| − | |style="background-color: white;"|ZV1- | + | |style="background-color: white;"|ZV1-Groeneboom |
|}<section end=zorgverlening_ /> | |}<section end=zorgverlening_ /> | ||
=== Zwangerschapsgegevens === | === Zwangerschapsgegevens === | ||
<section begin=zwangerschapsgegevens_ /> | <section begin=zwangerschapsgegevens_ /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="5" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Coordinerend zorgverlener |
|-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=" | + | |colspan="4"|Zorgverlener |
| − | |style="background-color: white;"|Zie [[#ZV1- | + | |style="background-color: white;"|Zie [[#ZV1-Groeneboom|Zorgverlener: ZV1-Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Zwangerschap |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="10"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Zwangerschapsduur |
| + | |style="background-color: white;"|273 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Pariteit |
|style="background-color: white;"|0 | |style="background-color: white;"|0 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Graviditeit |
|style="background-color: white;"|1 | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Aterme datum items |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Aterme datum |
| − | |style="background-color: white;"|T | + | |style="background-color: white;"|T + 10 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Bepalings methode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Datum bepaling |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Datum laatste menstruatie |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 278 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Definitieve a terme datum observatie |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Definitieve a terme datum tijd |
| + | |style="background-color: white;"|T - 126 dagen om 13:45 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Definitieve a terme waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T + 2 dagen |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Definitieve a terme methode |
| + | |style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|Meerling zwangerschap observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="4"|Meerling zwangerschap datum tijd |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Tweelingzwangerschap waarde |
| + | |style="background-color: white;"|monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Observatie methode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Aantal levende kinderen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Aantal levende kinderen datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 76 dagen |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Aantal levende kinderen waarde |
| + | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Foliumzuurgebruik observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Foliumzuurgebruik datum tijd |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Foliumzuurgebruik waarde |
| − | |style="background-color: white;"|(code = '' in codeSystem ' | + | |style="background-color: white;"|geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Prenatale controle | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="24"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Contact | ||
| + | |style="background-color: white;"|Zie [[#Contact-205D|Contact: Contact-205D]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|73 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Leven voelen observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Leven voelen datum tijd | ||
| + | |style="background-color: white;"|T - 205 dagen om 13:40 uur | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Leven voelen waarde | ||
| + | |style="background-color: white;"|foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie methode | ||
| + | |style="background-color: white;"|palperen (kwalificatiewaarde) (code = '129434008' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lichaamsgewicht | ||
| + | |style="background-color: white;"|Zie [[#Gew-205D|Lichaamsgewicht: Gew-205D]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Bloeddruk | ||
| + | |style="background-color: white;"|Zie [[#BP-205D|Bloeddruk: BP-205D]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Alcohol gebruik |
|-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=" | + | |colspan="3"|Alcohol gebruik status |
| − | |style="background-color: white;"|(code = '' in codeSystem ' | + | |style="background-color: white;"|drinkt geen alcohol (code = '105542008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Drugs gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Drugs gebruik status |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | < | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Tabak gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Tabak gebruik status |
| + | |style="background-color: white;"|rookt soms sigaretten (code = '230059006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Soort tabak gebruik |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Waarneming gebruik |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Start datum |
| + | |style="background-color: white;"|1 jun 2019 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Hoeveelheid | ||
| + | |style="background-color: white;"|6 keer per dag inhaleren | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Prenatale controle | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="4"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Contact |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#Contact-76D|Contact: Contact-76D]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zwangerschapsduur |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|202 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Bloeddruk |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#BP-76D|Bloeddruk: BP-76D]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span> |
|-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"| | + | |colspan="4"|Probleem naam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Probleem begin datum |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zwangerschapsduur |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|73 |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Toelichting |
| + | |style="background-color: white;"|mw.door verwijzen naar Sophia | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem zwangerschap Probleem2</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Probleem type |
| + | |style="background-color: white;"|Klinische bevinding (code = '404684003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Probleem naam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|intra-uteriene groeiretardatie (aandoening) (code = '22033007' 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"|Probleem begin datum |
| + | |style="background-color: white;"|T - 76 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zwangerschapsduur |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|202 |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Probleem status |
| + | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Toelichting |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|tweede kind blijft erg achter in ontwikkeling |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Verrichting zwangerschap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Verrichting start datum |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Verrichting zwangerschap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Verrichting start datum |
| + | |style="background-color: white;"|T - 205 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Verrichting zwangerschap |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Verrichting start datum |
| + | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT') |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |}<section end=zwangerschapsgegevens_ /> |
| − | |colspan="5"| | + | === Bevalling === |
| + | <section begin=bevalling_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bevalling | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Partusnummer | ||
| + | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="5"|Zwangerschapsduur |
| + | |style="background-color: white;"|273 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Uitdrijvingsfase |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="29"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Type partus observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Observatie datum tijd |
| + | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Type partus waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' 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"| | + | |colspan="5"|Werkelijke plaats baring type locatie observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Observatie datum tijd |
| + | |style="background-color: white;"|T - 5 dagen om 14:38 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Werkelijke plaats baring waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Toelichting |
| + | |style="background-color: white;"|geplande sectio | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Ziekenhuis baring |
|-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=" | + | |colspan="3"|Zorgaanbieder |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA1-verloskundigepraktijk|Zorgaanbieder: ZA1-verloskundigepraktijk]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|<span id="Probleem3" title="Intern ID = Probleem3">Probleem kindspecifieke maternale problemen Probleem3</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Probleem naam |
| + | |style="background-color: white;"|liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Probleem begin datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Verrichting start datum |
| + | |style="background-color: white;"|T - 5 dagen om 14:03 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting eind datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 14:52 uur |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Indicatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="2"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="2"|Probleem kindspecifieke maternale problemen | ||
| + | |style="background-color: white;"|Zie [[#Probleem3|Probleem kindspecifieke maternale problemen: Probleem3]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Verrichting type | ||
| + | |style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Verrichting start datum |
| + | |style="background-color: white;"|T - 5 dagen om 14:50 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' 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"| | + | |colspan="6"|Uitdrijvingsfase |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="29"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Type partus observatie |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Observatie datum tijd |
| + | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Type partus waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Werkelijke plaats baring type locatie observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Observatie datum tijd |
| + | |style="background-color: white;"|T - 5 dagen om 14:38 uur | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Werkelijke plaats baring waarde | ||
| + | |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Toelichting |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|geplande sectio |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Ziekenhuis baring |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgaanbieder | ||
| + | |style="background-color: white;"|Zie [[#ZA2-Sophia|: ]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting start datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 14:03 uur |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting eind datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 14:52 uur |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Indicatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Probleem kindspecifieke maternale problemen |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#Probleem3|Probleem kindspecifieke maternale problemen: Probleem3]] |
| − | | | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | + | |colspan="3"|Verrichting type | |
| − | + | |style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT') | |
| − | |||
| − | |||
| − | | | ||
| − | | | ||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting start datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 14:52 uur |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Verrichting start datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 14:55 uur |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Verrichting type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Nageboortefase | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="4"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Hoeveelheid bloedverlies observatie |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Hoeveelheid bloedverlies waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
| + | |}<section end=bevalling_ /> | ||
| + | === Kind === | ||
| + | <section begin=kind_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="6" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Lichamelijk onderzoek kind | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="26"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Geboortegewicht lichaamsgewicht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Gewicht waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|2605 gram |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Percentiel geboortegewicht | ||
| + | |style="background-color: white;"|% | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Gewicht datum tijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 5 dagen om 15:10 uur |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Kleding |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Luier (code = 'DIAPER' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|Lichaamslengte |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Lengte waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|48 |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|Schedelomvang |
|-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=" | + | |colspan="4"|Schedelomvang waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|32.6 cm |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Bevindingen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="12"| |
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Algemene indruk |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="10"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Apgar score1min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|7 |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Apgar score5min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Apgar score10min |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
| + | |}<section end=kind_ /> | ||
| + | === Kind === | ||
