vpk:V4.0 Testgegevens eOverdracht addendum: verschil tussen versies
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k EOVDR-807: Spatie verwijderd tussen "C. M." |
EOVDR-839: Validatiepatiënten toevoegen aan addenda |
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| Regel 1: | Regel 1: | ||
{{IssuePaginaWaarschuwing|EOVDR-839|vpk:V4.0_Testgegevens_eOverdracht_addendum}} | |||
__NOINDEX__ | __NOINDEX__ | ||
__NUMBEREDHEADINGS__ | __NUMBEREDHEADINGS__ | ||
| Regel 1.907: | Regel 1.908: | ||
|style="background-color: white;"|zonder schoenen aan | |style="background-color: white;"|zonder schoenen aan | ||
|} | |} | ||
=== Verpleegkundige context: specificatie gezondheidstoestand=== | === Verpleegkundige context: specificatie gezondheidstoestand=== | ||
| Regel 3.215: | Regel 3.215: | ||
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |style="background-color: white;"|Actueel (code = '55561003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | ||
|}<section end=eOvd-SOV-tst-1.9b-AGBcodes /> | |}<section end=eOvd-SOV-tst-1.9b-AGBcodes /> | ||
<section begin=eOvd-SOV-val-1.1b-alle_zibs /> | |||
==Validatie Overdracht 1.1b== | |||
=== Administratieve gegevens=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Datum overplaatsing | |||
|style="background-color: white;"|T + 2 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Persoonsgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="101"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="33"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Rik | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|R | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Rico | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|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;;" | |||
|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-TEST-E | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GeslachtsnaamPartner | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|VoorvoegselsPartner | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|AchternaamPartner | |||
|style="background-color: white;"|Hemelen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1000 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999XA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdditioneleInformatie | |||
|style="background-color: white;"|Tijdelijke ingang via achtertuin | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|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;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31634567899 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|rico@test.com | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999990196 (in identificerend systeem: BSN) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|5 mei 1970 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Betaler | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verzekeraar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verzekering | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|BeginDatumTijd | |||
|style="background-color: white;"|T + 0 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EindDatumTijd | |||
|style="background-color: white;"|T + 1 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verzekeringssoort | |||
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|IdentificatieNummer | |||
|style="background-color: white;"|9665 (in identificerend systeem: UZOVI) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|Trias | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|VerzekerdeNummer | |||
|style="background-color: white;"|12345678 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|<span id="eovd-1-1b-contactpersoon-01" title="Intern ID = eovd-1-1b-contactpersoon-01">Contactpersoon eovd-1-1b-contactpersoon-01</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="37"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Rómy | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|R | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Róma | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' 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;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|de | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Test | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GeslachtsnaamPartner | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|VoorvoegselsPartner | |||
|style="background-color: white;"|de los | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|AchternaamPartner | |||
|style="background-color: white;"|Răzvan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31645678999 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|roma@test.com | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1000 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummerletter | |||
|style="background-color: white;"|A | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummertoevoeging | |||
|style="background-color: white;"|02 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AanduidingBijNummer | |||
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.3">ZIB AanduidingBijNummer</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999XA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Land | |||
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdditioneleInformatie | |||
|style="background-color: white;"|woonboot | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|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;;" | |||
|colspan="4"|Rol | |||
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"|Pleegdochter (code = 'DAUFOST' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Contactpersoon | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="15"| | |||
|-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;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Johannes | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Hans | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|van | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Dijk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31612121212 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): achterneef | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Sturende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="34"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="21"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|AB-zkh | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AfdelingSpecialisme | |||
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31182435770 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|neurologie@ABZ.nl | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|10 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999PO | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-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;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Charlotte Maria | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|C.M. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Lotte | |||
|-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;"|Bruinsma | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ontvangende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|ThuiszorgOrg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AfdelingSpecialisme | |||
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|} | |||
=== Algemene patiënten context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Algemene patiënten context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="5" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Woonomgeving | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Woonsituatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|Hoge drempel bij voordeur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WoningType | |||
|style="background-color: white;"|Benedenwoning (code = 'BENEDENW' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.13.1">ZIB WoningType</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Levensovertuiging | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Wilsverklaring | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringType | |||
|style="background-color: white;"|Verklaring donorschap (code = 'DO' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.14.1">ZIB WilsverklaringType</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringDatum | |||
|style="background-color: white;"|T - 4 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Vertegenwoordiger | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Contactpersoon | |||
|style="background-color: white;"|Zie [[#eovd-1-1b-contactpersoon-01|Contactpersoon: eovd-1-1b-contactpersoon-01]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Wilsverklaring | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringType | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): Wil niet gevaccineerd worden | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringDatum | |||
|style="background-color: white;"|T - 1 jaar | |||
|} | |||
=== Medische context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Behandelaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|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;"|Joshua Pieter | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|J.P. | |||
|-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;"|Helmond | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31508855193 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|jp.helmond@abzkh.net | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|AB-zkh | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Behandelaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="16"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgverlenerIdentificatienummer | |||
|style="background-color: white;"|03898989 (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"|Initialen | |||
|style="background-color: white;"|G. | |||
|-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;"|Spijkerman | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|AB-zkh | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Medische diagnose | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="23"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|<span id="eovd-1-1b-probleem-01" title="Intern ID = eovd-1-1b-probleem-01">Probleem eovd-1-1b-probleem-01</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|intracerebrale bloeding (code = '274100004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="4"|VerificatieStatus | |||
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|niet bekend met neurologische klachten | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|neoplasma van spijsverteringsstelsel (code = '128348002') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 150 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemAnatomischeLocatie | |||
|style="background-color: white;"|oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemLateraliteit | |||
|style="background-color: white;"|Rechts en links (code = '51440002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|inverse psoriasis (code = '238600001') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="7"|Voorgeschiedenis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|diabetes mellitus (code = '73211009') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 12 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="7"|Allergie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="37"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|AllergieIntolerantie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|VeroorzakendeStof | |||
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieCategorie | |||
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieStatus | |||
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MateVanKritiekZijn | |||
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|opgemerkt bij het dragen van nikkel bevattende sieraden. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Reactie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieBeschrijving | |||
|style="background-color: white;"|last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WijzeVanBlootstelling | |||
|style="background-color: white;"|intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|AllergieIntolerantie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="22"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|VeroorzakendeStof | |||
|style="background-color: white;"|pollen (code = '256259004') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieCategorie | |||
|style="background-color: white;"|Omgeving (code = '426232007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieStatus | |||
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 500 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MateVanKritiekZijn | |||
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LaatsteReactieDatumTijd | |||
|style="background-color: white;"|T - 99 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Reactie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|SpecifiekeStof | |||
|style="background-color: white;"|boompollen (code = '782576004') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieBeschrijving | |||
|style="background-color: white;"|jeukende ogen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ernst | |||
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieTijdstip | |||
|style="background-color: white;"|T - 99 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Reactie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Kortademigheid (code = '267036007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Koorts (code = '386661006' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|SpecifiekeStof | |||
|style="background-color: white;"|pollen van paprikaplant (code = '110181000146104') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieBeschrijving | |||
|style="background-color: white;"|ernstige benauwdheid en koorts | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ernst | |||
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieTijdstip | |||
|style="background-color: white;"|T - 200 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Let op | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Alert | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertNaam | |||
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 20 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertType | |||
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Alert | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertNaam | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): ernstige claustrofobie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Meetwaarden | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Bloeddruk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Meetmethode | |||
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ManchetType | |||
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.15.1">ZIB ManchetType</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MeetLocatie | |||
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|DiastolischEindpunt | |||
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|SystolischeBloeddruk | |||
|style="background-color: white;"|170 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|DiastolischeBloeddruk | |||
|style="background-color: white;"|90 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GemiddeldeBloeddruk | |||
|style="background-color: white;"|110 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BloeddrukDatumTijd | |||
|style="background-color: white;"|T - 20 dagen om 14:45 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|meneer gebruikt medicatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Houding | |||
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Lichaamsgewicht | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GewichtWaarde | |||
|style="background-color: white;"|80 kg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|meneer volgt afvaldieet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GewichtDatumTijd | |||
|style="background-color: white;"|T - 5 dagen om 14:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kleding | |||
|style="background-color: white;"|Volledig gekleed, inclusief schoenen (code = 'FULL' 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;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LengteWaarde | |||
|style="background-color: white;"|168 cm | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LengteDatumTijd | |||
|style="background-color: white;"|T - 5 dagen om 14:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|zonder schoenen aan | |||
|} | |||
=== Verpleegkundige context: specificatie gezondheidstoestand=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verpleegkundige context: specificatie gezondheidstoestand | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voeding/vocht | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Voedingsadvies | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|DieetType | |||
|style="background-color: white;"|suikervrij, diabetes dieet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Consistentie | |||
|style="background-color: white;"|dik vloeibaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Toelichting | |||
|style="background-color: white;"|eet naar eigen keuze minder vlees | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Voedingsadvies | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|DieetType | |||
|style="background-color: white;"|geen rundvlees | |||
|}<section end=eOvd-SOV-val-1.1b-alle_zibs /> | |||
<section begin=eOvd-SOV-val-1.2b-alle_zibs /> | |||
==Validatie Overdracht 1.2b== | |||
=== Administratieve gegevens=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Datum overplaatsing | |||
|style="background-color: white;"|T + 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Persoonsgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="75"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="28"| | |||
|-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;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Iván | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|I. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Iván | |||
|-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_Schaefer | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1000 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999XA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdditioneleInformatie | |||
|style="background-color: white;"|Vaak van huis weg, daarom postadres gebruiken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31634567900 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|ISchaefer@test.com | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999909149 (in identificerend systeem: BSN) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|18 sep 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Betaler | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verzekeraar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verzekering | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EindDatumTijd | |||
|style="background-color: white;"|T + 1 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verzekeringssoort | |||
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|IdentificatieNummer | |||