| + | <section begin=kind_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="6" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Lichamelijk onderzoek kind | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="26"| |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="6"|Geboortegewicht lichaamsgewicht | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="5"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Gewicht waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|2089 gram |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Percentiel geboortegewicht |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|% |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Gewicht datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 5 dagen om 15:05 uur |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Kleding |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zonder kleding. (code = 'UNDRESSED' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Lichaamslengte | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Lengte waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|46 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|Schedelomvang |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Schedelomvang waarde |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|31.8 cm |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Bevindingen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="12"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Algemene indruk |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="10"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score1min | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|5 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score5min | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9 |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score10min | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Apgar score totaal |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
| − | | | + | |}<section end=kind_ /> |
| − | + | === Medisch onderzoek === | |
| − | |style="background-color: white;"| | + | <section begin=medisch_onderzoek_ /> |
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="6" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="7"|Verrichting onderzoek |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting start datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-193D |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Verrichting eind datum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 193 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="7"|Maternale onderzoeksgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="30"| |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Urine bloed en aanvullende onderzoeken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="28"| |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="5"|Psie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="16"| |
| − | |style="background-color: | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="4"|Laboratorium test bloedgroep | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="3"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test code |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test uitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Laboratorium test rhesus d | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="3"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test code |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Test uitslag |
| − | | | + | |style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| − | | | ||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Laboratorium test rhesus c |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test code |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test uitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Rh c Positief (code = '733120009' 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"| | + | |colspan="4"|Laboratorium test lues |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Test uitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|k[arb'U]/L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Laboratorium test hb |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Test code |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Test uitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|7.3 g/dL |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Torch |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="5"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Laboratorium test torch |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test code |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Test uitslag |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9 k[arb'U]/L |
| + | |}<section end=medisch_onderzoek_ /> | ||
| + | === Bouwstenen === | ||
| + | <section begin=bouwstenen_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Metingen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="21"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|<span id="BP-205D" title="Intern ID = BP-205D">Bloeddruk BP-205D</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Systolische bloeddruk |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|114 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Diastolische bloeddruk |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|87 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Bloeddruk datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 205 dagen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|<span id="BP-76D" title="Intern ID = BP-76D">Bloeddruk BP-76D</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="4"| |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Systolische bloeddruk |
| + | |style="background-color: white;"|108 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Diastolische bloeddruk |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|79 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Bloeddruk datum tijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 76 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|<span id="BP-5D" title="Intern ID = BP-5D">Bloeddruk BP-5D</span> |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Systolische bloeddruk |
| + | |style="background-color: white;"|91 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Diastolische bloeddruk |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|57 |
| − | |}<section end= | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | == | + | |colspan="2"|Bloeddruk datum tijd |
| − | <section begin= | + | |style="background-color: white;"|T - 5 dagen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|<span id="Gew-205D" title="Intern ID = Gew-205D">Lichaamsgewicht Gew-205D</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Gewicht waarde | ||
| + | |style="background-color: white;"|63 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Gewicht datum tijd | ||
| + | |style="background-color: white;"|T - 205 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Kleding | ||
| + | |style="background-color: white;"|Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.8.1">ZIB ContextKleding</span>') | ||
| + | |}<section end=bouwstenen_ /> | ||
| + | ==Scenario Uitgebreide verloskunde casus 3== | ||
| + | <section begin= /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="3" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Demografische gegevens |
|-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=" | + | |colspan="2"|Patient |
| − | |style="background-color: white;"|Zie [[# | + | |style="background-color: white;"|Zie [[#Vrouw-XXX_Yassien-Mohamed|Patient: Vrouw-XXX_Yassien-Mohamed]] |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |}<section end= /> |
| − | |colspan="6"| | + | === Administratief === |
| + | <section begin=administratief_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="T-454D" title="Intern ID = T-454D">Contact T-454D</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Contact type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Contact soort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contact met |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Begin datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 454 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Eind datum tijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 454 dagen |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|<span id="T-323D" title="Intern ID = T-323D">Contact T-323D</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Contact type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Poliklinisch (code = 'AMB' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Contact soort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Contact met |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Begin datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 323 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Eind datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 323 dagen |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="Vrouw-XXX_Yassien-Mohamed" title="Intern ID = Vrouw-XXX_Yassien-Mohamed">Patient Vrouw-XXX_Yassien-Mohamed</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="20"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Voornamen |
| + | |style="background-color: white;"|Micha | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|M |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"|2 | + | |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=" | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Yassien-Mohamed |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Knolweg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1000 |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Postcode |
| + | |style="background-color: white;"|9999XA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|STITSWERD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Land |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999901758 (in identificerend systeem: BSN) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Geboortedatum |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|23 dec 1985 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Geslacht administratief |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="4"|Meerling indicator | |
| − | + | |style="background-color: white;"|Nee | |
| − | |colspan=" | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="ZA1-Verloskundigepraktijk" title="Intern ID = ZA1-Verloskundigepraktijk">Zorgaanbieder ZA1-Verloskundigepraktijk</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="16"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zorgaanbieder identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|45678912 (in identificerend systeem: AGB-Z) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Zorgaanbieder identificatienummer |
| + | |style="background-color: white;"|321654897 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zorgaanbieder identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1808 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.98.1) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Organisatie naam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundigenpraktijk Dalen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|In de lucht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="3"|Huisnummerletter |
| + | |style="background-color: white;"|B | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Postcode |
| + | |style="background-color: white;"|3333ZA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Utrecht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Gemeente |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Utrecht |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Land |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Adres soort |
| + | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Organisatie type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="ZV1-XXX_Korte" title="Intern ID = ZV1-XXX_Korte">Zorgverlener ZV1-XXX_Korte</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="20"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zorgverlener identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1235648 (in identificerend systeem: UZI Personen) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zorgverlener identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|94857623 (in identificerend systeem: AGB-Z) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Roepnaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Loes |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"| | + | |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;;" | ||
| + | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Korte |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundigen, niet nader gespecificeerd (code = '0800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="6"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Telefoonnummers |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="4"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Telefoonnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|0698765432 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Telecom type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Nummer soort |
| + | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zorgaanbieder |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA1-Verloskundigepraktijk|Zorgaanbieder: ZA1-Verloskundigepraktijk]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Zorgverleners rol |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Case manager (code = '768832004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') |
| + | |}<section end=administratief_ /> | ||
| + | === Zorgverlening === | ||
| + | <section begin=zorgverlening_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zorgverlening | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="5"|Zorg episode |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Begin datum | ||
| + | |style="background-color: white;"|T - 455 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Eind datum |
| + | |style="background-color: white;"|T - 199 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorg episode verantwoordelijke | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|ZV1-XXX_Groeneboom |
| − | |}<section end= | + | |}<section end=zorgverlening_ /> |
| − | === | + | === Zwangerschapsgegevens === |
| − | <section begin= | + | <section begin=zwangerschapsgegevens_ /> |
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zwangerschapsgegevens |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| − | |colspan=" | + | |colspan="4" width="25%"| Gegevenselement |
|| Waarde | || Waarde | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Coordinerend zorgverlener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Zwangerschap |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Pariteit | ||
| + | |style="background-color: white;"|0 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Graviditeit |
| + | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Aterme datum items |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Aterme datum |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 224 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Bepalings methode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): zwangerschapstest clearlypink met zwangerschapsduur-indicator |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Prenatale controle |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Contact |
| − | |style="background-color: white;"|T - 5 | + | |style="background-color: white;"|Zie [[#T-454D|Contact: T-454D]] |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Prenatale controle | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |rowspan="2"| |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Contact |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#T-323D|Contact: T-323D]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Maternale sterfte |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Overlijdens indicator |
| + | |style="background-color: white;"|true | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Datum overlijden |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-199D |
| + | |}<section end=zwangerschapsgegevens_ /> | ||
| + | ==Scenario Uitbreiding verloskunde casus 4== | ||
| + | <section begin= /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vrouw | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Demografische gegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Patient |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#Vrouw-XXX_Yzendoorn|Patient: Vrouw-XXX_Yzendoorn]] |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="3"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Contactpersoon |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Contactpersoon |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Geslacht identiteit |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Betrokken zorgverlener zorginstelling |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Huisarts |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"| |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Apotheek |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Zorgaanbieder |
| + | |style="background-color: white;"| | ||
| + | |}<section end= /> | ||
| + | === Administratief === | ||
| + | <section begin=administratief_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="Contact1-prenatale_controle" title="Intern ID = Contact1-prenatale_controle">Contact Contact1-prenatale_controle</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |rowspan="11"| |
| − | |style="background-color: white;"| | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| + | |colspan="4"|Contact type | ||
| + | |style="background-color: white;"|Op lokatie (code = 'FLD' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Contact soort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contact met |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Zorgverlener |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Locatie |
|-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 [[# | + | |style="background-color: white;"|Zie [[#ZA1_Groen|Zorgaanbieder: ZA1_Groen]] |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Begin datum tijd |
| + | |style="background-color: white;"|T - 374 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Eind datum tijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 374 dagen |
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="Contact2-kraambed" title="Intern ID = Contact2-kraambed">Contact Contact2-kraambed</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Contact type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Contact soort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Contact met |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Zorgverlener |
| + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Begin datum tijd |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|T - 320 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Eind datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 320 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="Contact3_Anticonceptie" title="Intern ID = Contact3_Anticonceptie">Contact Contact3_Anticonceptie</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="8"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Contact type |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Thuis (code = 'HH' in codeSystem '<span title="2.16.840.1.113883.5.4">HL7 ActCode</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Contact soort |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Contact met |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Zorgverlener |
| − | | | + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] |
| − | | | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Begin datum tijd |
| + | |style="background-color: white;"|T - 315 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Eind datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T - 315 dagen |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="Contactpersoon" title="Intern ID = Contactpersoon">Contactpersoon Contactpersoon</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="16"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Lilian |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Initialen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|L |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Roepnaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Lilian |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Voorvoegsels |
| + | |style="background-color: white;"|van den | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Berg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslachtsnaam partner |
|-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"| | + | |colspan="2"|Achternaam partner |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Yzendoorn |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Rol | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Relatie | ||
| + | |style="background-color: white;"|34 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|<span id="Contactpersoon2-Zoon" title="Intern ID = Contactpersoon2-Zoon">Contactpersoon Contactpersoon2-Zoon</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Naamgegevens |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"|Jasper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Naamgebruik |
| + | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |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"| | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Yzendoorn |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Relatie | ||
| + | |style="background-color: white;"|29 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="Vrouw-XXX_Yzendoorn" title="Intern ID = Vrouw-XXX_Yzendoorn">Patient Vrouw-XXX_Yzendoorn</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="24"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voornamen | ||
| + | |style="background-color: white;"|Willemijn | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Initialen |
| + | |style="background-color: white;"|W | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' 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"| | + | |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"| | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Yzendoorn |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |colspan="4"|Geslachtsnaam partner | |
| − | + | |-style="vertical-align:top; background-color: #E3E3E3;;" | |
| − | + | |rowspan="3"| | |
| − | |style="background-color: # | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |-style="background-color: # | + | |colspan="2"|Voorvoegsels partner |
| − | | | + | |style="background-color: white;"|van den |
| − | |||
| − | |||
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Achternaam partner |
| + | |style="background-color: white;"|XXX_Berg | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Knolweg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1000 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|9999XA |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|STITSWERD |
| − | |-style="vertical-align:top; background-color: #E3E3E3;;" | + | |-style="vertical-align:top; background-color: #E3E3E3;;" |
| − | |colspan=" | + | |colspan="3"|Land |
| + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Adres soort |
| + | |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' 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"| | + | |colspan="4"|Identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|999901187 (in identificerend systeem: BSN) |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Geboortedatum |
| + | |style="background-color: white;"|29 nov 1985 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Geslacht administratief |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="6"| | + | |colspan="6"|<span id="Patient-Kind" title="Intern ID = Patient-Kind">Patient Patient-Kind</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="13"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="5"| | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="6"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Voornamen |
| + | |style="background-color: white;"|Mieke | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"|5 | + | |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"| | + | |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"| | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Yzendoorn |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Identificatienummer |
| + | |style="background-color: white;"|(in identificerend systeem: BSN) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geboren indicator |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Ja |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Geboortedatum |
| + | |style="background-color: white;"|9 sep 2023 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Geslacht administratief |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Meerling indicator |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nee |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="ZA1_Groen" title="Intern ID = ZA1_Groen">Zorgaanbieder ZA1_Groen</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Zorgaanbieder identificatienummer |
| − | | | + | |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z) |
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Organisatie naam |
| + | |style="background-color: white;"|Verloskundigenpraktijk 't Groen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Groeneweg |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Huisnummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|1000 |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="3"|Postcode |
| + | |style="background-color: white;"|1234ZZ | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Woonplaats |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|STITSWERD |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Land |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Adres soort | ||
| + | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Organisatie type | ||
| + | |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="ZA2-Erasmus" title="Intern ID = ZA2-Erasmus">Zorgaanbieder ZA2-Erasmus</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="12"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zorgaanbieder identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|06020806 (in identificerend systeem: AGB-Z) |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Organisatie naam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Erasmus MC, Sophia kinderziekenhuis |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Adresgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Straat |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Dr. Molewaterplein |
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | + | |colspan="3"|Huisnummer | |
| − | + | |style="background-color: white;"|60 | |
| − | |colspan="3"| | ||
| − | |style="background-color: white;"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="3"| | + | |colspan="3"|Postcode |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|3015 GJ |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Woonplaats | ||
| + | |style="background-color: white;"|ROTTERDAM | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Land | ||
| + | |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Adres soort | ||
| + | |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Organisatie type | ||
| + | |style="background-color: white;"|Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="ZV1-XXX_Groeneboom" title="Intern ID = ZV1-XXX_Groeneboom">Zorgverlener ZV1-XXX_Groeneboom</span> |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="14"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="4"|Zorgverlener identificatienummer |
| + | |style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="5"|Naamgegevens |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="9"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Voornamen |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Gemma |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' 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=" | + | |colspan="4"|Geslachtsnaam |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | | | + | |colspan="2"|Achternaam |
| + | |style="background-color: white;"|XXX_Groeneboom | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Geslachtsnaam partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Achternaam partner |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Gras |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zorgaanbieder |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Zie [[#ZA1_Groen|Zorgaanbieder: ZA1_Groen]] |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="6"|<span id="ZV2" title="Intern ID = ZV2">Zorgverlener ZV2</span> |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="15"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="4"|Zorgverlener identificatienummer |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|98765432 (in identificerend systeem: UZI Personen) |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Naamgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Roepnaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Eduard |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan=" | + | |colspan="3"|Naamgebruik |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' 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"| | + | |colspan="4"|Geslachtsnaam |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Achternaam |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Egelinks |
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="4"| | + | |colspan="4"|Geslachtsnaam partner |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="2"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Achternaam partner |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|XXX_Gras |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="4"|Specialisme |
| − | |style="background-color: white;"|T - | + | |style="background-color: white;"|Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |style="background-color: white;"|Zie [[#ZA2-Erasmus|Zorgaanbieder: ZA2-Erasmus]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgverleners rol | ||
| + | |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem '<span title="2.16.840.1.113883.5.90">HL7 ParticipationType</span>') | ||
| + | |}<section end=administratief_ /> | ||
| + | === Zorgverlening === | ||
| + | <section begin=zorgverlening_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zorgverlening | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="4" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Zorgafspraak" title="Intern ID = Zorgafspraak">Zorg afspraak Zorgafspraak</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Begin datum | ||
| + | |style="background-color: white;"|T-527D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Eind datum | ||