|style="background-color: white;"|9666 (in identificerend systeem: UZOVI) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|Trias | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|VerzekerdeNummer | |||
|style="background-color: white;"|12345679 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|<span id="eovd-val-1-2b-contactpersoon-01" title="Intern ID = eovd-val-1-2b-contactpersoon-01">Contactpersoon eovd-val-1-2b-contactpersoon-01</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="33"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Sїri | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|S | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Sїri | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|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;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Voorvoegsels | |||
|style="background-color: white;"|de | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|Răzvan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GeslachtsnaamPartner | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|AchternaamPartner | |||
|style="background-color: white;"|Jansen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31645678999 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|roma@test.com | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1000 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummerletter | |||
|style="background-color: white;"|A | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummertoevoeging | |||
|style="background-color: white;"|02 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999XA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|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;;" | |||
|colspan="4"|Rol | |||
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): buurvrouw | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Sturende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="34"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="21"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|Noorderwest verpleeghuis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord-West | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AfdelingSpecialisme | |||
|style="background-color: white;"|Verpleegkundig specialist, intensieve zorg bij somatische aandoeningen (code = '9132' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31182435777 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|verspec@noorderwest.nl | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|10 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999PO | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem '<span title="2.16.840.1.113883.5.1119">HL7 AddressUse</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Verpleeghuis (code = 'R5' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-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;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Charlotte Maria | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|C.M. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Roepnaam | |||
|style="background-color: white;"|Lotte | |||
|-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;"|Bruinsma | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ontvangende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|75131313 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|NW Ziekenhuis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord-West | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AfdelingSpecialisme | |||
|style="background-color: white;"|Ziekenhuizen, beademingscentra (code = '0604' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Ziekenhuis (code = 'V4' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|} | |||
=== Algemene patiënten context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Algemene patiënten context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="5" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Woonomgeving | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Woonsituatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|Tijdelijk in verpleeghuis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WoningType | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): verpleeghuis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Levensovertuiging | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Wilsverklaring | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringType | |||
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.14.1">ZIB WilsverklaringType</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WilsverklaringDatum | |||
|style="background-color: white;"|T - 4 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Vertegenwoordiger | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Contactpersoon | |||
|style="background-color: white;"|Zie [[#eovd-val-1-2b-contactpersoon-01|Contactpersoon: eovd-val-1-2b-contactpersoon-01]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toelichting | |||
|style="background-color: white;"|wilsverklaring bevindt zich in de portemonnee. | |||
|} | |||
=== Medische context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Behandelaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="26"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgverlenerIdentificatienummer | |||
|style="background-color: white;"|03898989 (in identificerend systeem: AGB-Z) | |||
|-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;;" | |||
|colspan="3"|Voornamen | |||
|style="background-color: white;"|Irène | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|I | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>') | |||
|-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;"|Ivić | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Verpleeghuisartsen (code = '9901' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|040-5226291 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|verpleeghuisartsen@noorderwestverpleeghuis.nl | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|Noorderwest verpleeghuis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieLocatie | |||
|style="background-color: white;"|Noord-West | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Medische diagnose | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|<span id="eovd-1-1b-probleem-01" title="Intern ID = eovd-1-1b-probleem-01">Probleem eovd-1-1b-probleem-01</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|longontsteking (code = '233604007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="4"|VerificatieStatus | |||
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|nog steeds heel veel last. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Voorgeschiedenis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="19"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|chronisch hartfalen (code = '48447003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 12 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|cystitis (code = '38822007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 5 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|style="background-color: white;"|Niet actueel (code = '73425007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|matige depressie (code = '832007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="7"|Allergie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|AllergieIntolerantie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|VeroorzakendeStof | |||
|style="background-color: white;"|jodium (code = '44588005' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieCategorie | |||
|style="background-color: white;"|Stof of product (code = '419199007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieStatus | |||
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MateVanKritiekZijn | |||
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Reactie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Jeuk (code = '418363000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|WijzeVanBlootstelling | |||
|style="background-color: white;"|topicale route (code = '6064005' in codeSystem 'SNOMED Clinical Terms') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|AllergieIntolerantie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|VeroorzakendeStof | |||
|style="background-color: white;"|gluten (code = '1269424006') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieCategorie | |||
|style="background-color: white;"|Voeding (code = '418471000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AllergieStatus | |||
|style="background-color: white;"|Actief (code = 'active' in codeSystem '<span title="2.16.840.1.113883.5.14">HL7 ActStatus</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 500 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MateVanKritiekZijn | |||
|style="background-color: white;"|Matig (code = '6736007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LaatsteReactieDatumTijd | |||
|style="background-color: white;"|T - 99 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Reactie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Symptoom | |||
|style="background-color: white;"|Diarree (code = '62315008' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|ReactieTijdstip | |||
|style="background-color: white;"|T - 99 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Let op | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Alert | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertNaam | |||
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 20 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertType | |||
|style="background-color: white;"|waarschuwing (code = '74018-3' in codeSystem '<span title="2.16.840.1.113883.6.1">LOINC</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Alert | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AlertNaam | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): ernstige claustrofobie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BeginDatumTijd | |||