| + | |style="background-color: white;"|T-271D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Coordinator | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Conclusie_professioneel" title="Intern ID = Conclusie_professioneel">Conclusie professioneel onderzoek Conclusie_professioneel</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="3"|Conclusie datum tijd |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|T-527D |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Verrichting onderzoek | ||
| + | |style="background-color: white;"|Verrichting_risico-evaluatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Conclusie | ||
| + | |style="background-color: white;"|4 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Beleid | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Toelichting | ||
| + | |style="background-color: white;"|meer dan 1000ml bloedverlies in voorgeschiedenis | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zorg episode | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Begin datum | ||
| + | |style="background-color: white;"|T - 527 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Eind datum | ||
| + | |style="background-color: white;"|T - 271 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorg episode verantwoordelijke | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Status zorgepisode | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="ZorgTeam" title="Intern ID = ZorgTeam">Zorg team ZorgTeam</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorg team lid | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Contactpersoon | ||
| + | |style="background-color: white;"|Contactpersoon | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Patient | ||
| + | |style="background-color: white;"|Vrouw-XXX_Yzendoorn | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Individueel zorgplan | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="16"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Begin datum | ||
| + | |style="background-color: white;"|T-527D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Eind datum | ||
| + | |style="background-color: white;"|T-271D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Casemanager | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Betrokkenen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorg team | ||
| + | |style="background-color: white;"|ZorgTeam | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Behandeldoel | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Gewenst zorgresultaat | ||
| + | |style="background-color: white;"|Gezond levend kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Vaststellings datum | ||
| + | |style="background-color: white;"|T-527D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Streef datum | ||
| + | |style="background-color: white;"|T-303D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Afsluit datum | ||
| + | |style="background-color: white;"|T-271D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorg afspraak | ||
| + | |style="background-color: white;"|Zorgafspraak | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verwijsgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="13"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Datum verwijzing | ||
| + | |style="background-color: white;"|T - 527 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Contact soort | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Verwijzing van afkomstig van | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder | ||
| + | |style="background-color: white;"|ZA1_Groen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Verwijzing naar | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Zorgaanbieder | ||
| + | |style="background-color: white;"|ZA2-Erasmus | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Type verwijzing | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Reden van verwijzing | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Verrichting algemene anamnese | ||
| + | |style="background-color: white;"|Verrichting1_verwijderenPlacenta | ||
| + | |}<section end=zorgverlening_ /> | ||
| + | === Zwangerschapsgegevens === | ||
| + | <section begin=zwangerschapsgegevens_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Zwangerschapsgegevens | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="7" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Coordinerend zorgverlener | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorgverlener | ||
| + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Zwangerschap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|56 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Pariteit | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Graviditeit | ||
| + | |style="background-color: white;"|2 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Aterme datum items | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Aterme datum | ||
| + | |style="background-color: white;"|T - 303 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Datum bepaling | ||
| + | |style="background-color: white;"|T - 564 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Datum laatste menstruatie | ||
| + | |style="background-color: white;"|T - 583 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Kinkhoestvaccinatie observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-424D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Kinkhoestvaccinatie waarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Trisomie in de anamneseq observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-527D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Trisomie anamnese waarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Voornemens vrouw | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="12"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Voorgenomen plaats baring tijdens zwangerschap observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Voorkeursziekenhuis | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgaanbieder | ||
| + | |style="background-color: white;"|ZA2-Erasmus | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Voorgenomen echelon eindverantwoordelijke observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Voorgenomen echelon waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Voorgenomen voeding observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Voorgenomen voeding waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Prenatale controle | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="31"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Contact | ||
| + | |style="background-color: white;"|Zie [[#Contact1|Contact: Contact1]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|209 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Leven voelen observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Leven voelen datum tijd | ||
| + | |style="background-color: white;"|T - 374 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Leven voelen waarde | ||
| + | |style="background-color: white;"|minder leven voelen (bevinding) (code = '276369006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Uitwendig onderzoek | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="23"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Bevindingen moeder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Fundusstand meting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Fundusstand waarde | ||
| + | |style="background-color: white;"|1/4 NX (code = '289629009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Meet datum begin tijd | ||
| + | |style="background-color: white;"|T - 374 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Bevindingen foetus | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="15"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Ligging foetus meting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Ligging foetus waarde | ||
| + | |style="background-color: white;"|dwars (code = '288203005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Meet datum begin tijd | ||
| + | |style="background-color: white;"|T - 374 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Anatomische locatie meting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Locatie | ||
| + | |style="background-color: white;"|(code = '' in codeSystem 'SNOMED Clinical Terms') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Indaling foetusmeting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Indaling foetus waarde | ||
| + | |style="background-color: white;"|Niet te beoordelen (code = '55821000146102' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Meet datum begin tijd | ||
| + | |style="background-color: white;"|T - 374 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Anatomische locatie meting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Locatie | ||
| + | |style="background-color: white;"|(code = '' in codeSystem 'SNOMED Clinical Terms') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|<span id="Probleem-IUGR" title="Intern ID = Probleem-IUGR">Probleem zwangerschap Probleem-IUGR</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Probleem naam | ||
| + | |style="background-color: white;"|intra-uteriene groeiretardatie (aandoening) (code = '22033007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|209 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Verrichting zwangerschap | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Verrichting start datum | ||
| + | |style="background-color: white;"|T - 374 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Indicatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem zwangerschap | ||
| + | |style="background-color: white;"|Zie [[#Probleem-IUGR|Probleem zwangerschap: Probleem-IUGR]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Verrichting type | ||
| + | |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Eiceldonatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Geboortedatum eiceldonor | ||
| + | |style="background-color: white;"|1986-07-29 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Leeftijd eiceldonor | ||
| + | |style="background-color: white;"|25 | ||
| + | |}<section end=zwangerschapsgegevens_ /> | ||
| + | === Bevalling === | ||
| + | <section begin=bevalling_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bevalling | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|258 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|<span id="Probleem1-maternaal" title="Intern ID = Probleem1-maternaal">Probleem maternaal Probleem1-maternaal</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem naam | ||
| + | |style="background-color: white;"|verdenking foetale nood (code = '12867002' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem begin datum | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zwangerschapsduur | ||
| + | |style="background-color: white;"|258 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Verrichting maternaal | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Indicatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Probleem maternaal | ||
| + | |style="background-color: white;"|Zie [[#Probleem1-maternaal|Probleem maternaal: Probleem1-maternaal]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Verrichting type | ||
| + | |style="background-color: white;"|vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Ontsluitingsfase | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Actieve ontsluiting observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Breken vliezen observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Breken vliezen waarde | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Uitdrijvingsfase | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="35"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Patient | ||
| + | |style="background-color: white;"|Zie [[#Patient-Kind|Patient: Patient-Kind]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Type partus observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Type partus waarde | ||
| + | |style="background-color: white;"|secundaire sectio caesarea (verrichting) (code = '80801000146105' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Ligging kind observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Ligging kind waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Werkelijke plaats baring type locatie observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Werkelijke plaats baring waarde | ||
| + | |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Ziekenhuis baring | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgaanbieder | ||
| + | |style="background-color: white;"|Zie [[#ZA2-Erasmus|Zorgaanbieder: ZA2-Erasmus]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Probleem-kindspecifieke" title="Intern ID = Probleem-kindspecifieke">Probleem kindspecifieke maternale problemen Probleem-kindspecifieke</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Probleem naam | ||
| + | |style="background-color: white;"|foetale nood durante partu (bevinding) (code = '288274003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Probleem begin datum | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verrichting kindspecifieke maternale verrichtingen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Verrichting start datum | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Indicatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Probleem kindspecifieke maternale problemen | ||
| + | |style="background-color: white;"|Zie [[#Probleem-kindspecifieke|Probleem kindspecifieke maternale problemen: Probleem-kindspecifieke]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Verrichting type | ||
| + | |style="background-color: white;"|secundaire sectio caesarea (verrichting) (code = '80801000146105' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Beslismoment sectio caesarea | ||
| + | |style="background-color: white;"|tweede fase van partus (bevinding) (code = '42857002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Aanpakker kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV2 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Supervisor | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV2 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Nageboortefase | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="33"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Placenta | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="27"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Wijze geboorte placenta observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Wijze geboorte placenta waarde | ||
| + | |style="background-color: white;"|4 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Geboorte placenta observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Geboorte placenta waarde | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Placenta compleet observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Placenta compleet waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Placenta paq observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Placenta pawaarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Testuitslag pa observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Testuitslag pawaarde | ||
| + | |style="background-color: white;"|Dunne placenta | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Compleetheid vliezen observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Compleetheid vliezen waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Navelstreng vaten observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Navelstreng vaten waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Hoeveelheid bloedverlies observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Hoeveelheid bloedverlies waarde | ||
| + | |style="background-color: white;"|600 | ||
| + | |}<section end=bevalling_ /> | ||
| + | === Kind === | ||
| + | <section begin=kind_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="6" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Demografische gegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="17"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Patient | ||
| + | |style="background-color: white;"|Patient-Kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Contactpersoon | ||
| + | |style="background-color: white;"|Contactpersoon | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Gezinssituatie kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="10"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Gezinssamenstelling kind | ||
| + | |style="background-color: white;"|6 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Ouder verzorger | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Contactpersoon | ||
| + | |style="background-color: white;"|Contactpersoon | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Aantal broers en zussen | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Broer of zus | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Contactpersoon | ||
| + | |style="background-color: white;"|Contactpersoon2-Zoon | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Geboortedatum zus broer | ||
| + | |style="background-color: white;"|2021-06-10 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Perinatale sterfte observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Overlijdens indicator | ||
| + | |style="background-color: white;"|false | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Lichamelijk onderzoek kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="33"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Geboortegewicht lichaamsgewicht | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Gewicht waarde | ||
| + | |style="background-color: white;"|2192 gram | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Percentiel geboortegewicht | ||
| + | |style="background-color: white;"|3 % | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Gewicht datum tijd | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Lichaamslengte | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lengte waarde | ||
| + | |style="background-color: white;"|48 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lengte datum tijd | ||
| + | |style="background-color: white;"|T - 324 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Bevindingen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="22"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Algemene indruk | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="13"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score1min | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score totaal | ||
| + | |style="background-color: white;"|5 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score5min | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score totaal | ||
| + | |style="background-color: white;"|7 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Apgar score10min | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Apgar score totaal | ||
| + | |style="background-color: white;"|10 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Huid | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Huid observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Huid datum tijd | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Huid waarde | ||
| + | |style="background-color: white;"|4 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Anatomische locatie | ||
| + | |style="background-color: white;"|Anatomischelocatie-Huid | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Problematiek kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="13"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Probleem problematiek kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem naam | ||
| + | |style="background-color: white;"|63 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Probleem begin datum | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Verificatie status | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Geboortetrauma | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem geboortetrauma | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Probleem naam | ||
| + | |style="background-color: white;"|8 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Probleem begin datum | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Verificatie status | ||
| + | |style="background-color: white;"|3 | ||
| + | |}<section end=kind_ /> | ||
| + | === Medisch onderzoek === | ||
| + | <section begin=medisch_onderzoek_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="6" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|<span id="Verrichting_risico-evaluatie" title="Intern ID = Verrichting_risico-evaluatie">Verrichting onderzoek Verrichting_risico-evaluatie</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verrichting eind datum | ||
| + | |style="background-color: white;"|T - 527 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verrichting type | ||
| + | |style="background-color: white;"|prenatale risico-evaluatie (verrichting) (code = '713076009' in codeSystem 'SNOMED CT') | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Uitvoerder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Zorgverlener | ||
| + | |style="background-color: white;"|Zie [[#ZV1-XXX_Groeneboom|Zorgverlener: ZV1-XXX_Groeneboom]] | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Foetusspecifieke onderzoeksgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="16"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Echoscopie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="14"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Biometrie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="12"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Foetale buikomtrek ac meting | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Acwaarde | ||
| + | |style="background-color: white;"|310.5 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Acpercentiel waarde | ||
| + | |style="background-color: white;"|34.1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Meet methode | ||
| + | |style="background-color: white;"|6 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Acdatum begin tijd | ||
| + | |style="background-color: white;"|T-330D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Acdatum eind tijd | ||
| + | |style="background-color: white;"|T-330D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Foetale schedelomvang | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Schedelomvang waarde | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Schedelomvang percentiel waarde | ||
| + | |style="background-color: white;"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Maternale onderzoeksgegevens | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="17"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Uterusactiviteit | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="10"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Uterus activiteit frequentie | ||
| + | |style="background-color: white;"|om de 3 min | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Uterus activiteit duur | ||
| + | |style="background-color: white;"|60 sec | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Uterus activiteit intensiteit | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Uterus activiteit regelmatigheid | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Uterus activiteit methode | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Conclusie uterus activiteit | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Beoordelaar | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Zorgverlener | ||
| + | |style="background-color: white;"|ZV1-XXX_Groeneboom | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Urine bloed en aanvullende onderzoeken | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Laboratorium test hb | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Test uitslag | ||
| + | |style="background-color: white;"|g/dL | ||
| + | |}<section end=medisch_onderzoek_ /> | ||
| + | === Postnatale fase === | ||
| + | <section begin=postnatale_fase_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="8" | Postnatale fase | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="7" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Moeder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Probleem postpartum complicatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem type | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem naam | ||
| + | |style="background-color: white;"|17 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem begin datum | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem eind datum | ||
| + | |style="background-color: white;"|T-324D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Probleem status | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Verificatie status | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Kraamweek | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="67"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Vrouw | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="45"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Zorg voor kind observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Onzekerheid waarde | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Vaardigheid waarde | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Observatie methode | ||
| + | |style="background-color: white;"|5 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Controles moeder | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="37"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Contact | ||
| + | |style="background-color: white;"|Contact4-kraambed | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Lichaamstemperatuur | ||
| + | |style="background-color: white;"|Temp1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Polsfrequentie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Polsfrequentie waarde | ||
| + | |style="background-color: white;"|102 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Polsfrequentie datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Pols regelmatigheid | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Blaasfunctie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Urinatie geweest? | ||
| + | |style="background-color: white;"|false | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Urine katheter | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Medisch hulpmiddel | ||
| + | |style="background-color: white;"|MedischHulpmiddel | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Darmfunctie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Frequentie | ||
| + | |style="background-color: white;"|1x per dag | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Defecatie consistentie | ||
| + | |style="background-color: white;"|2 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Defecatie kleur | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Lochia observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Bloedverlies kraambed lochia waarde | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Aantal kraamverbanden waarde | ||
| + | |style="background-color: white;"|8 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Lochia foetide riekendq waarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Grote stolsels in lochia waarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Observatie methode | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Sectiowond wond | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Sectiowond normaal | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Controle borsten | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="6"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Bevindingen borsten observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Lateraliteit | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Tepels waarde | ||
| + | |style="background-color: white;"|Kloof | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="19"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Controles kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="11"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Contact | ||
| + | |style="background-color: white;"|Contact4-kraambed | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Voedingspatroon zuigeling | ||
| + | |style="background-color: white;"|Voedingspatroon-Kind | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Uitscheiding | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Feces observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Feces waarde | ||
| + | |style="background-color: white;"|4 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Poepluiers waarde | ||
| + | |style="background-color: white;"|6 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Observatie methode | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Vitamine k observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-317D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Vitamine kwaarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Datum vitamine kwaarde | ||
| + | |style="background-color: white;"|T-317D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Observatie methode | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="8"|Nacontrole | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="7"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Contact | ||
| + | |style="background-color: white;"|Contact6_Anticonceptie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="7"|Anticonceptie observatie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Observatie datum tijd | ||
| + | |style="background-color: white;"|T-315D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Anticonceptie waarde | ||
| + | |style="background-color: white;"|true | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|Observatie methode | ||
| + | |style="background-color: white;"|5 | ||
| + | |}<section end=postnatale_fase_ /> | ||
| + | === Bouwstenen === | ||
| + | <section begin=bouwstenen_ /> | ||
| + | {| class="wikitable" width="85%" | ||
| + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bouwstenen | ||
| + | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
| + | |colspan="5" width="25%"| Gegevenselement | ||
| + | || Waarde | ||
| + | |||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Klinische context | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="16"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="MedischHulpmiddel" title="Intern ID = MedischHulpmiddel">Medisch hulpmiddel MedischHulpmiddel</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Product omschrijving | ||
| + | |style="background-color: white;"|Urinekatheter wegens overloopblaas/urine retentie | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Begin datum | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Eind datum | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Voedingspatroon-Kind" title="Intern ID = Voedingspatroon-Kind">Voedingspatroon zuigeling Voedingspatroon-Kind</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="9"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Bijvoeding? | ||