|style="background-color: white;"|T - 10 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Meetwaarden | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="24"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Bloeddruk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Meetmethode | |||
|style="background-color: white;"|Niet-invasief (code = '22762002' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ManchetType | |||
|style="background-color: white;"|Standaard (code = 'STD' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.40.4.15.1">ZIB ManchetType</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MeetLocatie | |||
|style="background-color: white;"|Rechter bovenarm (code = '368209003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|DiastolischEindpunt | |||
|style="background-color: white;"|Fase V (code = '255272007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|SystolischeBloeddruk | |||
|style="background-color: white;"|119 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|DiastolischeBloeddruk | |||
|style="background-color: white;"|89 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GemiddeldeBloeddruk | |||
|style="background-color: white;"|110 mmHg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|BloeddrukDatumTijd | |||
|style="background-color: white;"|T - 20 dagen om 14:45 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|patient was zenuwachtig | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Houding | |||
|style="background-color: white;"|Liggende positie (code = '102538003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Lichaamsgewicht | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GewichtWaarde | |||
|style="background-color: white;"|85 kg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|meneer volgt afvaldieet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|GewichtDatumTijd | |||
|style="background-color: white;"|T - 5 dagen om 14:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|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>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Lichaamslengte | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LengteWaarde | |||
|style="background-color: white;"|190 cm | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|LengteDatumTijd | |||
|style="background-color: white;"|T - 5 dagen om 14:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|zonder schoenen aan | |||
|} | |||
=== Verpleegkundige context: specificatie gezondheidstoestand=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verpleegkundige context: specificatie gezondheidstoestand | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voeding/vocht | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Voedingsadvies | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|DieetType | |||
|style="background-color: white;"|glutenvrij dieet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Consistentie | |||
|style="background-color: white;"|vloeibaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Toelichting | |||
|style="background-color: white;"|Vanwege longontsteking | |||
|}<section end=eOvd-SOV-val-1.2b-alle_zibs /> | |||
<section begin=eOvd-SOV-val-1.3b-betaler /> | |||
==Validatie Overdracht 1.3b== | |||
=== Administratieve gegevens=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Datum overplaatsing | |||
|style="background-color: white;"|T + 5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Persoonsgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="51"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="18"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|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;"|Maëlys | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|M | |||
|-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_Wilhelmy Damsté | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1003 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999ZA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|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;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900018 (in identificerend systeem: BSN) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|25 jul 1954 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|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;;" | |||
|colspan="6"|Betaler | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|BetalerPersoon | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="12"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|BetalerNaam | |||
|style="background-color: white;"|J. Rijk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Bankgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|BankNaam | |||
|style="background-color: white;"|ING | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Bankcode | |||
|style="background-color: white;"|INGBNL2A | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Rekeningnummer | |||
|style="background-color: white;"|NL98INGB0003856625 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Bankgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|BankNaam | |||
|style="background-color: white;"|Triodos | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Bankcode | |||
|style="background-color: white;"|TRIONL2U | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Rekeningnummer | |||
|style="background-color: white;"|NL98TRIO0254712320 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Betaler | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="15"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verzekeraar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="13"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verzekering | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EindDatumTijd | |||
|style="background-color: white;"|T + 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verzekeringssoort | |||
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verzekering | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|BeginDatumTijd | |||
|style="background-color: white;"|T + 25 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EindDatumTijd | |||
|style="background-color: white;"|T + 390 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verzekeringssoort | |||
|style="background-color: white;"|Aanvullend verzekerd (code = 'A' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|IdentificatieNummer | |||
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|Trias | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|VerzekerdeNummer | |||
|style="background-color: white;"|12345678 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Sturende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="14"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|EF-zkh | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-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;"|Bart | |||
|-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;"|Moorman | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ontvangende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|HomeCare | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|} | |||
=== Medische context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Behandelaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgverlenerIdentificatienummer | |||
|style="background-color: white;"|03454545 (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"|Initialen | |||
|style="background-color: white;"|K. | |||
|-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;"|Bronsgeest | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Medische diagnose | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|epilepsie door cerebrovasculair accident (code = '724787004' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="4"|VerificatieStatus | |||
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|niet bekend met neurologische klachten | |||
|}<section end=eOvd-SOV-val-1.3b-betaler /> | |||
<section begin=eOvd-SOV-val-1.4b-woningtype_other /> | |||
==Validatie Overdracht 1.4b== | |||
=== Administratieve gegevens=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Administratieve gegevens | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Datum overplaatsing | |||
|style="background-color: white;"|T + 2 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Persoonsgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="45"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="23"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|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;"|Łukasz | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|L | |||
|-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_Gaalen-Linder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Adresgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Straat | |||
|style="background-color: white;"|Knolweg | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Huisnummer | |||
|style="background-color: white;"|1002 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Postcode | |||
|style="background-color: white;"|9999ZZ | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Woonplaats | |||
|style="background-color: white;"|Stitswerd | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|AdresSoort | |||