| + | |style="background-color: white;"|false | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voedingspatroon zuigeling datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Voeding frequentie | ||
| + | |style="background-color: white;"|10 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="4"|Voeding | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voeding soort | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voeding duur | ||
| + | |style="background-color: white;"|30 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Voeding methode | ||
| + | |style="background-color: white;"|1 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Subbouwstenen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="4"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Anatomischelocatie-Huid" title="Intern ID = Anatomischelocatie-Huid">Anatomische locatie Anatomischelocatie-Huid</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="2"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Lateraliteit | ||
| + | |style="background-color: white;"|3 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="6"|Metingen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="5"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="5"|<span id="Temp1" title="Intern ID = Temp1">Lichaamstemperatuur Temp1</span> | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |rowspan="3"| | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Temperatuur waarde | ||
| + | |style="background-color: white;"|39 | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="3"|Temperatuur datum tijd | ||
| + | |style="background-color: white;"|T-320D | ||
|}<section end=bouwstenen_ /> | |}<section end=bouwstenen_ /> | ||
Versie van 8 okt 2024 om 11:56
Inhoud
1 Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2
1.1 Scenario Uitbreiding verloskunde casus 1
| Vrouw | ||||
| Gegevenselement | Waarde | |||
| Demografische gegevens | ||||
| Patient | Zie Patient: Vrouw1-BBC02 | |||
| Partner | ||||
| Contactpersoon | Contactpersoon-partner | |||
| Etniciteit | Etniciteit1 | |||
| Etniciteit Etniciteit1 | ||||
| Etniciteit type | 6 | |||
| Taalvaardigheid | Taalvaardigheid1 | |||
| Betrokken zorgverlener zorginstelling | ||||
| Huisarts | ||||
| Zorgverlener | ZV1-HA | |||
| Apotheek | ||||
| Zorgaanbieder | ZA1-Apotheek | |||
| Metingen | ||||
| Lichaamsgewicht | gewicht1 | |||
| Lichaamslengte | Lengte1 | |||
| Bloedonderzoek | ||||
| Laboratorium test bloedgroep | Zie Laboratorium test bloedgroep: Bloed1 | |||
| Laboratorium test rhesus d | Zie Laboratorium test rhesus d: rhesus_D | |||
| Laboratorium test rhesus c | Zie Laboratorium test rhesus c: rhesus_c | |||
1.1.1 Administratief
| Administratief | |||||
| Gegevenselement | Waarde | ||||
| Contact Contact-445D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV2-Verloskundige | ||||
| Begin datum tijd | T - 445 dagen | ||||
| Contactpersoon Contactpersoon-partner | |||||
| Naamgegevens | |||||
| Voornamen | Mohammed | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | el | ||||
| Achternaam | Kaddouri | ||||
| Patient Vrouw1-BBC02 | |||||
| Naamgegevens | |||||
| Voornamen | Maaike | ||||
| Initialen | M | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Ostendorf | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1002 | ||||
| Postcode | 9999ZZ | ||||
| Woonplaats | Stitswerd | ||||
| Gemeente | Stitswerd | ||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | ||||
| Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 0613243546 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Email adressen | |||||
| Email adres | hallo@e-mail.com | ||||
| Email soort | Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999910413 (in identificerend systeem: BSN) | ||||
| Geboortedatum | 2 mei 1985 | ||||
| Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Overlijdens indicator | Nee | ||||
| Zorgaanbieder ZA1-Apotheek | |||||
| Zorgaanbieder identificatienummer | 1234567 (in identificerend systeem: AGB-Z) | ||||
| Organisatie naam | Apotheek de 3 Bergen | ||||
| Zorgaanbieder ZA2-Verloskundigepraktijk | |||||
| Zorgaanbieder identificatienummer | 1808 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.97.4) | ||||
| Zorgaanbieder identificatienummer | 45678912 (in identificerend systeem: AGB-Z) | ||||
| Zorgaanbieder identificatienummer | 321654897 (in identificerend systeem: URA) | ||||
| Organisatie naam | Verloskundigenpraktijk Dalen | ||||
| Adresgegevens | |||||
| Straat | In de lucht | ||||
| Huisnummer | 3 | ||||
| Huisnummerletter | B | ||||
| Postcode | 3333ZA | ||||
| Woonplaats | Utrecht | ||||
| Gemeente | Utrecht | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Zorgverlener ZV1-HA | |||||
| Zorgverlener identificatienummer | 12345678 (in identificerend systeem: UZI Personen) | ||||
| Zorgverlener identificatienummer | 987654321 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Bert | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van | ||||
| Achternaam | XXX_Ernie | ||||
| Specialisme | Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgverlener ZV2-Verloskundige | |||||
| Zorgverlener identificatienummer | 1235648 (in identificerend systeem: UZI Personen) | ||||
| Zorgverlener identificatienummer | 94857623 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Voornamen | Loes | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Korte | ||||
| Specialisme | Verloskundigen, niet nader gespecificeerd (code = '0800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 0698765432 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | 3 | ||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA2-Verloskundigepraktijk | ||||
1.1.2 Zorgverlening
| Zorgverlening | ||||
| Gegevenselement | Waarde | |||
| Zorg episode | ||||
| Begin datum | T - 446 dagen | |||
| Eind datum | T - 190 dagen | |||
| Zorg episode verantwoordelijke | ||||
| Zorgverlener | ZV2-Verloskundige | |||
1.1.3 Zwangerschapsgegevens
| Zwangerschapsgegevens | ||||
| Gegevenselement | Waarde | |||
| Zwangerschap | ||||
| Zwangerschapsduur | 59 | |||
| Pariteit | 1 | |||
| Graviditeit | 2 | |||
| Aterme datum items | ||||
| Bepalings methode | aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT') | |||
| Datum einde zwangerschap | T - 445 dagen | |||
| Definitieve a terme datum observatie | ||||
| Definitieve a terme waarde | T - 224 dagen | |||
| Definitieve a terme methode | echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') | |||
| Aantal levende kinderen observatie | ||||
| Aantal levende kinderen waarde | 1 | |||
| Fetal loss observatie | ||||
| Fetal loss waarde | 0 | |||
| Voornemens vrouw | ||||
| Voorgenomen plaats baring tijdens zwangerschap observatie | ||||
| Voorgenomen plaats baring waarde | 1 | |||
| Prenatale controle | ||||
| Contact | Zie Contact: Contact-445D | |||
| Zwangerschapsduur | 59 | |||
| Leven voelen observatie | ||||
| Leven voelen waarde | foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT') | |||
| Lichaamsgewicht | Zie Lichaamsgewicht: gewicht1 | |||
| Bloeddruk | Zie Bloeddruk: Bloeddruk1 | |||
| Alcohol gebruik | ||||
| Alcohol gebruik status | drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT') | |||
| Drugs gebruik | ||||
| Drugs gebruik status | gebruikt geen drugs (code = '228367002' in codeSystem 'SNOMED CT') | |||
| Tabak gebruik | ||||
| Tabak gebruik status | heeft nooit gerookt (code = '266919005' in codeSystem 'SNOMED CT') | |||
| Probleem zwangerschap | ||||
| Probleem naam | urineweginfectie tijdens zwangerschap (aandoening) (code = '307534009' in codeSystem 'SNOMED CT') | |||
| Probleem begin datum | T - 445 dagen | |||
| Zwangerschapsduur | 59 | |||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||
1.1.4 Bevalling
| Bevalling | |||||
| Gegevenselement | Waarde | ||||
| Probleem maternaal MaternaalProbleem1 | |||||
| Probleem naam | eerstegraads perineumruptuur (aandoening) (code = '57759005' in codeSystem 'SNOMED CT') | ||||
| Zwangerschapsduur | 279 | ||||
| Probleem maternaal MaternaalProbleem2 | |||||
| Probleem naam | toestand patiënt verslechterd (code = '271299001' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 225 dagen | ||||
| Zwangerschapsduur | 279 | ||||
| Verrichting maternaal | |||||
| Indicatie | |||||
| Probleem maternaal | Zie Probleem maternaal: MaternaalProbleem2 | ||||
| Verrichting type | strippen van vliezen (verrichting) (code = '236960006' in codeSystem 'SNOMED CT') | ||||
| Ontsluitingsfase | |||||
| Actieve ontsluiting observatie | |||||
| Begin actieve ontsluiting waarde | T - 226 dagen om 14:30 uur | ||||
| Wijze begin baring observatie | |||||
| Begin baring waarde | inleiding van partus (verrichting) (code = '236958009' in codeSystem 'SNOMED CT') | ||||
| Breken vliezen observatie | |||||
| Breken vliezen waarde | T-225D{09:15} | ||||
| Aard vruchtwater observatie | |||||
| Aard vruchtwater waarde | 1 | ||||
| Uitdrijvingsfase | |||||
| Actief meepersen observatie | |||||
| Actief meepersen waarde | T-225D{12:13} | ||||
| Duur uitdrijving waarde | |||||
| Type partus observatie | |||||
| Type partus waarde | spontane vaginale partus (code = '48782003' in codeSystem 'SNOMED CT') | ||||
| Ligging kind observatie | |||||
| Ligging kind waarde | 1 | ||||
| Werkelijke plaats baring type locatie observatie | |||||
| Werkelijke plaats baring waarde | geboorte in geboortecentrum (bevinding) (code = '56311000146108' in codeSystem 'SNOMED CT') | ||||
| Aanpakker kind | |||||
| Zorgverlener | ZV2-Verloskundige | ||||
| Supervisor | |||||
| Zorgverlener | ZV2-Verloskundige | ||||
| Nageboortefase | |||||
| Perineum | |||||
| Inspectie perineum sfincter vrouwelijke geslachtsorganen observatie | |||||
| Perineum waarde | 2 | ||||
| Placenta | |||||
| Wijze geboorte placenta observatie | |||||
| Wijze geboorte placenta waarde | 1 | ||||
| Hoeveelheid bloedverlies observatie | |||||
| Hoeveelheid bloedverlies waarde | 615 | ||||
1.1.5 Kind
| Kind | ||||
| Gegevenselement | Waarde | |||
| Demografische gegevens | ||||
| Patient | kind | |||
| Perinatale sterfte observatie | ||||
| Overlijdens indicator | false | |||
| Lichamelijk onderzoek kind | ||||
| Geboortegewicht lichaamsgewicht | ||||
| Gewicht waarde | gram | |||
| Percentiel geboortegewicht | % | |||
1.1.6 Medisch onderzoek
| Medisch onderzoek | ||||||
| Gegevenselement | Waarde | |||||
| Maternale onderzoeksgegevens | ||||||
| Urine bloed en aanvullende onderzoeken | ||||||
| Psie | ||||||
| Laboratorium test bloedgroep Bloed1 | ||||||
| Test code | ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC') | |||||
| Test uitslag | bloedgroep A (bevinding) (code = '112144000' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test rhesus d rhesus_D | ||||||
| Test code | D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC') | |||||
| Test uitslag | Rh D Negatief (code = '165746003' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test rhesus c rhesus_c | ||||||
| Test code | Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC') | |||||
| Test uitslag | Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test lues | ||||||
| Test uitslag | k[arb'U]/L | |||||
| Laboratorium test hb | ||||||
| Test uitslag | g/dL | |||||
1.1.7 Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Metingen | ||||
| Bloeddruk Bloeddruk1 | ||||
| Systolische bloeddruk | 120 | |||
| Diastolische bloeddruk | 70 | |||
| Bloeddruk datum tijd | T - 445 dagen | |||
| Lichaamsgewicht gewicht1 | ||||
| Gewicht waarde | 70 | |||
| Gewicht datum tijd | T - 445 dagen | |||
| Lichaamslengte Lengte1 | ||||
| Lengte waarde | 170 | |||
| Lengte datum tijd | T-445D | |||
| Patienten context | ||||
| Taalvaardigheid Taalvaardigheid1 | ||||
| Communicatie taal | ||||
| Taalvaardigheid begrijpen | 4 | |||
1.2 Scenario Uitgebreide verloskunde casus 2
| Vrouw | |||
| Gegevenselement | Waarde | ||
| Demografische gegevens | |||
| Patient | Zie Patient: Vrouw2-XXX_Swart | ||
1.2.1 Administratief
| Administratief | |||||
| Gegevenselement | Waarde | ||||
| Contact Contact-205D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-Groeneboom | ||||
| Begin datum tijd | T - 205 dagen | ||||
| Eind datum tijd | T - 205 dagen | ||||
| Contact Contact-76D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-Groeneboom | ||||
| Begin datum tijd | T - 76 dagen | ||||
| Eind datum tijd | T - 76 dagen | ||||
| Contact Contact-5D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-Groeneboom | ||||
| Begin datum tijd | T - 5 dagen | ||||
| Eind datum tijd | T - 5 dagen | ||||
| Patient Vrouw2-XXX_Swart | |||||
| Naamgegevens | |||||
| Voornamen | Fiona | ||||
| Initialen | F | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Swart | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1000 | ||||
| Postcode | 9999XA | ||||
| Woonplaats | STITSWERD | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Identificatienummer | 999901448 (in identificerend systeem: BSN) | ||||
| Geboortedatum | 23 dec 1985 | ||||
| Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
| Zorgaanbieder ZA1-verloskundigepraktijk | |||||
| Zorgaanbieder identificatienummer | 08001234 (in identificerend systeem: URA) | ||||
| Organisatie naam | Verloskundigenpraktijk 't Groen | ||||
| Adresgegevens | |||||
| Straat | Groeneweg | ||||
| Huisnummer | 1000 | ||||
| Postcode | 1234ZZ | ||||
| Woonplaats | STITSWERD | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Adres soort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Zorgverlener ZV1-Groeneboom | |||||
| Zorgverlener identificatienummer | 12340001 (in identificerend systeem: UZI Personen) | ||||
| Naamgegevens | |||||
| Roepnaam | Gemma | ||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Groeneboom | ||||
| Geslachtsnaam partner | |||||
| Achternaam partner | XXX_Gras | ||||
| Specialisme | Verloskundigen, niet nader gespecificeerd (code = '0800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA1-verloskundigepraktijk | ||||
| Zorgverleners rol | Case manager (code = '768832004' in codeSystem 'SNOMED CT') | ||||
1.2.2 Zorgverlening
| Zorgverlening | ||||
| Gegevenselement | Waarde | |||
| Zorg episode | ||||
| Begin datum | T - 205 dagen | |||
| Eind datum | T - 1 dag | |||
| Zorg episode verantwoordelijke | ||||
| Zorgverlener | ZV1-Groeneboom | |||
1.2.3 Zwangerschapsgegevens
| Zwangerschapsgegevens | |||||
| Gegevenselement | Waarde | ||||
| Coordinerend zorgverlener | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-Groeneboom | ||||
| Zwangerschap | |||||
| Zwangerschapsduur | 273 | ||||
| Pariteit | 0 | ||||
| Graviditeit | 1 | ||||
| Aterme datum items | |||||
| Aterme datum | T + 10 dagen | ||||
| Bepalings methode | aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT') | ||||
| Datum bepaling | T - 205 dagen | ||||
| Datum laatste menstruatie | T - 278 dagen | ||||
| Definitieve a terme datum observatie | |||||
| Definitieve a terme datum tijd | T - 126 dagen om 13:45 uur | ||||
| Definitieve a terme waarde | T + 2 dagen | ||||
| Definitieve a terme methode | echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') | ||||
| Meerling zwangerschap observatie | |||||
| Meerling zwangerschap datum tijd | T - 205 dagen | ||||
| Tweelingzwangerschap waarde | monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT') | ||||
| Observatie methode | echografische beeldvorming (kwalificatiewaarde) (code = '278292003' in codeSystem 'SNOMED CT') | ||||
| Aantal levende kinderen observatie | |||||
| Aantal levende kinderen datum tijd | T - 76 dagen | ||||
| Aantal levende kinderen waarde | 2 | ||||
| Foliumzuurgebruik observatie | |||||
| Foliumzuurgebruik datum tijd | T - 205 dagen | ||||
| Foliumzuurgebruik waarde | geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem 'SNOMED CT') | ||||
| Prenatale controle | |||||
| Contact | Zie Contact: Contact-205D | ||||
| Zwangerschapsduur | 73 | ||||
| Leven voelen observatie | |||||
| Leven voelen datum tijd | T - 205 dagen om 13:40 uur | ||||
| Leven voelen waarde | foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT') | ||||
| Observatie methode | palperen (kwalificatiewaarde) (code = '129434008' in codeSystem 'SNOMED CT') | ||||
| Lichaamsgewicht | Zie Lichaamsgewicht: Gew-205D | ||||
| Bloeddruk | Zie Bloeddruk: BP-205D | ||||
| Alcohol gebruik | |||||
| Alcohol gebruik status | drinkt geen alcohol (code = '105542008' in codeSystem 'SNOMED CT') | ||||
| Drugs gebruik | |||||
| Drugs gebruik status | heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT') | ||||
| Tabak gebruik | |||||
| Tabak gebruik status | rookt soms sigaretten (code = '230059006' in codeSystem 'SNOMED CT') | ||||
| Soort tabak gebruik | gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT') | ||||
| Waarneming gebruik | |||||
| Start datum | 1 jun 2019 | ||||
| Hoeveelheid | 6 keer per dag inhaleren | ||||
| Prenatale controle | |||||
| Contact | Zie Contact: Contact-76D | ||||
| Zwangerschapsduur | 202 | ||||
| Bloeddruk | Zie Bloeddruk: BP-76D | ||||
| Probleem zwangerschap Probleem1 | |||||
| Probleem naam | meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 205 dagen | ||||
| Zwangerschapsduur | 73 | ||||
| Toelichting | mw.door verwijzen naar Sophia | ||||
| Probleem zwangerschap Probleem2 | |||||
| Probleem type | Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT') | ||||
| Probleem naam | intra-uteriene groeiretardatie (aandoening) (code = '22033007' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 76 dagen | ||||
| Zwangerschapsduur | 202 | ||||
| Probleem status | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | ||||
| Toelichting | tweede kind blijft erg achter in ontwikkeling | ||||
| Verrichting zwangerschap | |||||
| Verrichting start datum | T - 205 dagen | ||||
| Verrichting type | bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT') | ||||
| Verrichting zwangerschap | |||||
| Verrichting start datum | T - 205 dagen | ||||
| Verrichting type | dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT') | ||||
| Verrichting zwangerschap | |||||
| Verrichting start datum | T - 5 dagen | ||||
| Verrichting type | opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT') | ||||
1.2.4 Bevalling
| Bevalling | |||||
| Gegevenselement | Waarde | ||||
| Partusnummer | 1 | ||||
| Zwangerschapsduur | 273 | ||||
| Uitdrijvingsfase | |||||
| Type partus observatie | |||||
| Observatie datum tijd | T - 5 dagen | ||||
| Type partus waarde | sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT') | ||||
| Werkelijke plaats baring type locatie observatie | |||||
| Observatie datum tijd | T - 5 dagen om 14:38 uur | ||||
| Werkelijke plaats baring waarde | geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||||
| Toelichting | geplande sectio | ||||
| Ziekenhuis baring | |||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA1-verloskundigepraktijk | ||||
| Probleem kindspecifieke maternale problemen Probleem3 | |||||
| Probleem naam | liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 5 dagen | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 5 dagen om 14:03 uur | ||||
| Verrichting eind datum | T - 5 dagen om 14:52 uur | ||||
| Indicatie | |||||
| Probleem kindspecifieke maternale problemen | Zie Probleem kindspecifieke maternale problemen: Probleem3 | ||||
| Verrichting type | primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT') | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 5 dagen om 14:50 uur | ||||
| Verrichting type | vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT') | ||||
| Uitdrijvingsfase | |||||
| Type partus observatie | |||||
| Observatie datum tijd | T - 5 dagen | ||||
| Type partus waarde | sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT') | ||||
| Werkelijke plaats baring type locatie observatie | |||||
| Observatie datum tijd | T - 5 dagen om 14:38 uur | ||||
| Werkelijke plaats baring waarde | geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||||
| Toelichting | geplande sectio | ||||
| Ziekenhuis baring | |||||
| Zorgaanbieder | Zie : | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 5 dagen om 14:03 uur | ||||
| Verrichting eind datum | T - 5 dagen om 14:52 uur | ||||
| Indicatie | |||||
| Probleem kindspecifieke maternale problemen | Zie Probleem kindspecifieke maternale problemen: Probleem3 | ||||
| Verrichting type | primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT') | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 5 dagen om 14:52 uur | ||||
| Verrichting type | inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT') | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 5 dagen om 14:55 uur | ||||
| Verrichting type | vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT') | ||||
| Nageboortefase | |||||
| Hoeveelheid bloedverlies observatie | |||||
| Hoeveelheid bloedverlies waarde | |||||
1.2.5 Kind
| Kind | ||||||
| Gegevenselement | Waarde | |||||
| Lichamelijk onderzoek kind | ||||||
| Geboortegewicht lichaamsgewicht | ||||||
| Gewicht waarde | 2605 gram | |||||
| Percentiel geboortegewicht | % | |||||
| Gewicht datum tijd | T - 5 dagen om 15:10 uur | |||||
| Kleding | Luier (code = 'DIAPER' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| Lengte waarde | 48 | |||||
| Schedelomvang | ||||||
| Schedelomvang waarde | 32.6 cm | |||||
| Bevindingen | ||||||
| Algemene indruk | ||||||
| Apgar score1min | ||||||
| Apgar score totaal | 7 | |||||
| Apgar score5min | ||||||
| Apgar score totaal | 10 | |||||
| Apgar score10min | ||||||
| Apgar score totaal | 10 | |||||
1.2.6 Kind
| Kind | ||||||
| Gegevenselement | Waarde | |||||
| Lichamelijk onderzoek kind | ||||||
| Geboortegewicht lichaamsgewicht | ||||||
| Gewicht waarde | 2089 gram | |||||
| Percentiel geboortegewicht | % | |||||
| Gewicht datum tijd | T - 5 dagen om 15:05 uur | |||||
| Kleding | Zonder kleding. (code = 'UNDRESSED' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| Lengte waarde | 46 | |||||
| Schedelomvang | ||||||
| Schedelomvang waarde | 31.8 cm | |||||
| Bevindingen | ||||||
| Algemene indruk | ||||||
| Apgar score1min | ||||||
| Apgar score totaal | 5 | |||||
| Apgar score5min | ||||||
| Apgar score totaal | 9 | |||||
| Apgar score10min | ||||||
| Apgar score totaal | 10 | |||||
1.2.7 Medisch onderzoek
| Medisch onderzoek | ||||||
| Gegevenselement | Waarde | |||||
| Verrichting onderzoek | ||||||
| Verrichting start datum | T-193D | |||||
| Verrichting eind datum | T - 193 dagen | |||||
| Maternale onderzoeksgegevens | ||||||
| Urine bloed en aanvullende onderzoeken | ||||||
| Psie | ||||||
| Laboratorium test bloedgroep | ||||||
| Test code | ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC') | |||||
| Test uitslag | bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test rhesus d | ||||||
| Test code | D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC') | |||||
| Test uitslag | Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test rhesus c | ||||||
| Test code | Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC') | |||||
| Test uitslag | Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT') | |||||
| Laboratorium test lues | ||||||
| Test uitslag | k[arb'U]/L | |||||
| Laboratorium test hb | ||||||
| Test code | Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC') | |||||
| Test uitslag | 7.3 g/dL | |||||
| Torch | ||||||
| Laboratorium test torch | ||||||
| Test code | Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC') | |||||
| Test uitslag | 9 k[arb'U]/L | |||||
1.2.8 Bouwstenen
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Metingen | ||||
| Bloeddruk BP-205D | ||||
| Systolische bloeddruk | 114 | |||
| Diastolische bloeddruk | 87 | |||
| Bloeddruk datum tijd | T - 205 dagen | |||
| Bloeddruk BP-76D | ||||
| Systolische bloeddruk | 108 | |||
| Diastolische bloeddruk | 79 | |||
| Bloeddruk datum tijd | T - 76 dagen | |||
| Bloeddruk BP-5D | ||||
| Systolische bloeddruk | 91 | |||
| Diastolische bloeddruk | 57 | |||
| Bloeddruk datum tijd | T - 5 dagen | |||
| Lichaamsgewicht Gew-205D | ||||
| Gewicht waarde | 63 | |||
| Gewicht datum tijd | T - 205 dagen | |||
| Kleding | Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem 'ZIB ContextKleding') | |||
1.3 Scenario Uitgebreide verloskunde casus 3
| Vrouw | |||
| Gegevenselement | Waarde | ||
| Demografische gegevens | |||
| Patient | Zie Patient: Vrouw-XXX_Yassien-Mohamed | ||
1.3.1 Administratief
| Administratief | |||||
| Gegevenselement | Waarde | ||||
| Contact T-454D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||
| Begin datum tijd | T - 454 dagen | ||||
| Eind datum tijd | T - 454 dagen | ||||
| Contact T-323D | |||||
| Contact type | Poliklinisch (code = 'AMB' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||
| Begin datum tijd | T - 323 dagen | ||||
| Eind datum tijd | T - 323 dagen | ||||
| Patient Vrouw-XXX_Yassien-Mohamed | |||||
| Naamgegevens | |||||
| Voornamen | Micha | ||||
| Initialen | M | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Yassien-Mohamed | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1000 | ||||
| Postcode | 9999XA | ||||
| Woonplaats | STITSWERD | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Identificatienummer | 999901758 (in identificerend systeem: BSN) | ||||
| Geboortedatum | 23 dec 1985 | ||||
| Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
| Zorgaanbieder ZA1-Verloskundigepraktijk | |||||
| Zorgaanbieder identificatienummer | 45678912 (in identificerend systeem: AGB-Z) | ||||
| Zorgaanbieder identificatienummer | 321654897 (in identificerend systeem: URA) | ||||
| Zorgaanbieder identificatienummer | 1808 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.98.1) | ||||
| Organisatie naam | Verloskundigenpraktijk Dalen | ||||
| Adresgegevens | |||||
| Straat | In de lucht | ||||
| Huisnummer | 3 | ||||
| Huisnummerletter | B | ||||
| Postcode | 3333ZA | ||||
| Woonplaats | Utrecht | ||||
| Gemeente | Utrecht | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Adres soort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Zorgverlener ZV1-XXX_Korte | |||||
| Zorgverlener identificatienummer | 1235648 (in identificerend systeem: UZI Personen) | ||||
| Zorgverlener identificatienummer | 94857623 (in identificerend systeem: AGB-Z) | ||||
| Naamgegevens | |||||
| Roepnaam | Loes | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Korte | ||||
| Specialisme | Verloskundigen, niet nader gespecificeerd (code = '0800' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||||
| Contactgegevens | |||||
| Telefoonnummers | |||||
| Telefoonnummer | 0698765432 | ||||
| Telecom type | Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse') | ||||
| Nummer soort | 3 | ||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA1-Verloskundigepraktijk | ||||
| Zorgverleners rol | Case manager (code = '768832004' in codeSystem 'SNOMED CT') | ||||
1.3.2 Zorgverlening
| Zorgverlening | ||||
| Gegevenselement | Waarde | |||
| Zorg episode | ||||
| Begin datum | T - 455 dagen | |||
| Eind datum | T - 199 dagen | |||
| Zorg episode verantwoordelijke | ||||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
1.3.3 Zwangerschapsgegevens
| Zwangerschapsgegevens | ||||
| Gegevenselement | Waarde | |||
| Coordinerend zorgverlener | ||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | |||
| Zwangerschap | ||||
| Pariteit | 0 | |||
| Graviditeit | 1 | |||
| Aterme datum items | ||||
| Aterme datum | T - 224 dagen | |||
| Bepalings methode | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): zwangerschapstest clearlypink met zwangerschapsduur-indicator | |||
| Prenatale controle | ||||
| Contact | Zie Contact: T-454D | |||
| Prenatale controle | ||||
| Contact | Zie Contact: T-323D | |||
| Maternale sterfte | ||||
| Overlijdens indicator | true | |||
| Datum overlijden | T-199D | |||
1.4 Scenario Uitbreiding verloskunde casus 4
| Vrouw | ||||
| Gegevenselement | Waarde | |||
| Demografische gegevens | ||||
| Patient | Zie Patient: Vrouw-XXX_Yzendoorn | |||
| Partner | ||||
| Contactpersoon | Contactpersoon | |||
| Geslacht identiteit | 3 | |||
| Betrokken zorgverlener zorginstelling | ||||
| Huisarts | ||||
| Zorgverlener | ||||
| Apotheek | ||||
| Zorgaanbieder | ||||
1.4.1 Administratief
| Administratief | |||||
| Gegevenselement | Waarde | ||||
| Contact Contact1-prenatale_controle | |||||
| Contact type | Op lokatie (code = 'FLD' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||
| Locatie | |||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA1_Groen | ||||
| Begin datum tijd | T - 374 dagen | ||||
| Eind datum tijd | T - 374 dagen | ||||
| Contact Contact2-kraambed | |||||
| Contact type | Thuis (code = 'HH' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||
| Begin datum tijd | T - 320 dagen | ||||
| Eind datum tijd | T - 320 dagen | ||||
| Contact Contact3_Anticonceptie | |||||
| Contact type | Thuis (code = 'HH' in codeSystem 'HL7 ActCode') | ||||
| Contact soort | consult (verrichting) (code = '11429006' in codeSystem 'SNOMED CT') | ||||
| Contact met | |||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||
| Begin datum tijd | T - 315 dagen | ||||
| Eind datum tijd | T - 315 dagen | ||||
| Contactpersoon Contactpersoon | |||||
| Naamgegevens | |||||
| Voornamen | Lilian | ||||
| Initialen | L | ||||
| Roepnaam | Lilian | ||||
| Naamgebruik | 3 | ||||
| Geslachtsnaam | |||||
| Voorvoegsels | van den | ||||
| Achternaam | XXX_Berg | ||||
| Geslachtsnaam partner | |||||
| Achternaam partner | XXX_Yzendoorn | ||||
| Rol | 1 | ||||
| Relatie | 34 | ||||
| Contactpersoon Contactpersoon2-Zoon | |||||
| Naamgegevens | |||||
| Voornamen | Jasper | ||||
| Naamgebruik | 1 | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Yzendoorn | ||||
| Relatie | 29 | ||||
| Patient Vrouw-XXX_Yzendoorn | |||||
| Naamgegevens | |||||
| Voornamen | Willemijn | ||||
| Initialen | W | ||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Yzendoorn | ||||
| Geslachtsnaam partner | |||||
| Voorvoegsels partner | van den | ||||
| Achternaam partner | XXX_Berg | ||||
| Adresgegevens | |||||
| Straat | Knolweg | ||||
| Huisnummer | 1000 | ||||
| Postcode | 9999XA | ||||
| Woonplaats | STITSWERD | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Adres soort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | ||||
| Identificatienummer | 999901187 (in identificerend systeem: BSN) | ||||
| Geboortedatum | 29 nov 1985 | ||||
| Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Patient Patient-Kind | |||||
| Naamgegevens | |||||
| Voornamen | Mieke | ||||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Yzendoorn | ||||
| Identificatienummer | (in identificerend systeem: BSN) | ||||
| Geboren indicator | Ja | ||||
| Geboortedatum | 9 sep 2023 | ||||
| Geslacht administratief | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||||
| Meerling indicator | Nee | ||||
| Zorgaanbieder ZA1_Groen | |||||
| Zorgaanbieder identificatienummer | 08001234 (in identificerend systeem: AGB-Z) | ||||
| Organisatie naam | Verloskundigenpraktijk 't Groen | ||||
| Adresgegevens | |||||
| Straat | Groeneweg | ||||
| Huisnummer | 1000 | ||||
| Postcode | 1234ZZ | ||||