|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;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31634567999 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999909290 (in identificerend systeem: BSN) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|18 sep 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem '<span title="2.16.840.1.113883.5.1">HL7 AdministrativeGender</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Betaler | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verzekeraar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verzekering | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EindDatumTijd | |||
|style="background-color: white;"|T + 250 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Verzekeringssoort | |||
|style="background-color: white;"|Basis (code = 'B' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.60.101.5.1">ZIB Verzekeringssoort</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|IdentificatieNummer | |||
|style="background-color: white;"|9664 (in identificerend systeem: UZOVI) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|OrganisatieNaam | |||
|style="background-color: white;"|De Verzekeraar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|VerzekerdeNummer | |||
|style="background-color: white;"|12345678 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Contactpersoon | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Telefoonnummers | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Telefoonnummer | |||
|style="background-color: white;"|+31634569999 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Rol | |||
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '<span title="2.16.840.1.113883.2.4.3.11.22.472">Vektis Rolcode COD472-VEKT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"|Partner (code = 'DOMPART' in codeSystem '<span title="2.16.840.1.113883.5.111">HL7 RoleCode</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Sturende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="21"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="10"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|06121212 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|EF-zkh | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|AfdelingSpecialisme | |||
|style="background-color: white;"|Ziekenhuizen, neurologische klinieken (code = '0612' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Contactgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|EmailAdressen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|EmailAdres | |||
|style="background-color: white;"|neuro@efzkh.nl | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-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;"|Bart | |||
|-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;"|Moorman | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Ontvangende organisatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgaanbiederIdentificatienummer | |||
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieNaam | |||
|style="background-color: white;"|HomeCare | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|OrganisatieType | |||
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '<span title="2.16.840.1.113883.2.4.15.1060">HL7 RoleCodeNL Care provider type (organizations)</span>') | |||
|} | |||
=== Algemene patiënten context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Algemene patiënten context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Woonomgeving | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Woonsituatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Toelichting | |||
|style="background-color: white;"|woont tijdelijk met partner in hotel | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|WoningType | |||
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem '<span title="2.16.840.1.113883.5.1008">HL7 NullFlavor</span>'): hotel | |||
|} | |||
=== Medische context=== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medische context | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="6" width="30%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Behandelaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Zorgverlener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="9"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ZorgverlenerIdentificatienummer | |||
|style="background-color: white;"|03454545 (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"|Initialen | |||
|style="background-color: white;"|K. | |||
|-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;"|Bronsgeest | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Specialisme | |||
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="7"|Medische diagnose | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Probleem | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemType | |||
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemNaam | |||
|style="background-color: white;"|multipele sclerose (code = '24700007' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemBeginDatum | |||
|style="background-color: white;"|T - 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|ProbleemStatus | |||
|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;;" | |||
|colspan="4"|VerificatieStatus | |||
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem '<span title="2.16.840.1.113883.6.96">SNOMED CT</span>') | |||
|}<section end=eOvd-SOV-val-1.4b-woningtype_other /> | |||
Versie van 26 mei 2026 12:08
|
Dit is een tijdelijke pagina met wijzigingen voor issue EOVDR-839. De gepubliceerde versie vind je hier. |
__NUMBEREDHEADINGS__
1 Addenda voor inhoudelijke gegevens[bewerken]
1.1 Kwalificatie Overdracht 1.1b[bewerken]
1.1.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 2 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Maria | |||||
| Initialen | M. | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Molog | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31620202020 | |||||
| EmailAdressen | ||||||
| EmailAdres | mariamolog@provider.nl | |||||
| Identificatienummer | 999900080 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 3332 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Menzis | |||||
| VerzekerdeNummer | 6318708200 | |||||
| Contactpersoon eovd-k1-1b-contactpersoon-01 | ||||||
| Naamgegevens | ||||||
| Voornamen | Johan | |||||
| Initialen | J. | |||||
| Roepnaam | Han | |||||
| Geslachtsnaam | ||||||
| Achternaam | Timmerman | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31645678912 | |||||
| EmailAdressen | ||||||
| EmailAdres | jtimmerman@123net.nl | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode') | |||||
| Contactpersoon | ||||||
| Naamgegevens | ||||||
| Voornamen | Johanna | |||||
| Roepnaam | Hanna | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | ter | |||||
| Achternaam | Stegge | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31612121212 | |||||
| Relatie | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achternicht | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06757677 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | MC-Westland | |||||
| OrganisatieLocatie | Centrum | |||||
| AfdelingSpecialisme | Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31174300400 | |||||
| EmailAdressen | ||||||
| EmailAdres | urologie@mcw.nl | |||||
| Adresgegevens | ||||||
| Straat | Wortellaan | |||||
| Huisnummer | 2 | |||||
| Postcode | 9998SO | |||||
| Woonplaats | Monster | |||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Julia | |||||
| Initialen | J. | |||||
| Roepnaam | Lieke | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van den | |||||
| Achternaam | Bos | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75191919 (in identificerend systeem: URA) | |||||
| OrganisatieNaam | WijZorgen | |||||
| OrganisatieLocatie | Honselersdijk | |||||
| AfdelingSpecialisme | Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.1.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | |||||
| Gegevenselement | Waarde | ||||
| Woonomgeving | |||||
| Woonsituatie | |||||
| Toelichting | woning is op de begane grond | ||||
| WoningType | Aanleunwoning (code = 'AANLW' in codeSystem 'ZIB WoningType') | ||||
| Levensovertuiging | |||||
| Wilsverklaring | |||||
| WilsverklaringType | Niet reanimeren verklaring (code = 'NR' in codeSystem 'ZIB WilsverklaringType') | ||||
| WilsverklaringDatum | T - 3 jaar | ||||
| Vertegenwoordiger | |||||
| Contactpersoon | Zie Contactpersoon: eovd-k1-1b-contactpersoon-01 | ||||
| Toelichting | wilsverklaring bevindt zich in de portemonnee. | ||||
| Wilsverklaring | |||||
| WilsverklaringType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden | ||||
| WilsverklaringDatum | T - 1 jaar | ||||
1.1.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Bart | |||||
| Initialen | B. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Kuiper | |||||
| Specialisme | Medisch specialisten, urologie (code = '0306' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06757677 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | MC-Westland | |||||
| OrganisatieLocatie | Centrum | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03161616 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Voornamen | Alexandra | |||||
| Initialen | A. | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Breukelen | |||||
| Specialisme | Medisch specialisten, chirurgie (code = '0303' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06757677 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | MC-Westland | |||||
| OrganisatieLocatie | Centrum | |||||
| Medische diagnose | ||||||
| Probleem eovd-k1-1b-probleem-01 | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 3 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | naast beven ook somberheid en moeheid | |||||
| Probleem eovd-k1-1b-probleem-02 | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | primair maligne neoplasma van blaas (code = '93689003') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Probleem | ||||||
| ProbleemAnatomischeLocatie | structuur van huid van schouder (code = '76552005' in codeSystem 'SNOMED Clinical Terms') | |||||
| ProbleemLateraliteit | Rechts (code = '24028007' in codeSystem 'SNOMED CT') | |||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | melanoom (code = '372244006') | |||||
| ProbleemBeginDatum | T - 2 maanden | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Voorgeschiedenis | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | diverticulitis (code = '307496006') | |||||
| ProbleemBeginDatum | T - 12 jaar | |||||
| ProbleemEindDatum | T - 1 jaar | |||||
| ProbleemStatus | Niet actueel (code = '73425007' in codeSystem 'SNOMED CT') | |||||
| Allergie | ||||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | selderij (code = '256326004' in codeSystem 'SNOMED CT') | |||||
| AllergieCategorie | Voeding (code = '418471000' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| Toelichting | betreft zowel gekookte als rauwe selderij | |||||
| Reactie | ||||||
| Symptoom | Misselijk en braken (code = '16932000' in codeSystem 'SNOMED CT') | |||||
| ReactieBeschrijving | Misselijkheid en braken | |||||
| WijzeVanBlootstelling | via spijsverteringskanaal (code = '447964005' in codeSystem 'SNOMED Clinical Terms') | |||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | huisstofmijt (code = '264401009') | |||||
| AllergieCategorie | Omgeving (code = '426232007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 500 dagen | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| LaatsteReactieDatumTijd | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | eiwit van huisstofmijt (code = '720687003') | |||||
| ReactieBeschrijving | veelvuldig niezen | |||||
| Ernst | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT') | |||||
| Symptoom | Koorts (code = '386661006' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | allergeen van roofmijt (code = '110171000146101') | |||||
| ReactieBeschrijving | ernstige benauwdheid en koorts | |||||
| Ernst | Ernstig (code = '24484000' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 200 dagen | |||||
| Let op | ||||||
| Alert | ||||||
| AlertNaam | Drager VRE (code = '431109006' in codeSystem 'SNOMED CT') | |||||
| BeginDatumTijd | T - 20 dagen | |||||
| AlertType | waarschuwing (code = '74018-3' in codeSystem 'LOINC') | |||||
| Alert | ||||||
| AlertNaam | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): verhoogd valrisico | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| Meetwaarden | ||||||
| Bloeddruk | ||||||
| Meetmethode | Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT') | |||||
| ManchetType | Klein (code = 'S' in codeSystem 'ZIB ManchetType') | |||||
| MeetLocatie | Linker bovenarm (code = '368208006' in codeSystem 'SNOMED CT') | |||||
| SystolischeBloeddruk | 160 mmHg | |||||
| DiastolischeBloeddruk | 92 mmHg | |||||
| GemiddeldeBloeddruk | 109 mmHg | |||||
| BloeddrukDatumTijd | T - 2 dagen om 14:45 uur | |||||
| Toelichting | mevrouw gebruikt medicatie | |||||
| Houding | Zittende positie (code = '33586001' in codeSystem 'SNOMED CT') | |||||
| Lichaamsgewicht | ||||||
| GewichtWaarde | 58 kg | |||||
| Toelichting | mevrouw is aan het aansterken | |||||
| GewichtDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Kleding | Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| LengteWaarde | 160 cm | |||||
| LengteDatumTijd | T - 2 dagen om 13:30 uur | |||||
| Toelichting | zonder schoenen aan | |||||
1.1.4 Verpleegkundige context: specificatie gezondheidstoestand[bewerken]
| Verpleegkundige context: specificatie gezondheidstoestand | ||||
| Gegevenselement | Waarde | |||
| Voeding/vocht | ||||
| Voedingsadvies | ||||
| DieetType | lactosevrij | |||
| Consistentie | solide | |||
| Toelichting | naar eigen zeggen lactose-intolerant | |||
| Voedingsadvies | ||||
| DieetType | geen selderij | |||
| Toelichting | in verband met allergie | |||
1.2 Test Overdracht 1.10b[bewerken]
1.2.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 10 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Initialen | M. | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | XXX_Hondius | |||||
| Adresgegevens | ||||||
| Huisnummer | 1003 | |||||
| Postcode | 9999ZA | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900079 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 22345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 21616161616 (in identificerend systeem: BIG) | |||||
| Naamgegevens | ||||||
| Voornamen | Ronald | |||||
| Geslachtsnaam | ||||||
| Achternaam | Tuinman | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
1.2.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemNaam | ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT') | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
1.3 Test Overdracht 1.11b[bewerken]
1.3.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 10 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Initialen | M. | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | XXX_Hondius | |||||
| Adresgegevens | ||||||
| Huisnummer | 1003 | |||||
| Postcode | 9999ZA | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900079 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 22345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 00123456 (in identificerend systeem: URA) | |||||
| OrganisatieNaam | GH-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Amanda | |||||
| Geslachtsnaam | ||||||
| Achternaam | Kwikzilver | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 01234567 (in identificerend systeem: URA) | |||||
| OrganisatieNaam | WijkZorg | |||||
1.3.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemNaam | ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT') | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
1.4 Test Overdracht 1.1b[bewerken]
1.4.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 1 dag | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Erik | |||||
| Initialen | E | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Altenborg | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31634567891 | |||||
| EmailAdressen | ||||||
| EmailAdres | evertaltenborg@hotmail.com | |||||
| Identificatienummer | 999911612 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 14 aug 1964 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Contactpersoon eovd-1-1b-contactpersoon-01 | ||||||
| Naamgegevens | ||||||
| Voornamen | Johanna | |||||
| Initialen | J | |||||
| Roepnaam | Hanna | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bakker | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31645678912 | |||||
| EmailAdressen | ||||||
| EmailAdres | jbakker@123net.nl | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode') | |||||
| Contactpersoon | ||||||
| Naamgegevens | ||||||
| Voornamen | Johannes | |||||
| Roepnaam | Hans | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Dijk | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31612121212 | |||||
| Relatie | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| AfdelingSpecialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435770 | |||||
| EmailAdressen | ||||||
| EmailAdres | neurologie@ABZ.nl | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 10 | |||||
| Postcode | 9999PO | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Charlotte Maria | |||||
| Initialen | C.M. | |||||
| Roepnaam | Lotte | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bruinsma | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75131313 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | ThuiszorgOrg | |||||
| OrganisatieLocatie | Noord | |||||
| AfdelingSpecialisme | Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.4.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | |||||
| Gegevenselement | Waarde | ||||
| Woonomgeving | |||||
| Woonsituatie | |||||
| Toelichting | woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig | ||||
| WoningType | Appartement of flatwoning (code = 'FLATW' in codeSystem 'ZIB WoningType') | ||||
| Levensovertuiging | |||||
| Wilsverklaring | |||||
| WilsverklaringType | Verklaring donorschap (code = 'DO' in codeSystem 'ZIB WilsverklaringType') | ||||
| WilsverklaringDatum | T - 4 jaar | ||||
| Vertegenwoordiger | |||||
| Contactpersoon | Zie Contactpersoon: eovd-1-1b-contactpersoon-01 | ||||
| Toelichting | wilsverklaring bevindt zich in de portemonnee. | ||||
| Wilsverklaring | |||||
| WilsverklaringType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden | ||||
| WilsverklaringDatum | T - 1 jaar | ||||
1.4.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Joshua Pieter | |||||
| Initialen | J.P. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Helmond | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03898989 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | G. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Spijkerman | |||||
| Specialisme | Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| Medische diagnose | ||||||
| Probleem eovd-1-1b-probleem-01 | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 100 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | neoplasma van colon (code = '126838000') | |||||
| ProbleemBeginDatum | T - 150 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Probleem | ||||||
| ProbleemAnatomischeLocatie | oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms') | |||||
| ProbleemLateraliteit | Rechts en links (code = '51440002' in codeSystem 'SNOMED CT') | |||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | inverse psoriasis (code = '238600001') | |||||
| ProbleemBeginDatum | T - 10 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Voorgeschiedenis | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | diabetes mellitus (code = '73211009') | |||||