| Woonplaats | STITSWERD | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Adres soort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Organisatie type | Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Zorgaanbieder ZA2-Erasmus | |||||
| Zorgaanbieder identificatienummer | 06020806 (in identificerend systeem: AGB-Z) | ||||
| Organisatie naam | Erasmus MC, Sophia kinderziekenhuis | ||||
| Adresgegevens | |||||
| Straat | Dr. Molewaterplein | ||||
| Huisnummer | 60 | ||||
| Postcode | 3015 GJ | ||||
| Woonplaats | ROTTERDAM | ||||
| Land | Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landen') | ||||
| Adres soort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | ||||
| Organisatie type | Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)') | ||||
| Zorgverlener ZV1-XXX_Groeneboom | |||||
| Zorgverlener identificatienummer | 12340001 (in identificerend systeem: UZI Personen) | ||||
| Naamgegevens | |||||
| Voornamen | Gemma | ||||
| Naamgebruik | Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Groeneboom | ||||
| Geslachtsnaam partner | |||||
| Achternaam partner | XXX_Gras | ||||
| Specialisme | Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA1_Groen | ||||
| Zorgverlener ZV2 | |||||
| Zorgverlener identificatienummer | 98765432 (in identificerend systeem: UZI Personen) | ||||
| Naamgegevens | |||||
| Roepnaam | Eduard | ||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | ||||
| Geslachtsnaam | |||||
| Achternaam | XXX_Egelinks | ||||
| Geslachtsnaam partner | |||||
| Achternaam partner | XXX_Gras | ||||
| Specialisme | Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)') | ||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA2-Erasmus | ||||
| Zorgverleners rol | Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType') | ||||
1.4.2 Zorgverlening
| Zorgverlening | ||||
| Gegevenselement | Waarde | |||
| Zorg afspraak Zorgafspraak | ||||
| Begin datum | T-527D | |||
| Eind datum | T-271D | |||
| Coordinator | ||||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
| Conclusie professioneel onderzoek Conclusie_professioneel | ||||
| Conclusie datum tijd | T-527D | |||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
| Verrichting onderzoek | Verrichting_risico-evaluatie | |||
| Conclusie | 4 | |||
| Beleid | 1 | |||
| Toelichting | meer dan 1000ml bloedverlies in voorgeschiedenis | |||
| Zorg episode | ||||
| Begin datum | T - 527 dagen | |||
| Eind datum | T - 271 dagen | |||
| Zorg episode verantwoordelijke | ||||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
| Status zorgepisode | 3 | |||
| Zorg team ZorgTeam | ||||
| Zorg team lid | ||||
| Contactpersoon | Contactpersoon | |||
| Patient | Vrouw-XXX_Yzendoorn | |||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
| Individueel zorgplan | ||||
| Begin datum | T-527D | |||
| Eind datum | T-271D | |||
| Casemanager | ||||
| Zorgverlener | ZV1-XXX_Groeneboom | |||
| Betrokkenen | ||||
| Zorg team | ZorgTeam | |||
| Behandeldoel | ||||
| Gewenst zorgresultaat | Gezond levend kind | |||
| Vaststellings datum | T-527D | |||
| Streef datum | T-303D | |||
| Afsluit datum | T-271D | |||
| Zorg afspraak | Zorgafspraak | |||
| Verwijsgegevens | ||||
| Datum verwijzing | T - 527 dagen | |||
| Contact soort | 3 | |||
| Verwijzing van afkomstig van | ||||
| Zorgaanbieder | ZA1_Groen | |||
| Verwijzing naar | ||||
| Zorgaanbieder | ZA2-Erasmus | |||
| Type verwijzing | 1 | |||
| Reden van verwijzing | ||||
| Verrichting algemene anamnese | Verrichting1_verwijderenPlacenta | |||
1.4.3 Zwangerschapsgegevens
| Zwangerschapsgegevens | |||||||
| Gegevenselement | Waarde | ||||||
| Coordinerend zorgverlener | |||||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | ||||||
| Zwangerschap | |||||||
| Zwangerschapsduur | 56 | ||||||
| Pariteit | 1 | ||||||
| Graviditeit | 2 | ||||||
| Aterme datum items | |||||||
| Aterme datum | T - 303 dagen | ||||||
| Datum bepaling | T - 564 dagen | ||||||
| Datum laatste menstruatie | T - 583 dagen | ||||||
| Kinkhoestvaccinatie observatie | |||||||
| Observatie datum tijd | T-424D | ||||||
| Kinkhoestvaccinatie waarde | true | ||||||
| Trisomie in de anamneseq observatie | |||||||
| Observatie datum tijd | T-527D | ||||||
| Trisomie anamnese waarde | true | ||||||
| Voornemens vrouw | |||||||
| Voorgenomen plaats baring tijdens zwangerschap observatie | |||||||
| Voorkeursziekenhuis | |||||||
| Zorgaanbieder | ZA2-Erasmus | ||||||
| Voorgenomen echelon eindverantwoordelijke observatie | |||||||
| Voorgenomen echelon waarde | 1 | ||||||
| Voorgenomen voeding observatie | |||||||
| Voorgenomen voeding waarde | 1 | ||||||
| Prenatale controle | |||||||
| Contact | Zie Contact: Contact1 | ||||||
| Zwangerschapsduur | 209 | ||||||
| Leven voelen observatie | |||||||
| Leven voelen datum tijd | T - 374 dagen | ||||||
| Leven voelen waarde | minder leven voelen (bevinding) (code = '276369006' in codeSystem 'SNOMED CT') | ||||||
| Uitwendig onderzoek | |||||||
| Bevindingen moeder | |||||||
| Fundusstand meting | |||||||
| Fundusstand waarde | 1/4 NX (code = '289629009' in codeSystem 'SNOMED CT') | ||||||
| Meet datum begin tijd | T - 374 dagen | ||||||
| Bevindingen foetus | |||||||
| Ligging foetus meting | |||||||
| Ligging foetus waarde | dwars (code = '288203005' in codeSystem 'SNOMED CT') | ||||||
| Meet datum begin tijd | T - 374 dagen | ||||||
| Anatomische locatie meting | |||||||
| Locatie | (code = in codeSystem 'SNOMED Clinical Terms') | ||||||
| Indaling foetusmeting | |||||||
| Indaling foetus waarde | Niet te beoordelen (code = '55821000146102' in codeSystem 'SNOMED CT') | ||||||
| Meet datum begin tijd | T - 374 dagen | ||||||
| Anatomische locatie meting | |||||||
| Locatie | (code = in codeSystem 'SNOMED Clinical Terms') | ||||||
| Probleem zwangerschap Probleem-IUGR | |||||||
| Probleem naam | intra-uteriene groeiretardatie (aandoening) (code = '22033007' in codeSystem 'SNOMED CT') | ||||||
| Zwangerschapsduur | 209 | ||||||
| Verrichting zwangerschap | |||||||
| Verrichting start datum | T - 374 dagen | ||||||
| Indicatie | |||||||
| Probleem zwangerschap | Zie Probleem zwangerschap: Probleem-IUGR | ||||||
| Verrichting type | echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT') | ||||||
| Eiceldonatie | |||||||
| Geboortedatum eiceldonor | 1986-07-29 | ||||||
| Leeftijd eiceldonor | 25 | ||||||
1.4.4 Bevalling
| Bevalling | |||||
| Gegevenselement | Waarde | ||||
| Zwangerschapsduur | 258 | ||||
| Probleem maternaal Probleem1-maternaal | |||||
| Probleem naam | verdenking foetale nood (code = '12867002' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 324 dagen | ||||
| Zwangerschapsduur | 258 | ||||
| Verrichting maternaal | |||||
| Indicatie | |||||
| Probleem maternaal | Zie Probleem maternaal: Probleem1-maternaal | ||||
| Verrichting type | vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT') | ||||
| Ontsluitingsfase | |||||
| Actieve ontsluiting observatie | |||||
| Observatie datum tijd | T - 324 dagen | ||||
| Breken vliezen observatie | |||||
| Breken vliezen waarde | T-324D | ||||
| Uitdrijvingsfase | |||||
| Patient | Zie Patient: Patient-Kind | ||||
| Type partus observatie | |||||
| Observatie datum tijd | T - 324 dagen | ||||
| Type partus waarde | secundaire sectio caesarea (verrichting) (code = '80801000146105' in codeSystem 'SNOMED CT') | ||||
| Ligging kind observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Ligging kind waarde | 1 | ||||
| Werkelijke plaats baring type locatie observatie | |||||
| Observatie datum tijd | T - 324 dagen | ||||
| Werkelijke plaats baring waarde | geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT') | ||||
| Ziekenhuis baring | |||||
| Zorgaanbieder | Zie Zorgaanbieder: ZA2-Erasmus | ||||
| Probleem kindspecifieke maternale problemen Probleem-kindspecifieke | |||||
| Probleem naam | foetale nood durante partu (bevinding) (code = '288274003' in codeSystem 'SNOMED CT') | ||||
| Probleem begin datum | T - 324 dagen | ||||
| Verrichting kindspecifieke maternale verrichtingen | |||||
| Verrichting start datum | T - 324 dagen | ||||
| Indicatie | |||||
| Probleem kindspecifieke maternale problemen | Zie Probleem kindspecifieke maternale problemen: Probleem-kindspecifieke | ||||
| Verrichting type | secundaire sectio caesarea (verrichting) (code = '80801000146105' in codeSystem 'SNOMED CT') | ||||
| Beslismoment sectio caesarea | tweede fase van partus (bevinding) (code = '42857002' in codeSystem 'SNOMED CT') | ||||
| Aanpakker kind | |||||
| Zorgverlener | ZV2 | ||||
| Supervisor | |||||
| Zorgverlener | ZV2 | ||||
| Nageboortefase | |||||
| Placenta | |||||
| Wijze geboorte placenta observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Wijze geboorte placenta waarde | 4 | ||||
| Geboorte placenta observatie | |||||
| Geboorte placenta waarde | T-324D | ||||
| Placenta compleet observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Placenta compleet waarde | 1 | ||||
| Placenta paq observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Placenta pawaarde | true | ||||
| Testuitslag pa observatie | |||||
| Testuitslag pawaarde | Dunne placenta | ||||
| Compleetheid vliezen observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Compleetheid vliezen waarde | 1 | ||||
| Navelstreng vaten observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Navelstreng vaten waarde | 1 | ||||
| Hoeveelheid bloedverlies observatie | |||||
| Observatie datum tijd | T-324D | ||||
| Hoeveelheid bloedverlies waarde | 600 | ||||
1.4.5 Kind
| Kind | ||||||
| Gegevenselement | Waarde | |||||
| Demografische gegevens | ||||||
| Patient | Patient-Kind | |||||
| Contactpersoon | Contactpersoon | |||||
| Gezinssituatie kind | ||||||
| Gezinssamenstelling kind | 6 | |||||
| Ouder verzorger | ||||||
| Contactpersoon | Contactpersoon | |||||
| Aantal broers en zussen | 1 | |||||
| Broer of zus | ||||||
| Contactpersoon | Contactpersoon2-Zoon | |||||
| Geboortedatum zus broer | 2021-06-10 | |||||
| Perinatale sterfte observatie | ||||||
| Overlijdens indicator | false | |||||
| Lichamelijk onderzoek kind | ||||||
| Geboortegewicht lichaamsgewicht | ||||||
| Gewicht waarde | 2192 gram | |||||
| Percentiel geboortegewicht | 3 % | |||||
| Gewicht datum tijd | T - 324 dagen | |||||
| Lichaamslengte | ||||||
| Lengte waarde | 48 | |||||
| Lengte datum tijd | T - 324 dagen | |||||
| Bevindingen | ||||||
| Algemene indruk | ||||||
| Apgar score1min | ||||||
| Apgar score datum tijd | T-324D | |||||
| Apgar score totaal | 5 | |||||
| Apgar score5min | ||||||
| Apgar score datum tijd | T-324D | |||||
| Apgar score totaal | 7 | |||||
| Apgar score10min | ||||||
| Apgar score datum tijd | T-324D | |||||
| Apgar score totaal | 10 | |||||
| Huid | ||||||
| Huid observatie | ||||||
| Huid datum tijd | T-324D | |||||
| Huid waarde | 4 | |||||
| Anatomische locatie | Anatomischelocatie-Huid | |||||
| Problematiek kind | ||||||
| Probleem problematiek kind | ||||||
| Probleem naam | 63 | |||||
| Probleem begin datum | T-324D | |||||
| Verificatie status | 3 | |||||
| Geboortetrauma | ||||||
| Probleem geboortetrauma | ||||||
| Probleem naam | 8 | |||||
| Probleem begin datum | T-324D | |||||
| Verificatie status | 3 | |||||
1.4.6 Medisch onderzoek
| Medisch onderzoek | ||||||
| Gegevenselement | Waarde | |||||
| Verrichting onderzoek Verrichting_risico-evaluatie | ||||||
| Verrichting eind datum | T - 527 dagen | |||||
| Verrichting type | prenatale risico-evaluatie (verrichting) (code = '713076009' in codeSystem 'SNOMED CT') | |||||
| Uitvoerder | ||||||
| Zorgverlener | Zie Zorgverlener: ZV1-XXX_Groeneboom | |||||
| Foetusspecifieke onderzoeksgegevens | ||||||
| Echoscopie | ||||||
| Biometrie | ||||||
| Foetale buikomtrek ac meting | ||||||
| Acwaarde | 310.5 | |||||
| Acpercentiel waarde | 34.1 | |||||
| Meet methode | 6 | |||||
| Acdatum begin tijd | T-330D | |||||
| Acdatum eind tijd | T-330D | |||||
| Foetale schedelomvang | ||||||
| Schedelomvang waarde | ||||||
| Schedelomvang percentiel waarde | ||||||
| Maternale onderzoeksgegevens | ||||||
| Uterusactiviteit | ||||||
| Uterus activiteit frequentie | om de 3 min | |||||
| Uterus activiteit duur | 60 sec | |||||
| Uterus activiteit intensiteit | 1 | |||||
| Uterus activiteit regelmatigheid | 1 | |||||
| Uterus activiteit methode | 1 | |||||
| Conclusie uterus activiteit | 1 | |||||
| Beoordelaar | ||||||
| Zorgverlener | ZV1-XXX_Groeneboom | |||||
| Urine bloed en aanvullende onderzoeken | ||||||
| Laboratorium test hb | ||||||
| Test uitslag | g/dL | |||||
1.4.7 Postnatale fase
| Postnatale fase | |||||||
| Gegevenselement | Waarde | ||||||
| Moeder | |||||||
| Probleem postpartum complicatie | |||||||
| Probleem type | 3 | ||||||
| Probleem naam | 17 | ||||||
| Probleem begin datum | T-324D | ||||||
| Probleem eind datum | T-324D | ||||||
| Probleem status | 1 | ||||||
| Verificatie status | 1 | ||||||
| Kraamweek | |||||||
| Vrouw | |||||||
| Zorg voor kind observatie | |||||||
| Observatie datum tijd | T-320D | ||||||
| Onzekerheid waarde | 3 | ||||||
| Vaardigheid waarde | 1 | ||||||
| Observatie methode | 5 | ||||||
| Controles moeder | |||||||
| Contact | Contact4-kraambed | ||||||
| Lichaamstemperatuur | Temp1 | ||||||
| Polsfrequentie | |||||||
| Polsfrequentie waarde | 102 | ||||||
| Polsfrequentie datum tijd | T-320D | ||||||
| Pols regelmatigheid | 1 | ||||||
| Blaasfunctie | |||||||
| Urinatie geweest? | false | ||||||
| Urine katheter | |||||||
| Medisch hulpmiddel | MedischHulpmiddel | ||||||
| Darmfunctie | |||||||
| Frequentie | 1x per dag | ||||||
| Defecatie consistentie | 2 | ||||||
| Defecatie kleur | 1 | ||||||
| Lochia observatie | |||||||
| Observatie datum tijd | T-320D | ||||||
| Bloedverlies kraambed lochia waarde | 3 | ||||||
| Aantal kraamverbanden waarde | 8 | ||||||
| Lochia foetide riekendq waarde | true | ||||||
| Grote stolsels in lochia waarde | true | ||||||
| Observatie methode | 1 | ||||||
| Sectiowond wond | |||||||
| Sectiowond normaal | true | ||||||
| Controle borsten | |||||||
| Bevindingen borsten observatie | |||||||
| Observatie datum tijd | T-320D | ||||||
| Lateraliteit | 1 | ||||||
| Tepels waarde | Kloof | ||||||
| Kind | |||||||
| Controles kind | |||||||
| Contact | Contact4-kraambed | ||||||
| Voedingspatroon zuigeling | Voedingspatroon-Kind | ||||||
| Uitscheiding | |||||||
| Feces observatie | |||||||
| Observatie datum tijd | T-320D | ||||||
| Feces waarde | 4 | ||||||
| Poepluiers waarde | 6 | ||||||
| Observatie methode | 1 | ||||||
| Vitamine k observatie | |||||||
| Observatie datum tijd | T-317D | ||||||
| Vitamine kwaarde | true | ||||||
| Datum vitamine kwaarde | T-317D | ||||||
| Observatie methode | 1 | ||||||
| Nacontrole | |||||||
| Contact | Contact6_Anticonceptie | ||||||
| Anticonceptie observatie | |||||||
| Observatie datum tijd | T-315D | ||||||
| Anticonceptie waarde | true | ||||||
| Observatie methode | 5 | ||||||
1.4.8 Bouwstenen
| Bouwstenen | |||||
| Gegevenselement | Waarde | ||||
| Klinische context | |||||
| Medisch hulpmiddel MedischHulpmiddel | |||||
| Product omschrijving | Urinekatheter wegens overloopblaas/urine retentie | ||||
| Begin datum | T-320D | ||||
| Eind datum | T-320D | ||||
| Voedingspatroon zuigeling Voedingspatroon-Kind | |||||
| Bijvoeding? | false | ||||
| Voedingspatroon zuigeling datum tijd | T-320D | ||||
| Voeding frequentie | 10 | ||||
| Voeding | |||||
| Voeding soort | 1 | ||||
| Voeding duur | 30 | ||||
| Voeding methode | 1 | ||||
| Subbouwstenen | |||||
| Anatomische locatie Anatomischelocatie-Huid | |||||
| Lateraliteit | 3 | ||||
| Metingen | |||||
| Lichaamstemperatuur Temp1 | |||||
| Temperatuur waarde | 39 | ||||
| Temperatuur datum tijd | T-320D | ||||