| ProbleemBeginDatum | T - 12 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Allergie | ||||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT') | |||||
| AllergieCategorie | Stof of product (code = '419199007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| Toelichting | opgemerkt bij het dragen van nikkel bevattende sieraden. | |||||
| Reactie | ||||||
| Symptoom | Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT') | |||||
| ReactieBeschrijving | last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden. | |||||
| WijzeVanBlootstelling | intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms') | |||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | pollen (code = '256259004') | |||||
| AllergieCategorie | Omgeving (code = '426232007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 500 dagen | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| LaatsteReactieDatumTijd | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | graspollen (code = '256277009') | |||||
| ReactieBeschrijving | veelvuldig niezen | |||||
| Ernst | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT') | |||||
| Symptoom | Koorts (code = '386661006' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | pollen van paprikaplant (code = '110181000146104') | |||||
| ReactieBeschrijving | ernstige benauwdheid en koorts | |||||
| Ernst | Ernstig (code = '24484000' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 200 dagen | |||||
| Let op | ||||||
| Alert | ||||||
| AlertNaam | Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT') | |||||
| BeginDatumTijd | T - 20 dagen | |||||
| AlertType | waarschuwing (code = '74018-3' in codeSystem 'LOINC') | |||||
| Alert | ||||||
| AlertNaam | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| Meetwaarden | ||||||
| Bloeddruk | ||||||
| Meetmethode | Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT') | |||||
| ManchetType | Standaard (code = 'STD' in codeSystem 'ZIB ManchetType') | |||||
| MeetLocatie | Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT') | |||||
| DiastolischEindpunt | Fase V (code = '255272007' in codeSystem 'SNOMED CT') | |||||
| SystolischeBloeddruk | 170 mmHg | |||||
| DiastolischeBloeddruk | 90 mmHg | |||||
| GemiddeldeBloeddruk | 110 mmHg | |||||
| BloeddrukDatumTijd | T - 20 dagen om 14:45 uur | |||||
| Toelichting | meneer gebruikt medicatie | |||||
| Houding | Liggende positie (code = '102538003' in codeSystem 'SNOMED CT') | |||||
| Lichaamsgewicht | ||||||
| GewichtWaarde | 74 kg | |||||
| Toelichting | meneer volgt afvaldieet | |||||
| GewichtDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Kleding | Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| LengteWaarde | 170 cm | |||||
| LengteDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Toelichting | zonder schoenen aan | |||||
1.4.4 Verpleegkundige context: specificatie gezondheidstoestand[bewerken]
| Verpleegkundige context: specificatie gezondheidstoestand | ||||
| Gegevenselement | Waarde | |||
| Voeding/vocht | ||||
| Voedingsadvies | ||||
| DieetType | suikervrij, diabetes dieet | |||
| Consistentie | dik vloeibaar | |||
| Toelichting | eet naar eigen keuze minder vlees | |||
| Voedingsadvies | ||||
| DieetType | geen varkensvlees | |||
1.5 Test Overdracht 1.2b[bewerken]
1.5.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 1 dag | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Claire | |||||
| Initialen | C | |||||
| Roepnaam | Françoise | |||||
| Naamgebruik | Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Clinteren | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | van de | |||||
| AchternaamPartner | Put | |||||
| Adresgegevens | ||||||
| Straat | Cremstraat | |||||
| Huisnummer | 7 | |||||
| Huisnummerletter | G | |||||
| Huisnummertoevoeging | I | |||||
| AanduidingBijNummer | Bij (code = 'by' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 1240AB | |||||
| Woonplaats | Finsterwolderhamrink | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| AdditioneleInformatie | tijdelijk adres | |||||
| AdresSoort | Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | |||||
| Adresgegevens | ||||||
| Straat | Magnolialaan | |||||
| Huisnummer | 1 | |||||
| Postcode | 4100AA | |||||
| Woonplaats | Ruurlo | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31612121212 | |||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31709131313 | |||||
| EmailAdressen | ||||||
| EmailAdres | claire@vanclinteren.nl | |||||
| EmailAdressen | ||||||
| EmailAdres | clinteren@planeet.nl | |||||
| Identificatienummer | 999999072 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 1 jul 1950 | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 250 dagen | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Contactpersoon | ||||||
| Naamgegevens | ||||||
| Voornamen | Hendrike | |||||
| Initialen | H | |||||
| Roepnaam | Riek | |||||
| Naamgebruik | Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Smit | |||||
| GeslachtsnaamPartner | ||||||
| AchternaamPartner | Timmerman | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31645678912 | |||||
| EmailAdressen | ||||||
| EmailAdres | jbakker@123net.nl | |||||
| Adresgegevens | ||||||
| Straat | Vincent van Goghplantsoen | |||||
| Huisnummer | 1 | |||||
| Huisnummerletter | C | |||||
| Huisnummertoevoeging | II | |||||
| AanduidingBijNummer | Bij (code = 'by' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 9999AA | |||||
| Woonplaats | Hoogmade | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Rol | Wettelijke vertegenwoordiger (code = '24' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode') | |||||
| Relatie | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): buurvrouw | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06343434 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | CD-zkh | |||||
| OrganisatieLocatie | Zuid | |||||
| AfdelingSpecialisme | Medisch specialisten, longziekten (code = '0322' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435770 | |||||
| Telefoonnummers | ||||||
| Telefoonnummer | +311182435000 | |||||
| EmailAdressen | ||||||
| EmailAdres | longziekten@cdz.nl | |||||
| EmailAdressen | ||||||
| EmailAdres | info@cdz.nl | |||||
| Adresgegevens | ||||||
| Straat | Raapweg | |||||
| Huisnummer | 3 | |||||
| Huisnummerletter | D | |||||
| Huisnummertoevoeging | II | |||||
| AanduidingBijNummer | Bij (code = 'by' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 9999PQ | |||||
| Woonplaats | Bolsward | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| AdditioneleInformatie | tijdelijk adres | |||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Charlotte Maria | |||||
| Initialen | C.M. | |||||
| Roepnaam | Lotte | |||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Ieperen | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | de | |||||
| AchternaamPartner | Smet | |||||
| Specialisme | Gespecialiseerd verpleegkundige, transfer (code = '9108' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31687654321 | |||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435770 | |||||
| EmailAdressen | ||||||
| EmailAdres | transfervpk@cdz.nl | |||||
| EmailAdressen | ||||||
| EmailAdres | info@cdz.nl | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75565656 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | WijkverplegingOrg | |||||
| OrganisatieLocatie | Zuid | |||||
| AfdelingSpecialisme | Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.5.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 04232323 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Voornamen | Elizabeth | |||||
| Initialen | M. | |||||
| Roepnaam | Beth | |||||
| Naamgebruik | Geslachtsnaam partner (code = 'NL2' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Dooremaal | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | ter | |||||
| AchternaamPartner | Balkt | |||||
| Specialisme | Fysiotherapeuten, fysiotherapie (code = '0401' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31665656565 | |||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31201212121 | |||||
| EmailAdressen | ||||||
| EmailAdres | beth@fysio.nl | |||||
| EmailAdressen | ||||||
| EmailAdres | info@fysio.nl | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 04121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | FysioOrg | |||||
| OrganisatieLocatie | West | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
1.6 Test Overdracht 1.3b[bewerken]
1.6.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 2 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Initialen | M | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Ven | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1002 | |||||
| Postcode | 9999ZZ | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900018 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| BetalerPersoon | ||||||
| BetalerNaam | J. Rijk | |||||
| Bankgegevens | ||||||
| BankNaam | ING | |||||
| Bankcode | INGBNL2A | |||||
| Rekeningnummer | NL98INGB0003856625 | |||||
| Bankgegevens | ||||||
| BankNaam | Triodos | |||||
| Bankcode | TRIONL2U | |||||
| Rekeningnummer | NL98TRIO0254712320 | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 250 dagen | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| Verzekering | ||||||
| BeginDatumTijd | T + 25 dagen | |||||
| EindDatumTijd | T + 390 dagen | |||||
| Verzekeringssoort | Aanvullend verzekerd (code = 'A' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Bart | |||||
| Geslachtsnaam | ||||||
| Achternaam | Moorman | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.6.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
1.7 Test Overdracht 1.4b[bewerken]
1.7.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 2 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Initialen | M | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Birkholz | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1003 | |||||
| Postcode | 9999ZA | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900031 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 250 dagen | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Bart | |||||
| Geslachtsnaam | ||||||
| Achternaam | Moorman | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.7.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | ||||
| Gegevenselement | Waarde | |||
| Woonomgeving | ||||
| Woonsituatie | ||||
| Toelichting | woont tijdelijk in hotel | |||
| WoningType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): hotel | |||
1.7.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
1.8 Test Overdracht 1.9b[bewerken]
1.8.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 10 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Initialen | M. | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | XXX_Hondius | |||||
| Adresgegevens | ||||||
| Huisnummer | 1003 | |||||
| Postcode | 9999ZA | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900079 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 22345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 91343434 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Voornamen | Veerle | |||||
| Geslachtsnaam | ||||||
| Achternaam | Henneman | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
1.8.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemNaam | ziekte van Parkinson (code = '49049000' in codeSystem 'SNOMED CT') | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
1.9 Validatie Overdracht 1.1b[bewerken]
1.9.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 2 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Rik | |||||
| Initialen | R | |||||
| Roepnaam | Rico | |||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX-TEST-E | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | van | |||||
| AchternaamPartner | Hemelen | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| AdditioneleInformatie | Tijdelijke ingang via achtertuin | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31634567899 | |||||
| EmailAdressen | ||||||
| EmailAdres | rico@test.com | |||||
| Identificatienummer | 999990196 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 5 mei 1970 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| BeginDatumTijd | T + 0 jaar | |||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9665 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Contactpersoon eovd-1-1b-contactpersoon-01 | ||||||
| Naamgegevens | ||||||
| Voornamen | Rómy | |||||
| Initialen | R | |||||
| Roepnaam | Róma | |||||
| Naamgebruik | Geslachtsnaam partner (code = 'NL2' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | de | |||||
| Achternaam | Test | |||||
| GeslachtsnaamPartner | ||||||
| VoorvoegselsPartner | de los | |||||
| AchternaamPartner | Răzvan | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31645678999 | |||||
| EmailAdressen | ||||||
| EmailAdres | roma@test.com | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Huisnummerletter | A | |||||
| Huisnummertoevoeging | 02 | |||||
| AanduidingBijNummer | Tegenover (code = 'to' in codeSystem 'ZIB AanduidingBijNummer') | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| Land | Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)') | |||||
| AdditioneleInformatie | woonboot | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Pleegdochter (code = 'DAUFOST' in codeSystem 'HL7 RoleCode') | |||||
| Contactpersoon | ||||||
| Naamgegevens | ||||||
| Voornamen | Johannes | |||||
| Roepnaam | Hans | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | van | |||||
| Achternaam | Dijk | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31612121212 | |||||
| Relatie | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): achterneef | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| AfdelingSpecialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435770 | |||||
| EmailAdressen | ||||||
| EmailAdres | neurologie@ABZ.nl | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 10 | |||||
| Postcode | 9999PO | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Charlotte Maria | |||||
| Initialen | C.M. | |||||
| Roepnaam | Lotte | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bruinsma | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75131313 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | ThuiszorgOrg | |||||
| OrganisatieLocatie | Noord | |||||
| AfdelingSpecialisme | Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.9.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | |||||
| Gegevenselement | Waarde | ||||
| Woonomgeving | |||||
| Woonsituatie | |||||
| Toelichting | Hoge drempel bij voordeur | ||||
| WoningType | Benedenwoning (code = 'BENEDENW' in codeSystem 'ZIB WoningType') | ||||
| Levensovertuiging | |||||
| Wilsverklaring | |||||
| WilsverklaringType | Verklaring donorschap (code = 'DO' in codeSystem 'ZIB WilsverklaringType') | ||||
| WilsverklaringDatum | T - 4 jaar | ||||
| Vertegenwoordiger | |||||
| Contactpersoon | Zie Contactpersoon: eovd-1-1b-contactpersoon-01 | ||||
| Toelichting | wilsverklaring bevindt zich in de portemonnee. | ||||
| Wilsverklaring | |||||
| WilsverklaringType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Wil niet gevaccineerd worden | ||||
| WilsverklaringDatum | T - 1 jaar | ||||
1.9.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Joshua Pieter | |||||
| Initialen | J.P. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Helmond | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31508855193 | |||||
| EmailAdressen | ||||||
| EmailAdres | jp.helmond@abzkh.net | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03898989 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | G. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Spijkerman | |||||
| Specialisme | Medisch specialisten, gastro-enterologie (maag-darm-lever-arts) (code = '0318' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | AB-zkh | |||||
| OrganisatieLocatie | Noord | |||||
| Medische diagnose | ||||||
| Probleem eovd-1-1b-probleem-01 | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | intracerebrale bloeding (code = '274100004' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 100 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | neoplasma van spijsverteringsstelsel (code = '128348002') | |||||
| ProbleemBeginDatum | T - 150 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Probleem | ||||||
| ProbleemAnatomischeLocatie | oksel (code = '91470000' in codeSystem 'SNOMED Clinical Terms') | |||||
| ProbleemLateraliteit | Rechts en links (code = '51440002' in codeSystem 'SNOMED CT') | |||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | inverse psoriasis (code = '238600001') | |||||
| ProbleemBeginDatum | T - 10 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Voorgeschiedenis | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | diabetes mellitus (code = '73211009') | |||||
| ProbleemBeginDatum | T - 12 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Allergie | ||||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT') | |||||
| AllergieCategorie | Stof of product (code = '419199007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| Toelichting | opgemerkt bij het dragen van nikkel bevattende sieraden. | |||||
| Reactie | ||||||
| Symptoom | Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT') | |||||
| ReactieBeschrijving | last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden. | |||||
| WijzeVanBlootstelling | intra-epidermale route (code = '448077001' in codeSystem 'SNOMED Clinical Terms') | |||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | pollen (code = '256259004') | |||||
| AllergieCategorie | Omgeving (code = '426232007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 500 dagen | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| LaatsteReactieDatumTijd | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Overgevoeligheidsreactie van de bovenste luchtwegen (code = '490008' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | boompollen (code = '782576004') | |||||
| ReactieBeschrijving | jeukende ogen | |||||
| Ernst | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Kortademigheid (code = '267036007' in codeSystem 'SNOMED CT') | |||||
| Symptoom | Koorts (code = '386661006' in codeSystem 'SNOMED CT') | |||||
| SpecifiekeStof | pollen van paprikaplant (code = '110181000146104') | |||||
| ReactieBeschrijving | ernstige benauwdheid en koorts | |||||
| Ernst | Ernstig (code = '24484000' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 200 dagen | |||||
| Let op | ||||||
| Alert | ||||||
| AlertNaam | Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT') | |||||
| BeginDatumTijd | T - 20 dagen | |||||
| AlertType | waarschuwing (code = '74018-3' in codeSystem 'LOINC') | |||||
| Alert | ||||||
| AlertNaam | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| Meetwaarden | ||||||
| Bloeddruk | ||||||
| Meetmethode | Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT') | |||||
| ManchetType | Standaard (code = 'STD' in codeSystem 'ZIB ManchetType') | |||||
| MeetLocatie | Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT') | |||||
| DiastolischEindpunt | Fase V (code = '255272007' in codeSystem 'SNOMED CT') | |||||
| SystolischeBloeddruk | 170 mmHg | |||||
| DiastolischeBloeddruk | 90 mmHg | |||||
| GemiddeldeBloeddruk | 110 mmHg | |||||
| BloeddrukDatumTijd | T - 20 dagen om 14:45 uur | |||||
| Toelichting | meneer gebruikt medicatie | |||||
| Houding | Liggende positie (code = '102538003' in codeSystem 'SNOMED CT') | |||||
| Lichaamsgewicht | ||||||
| GewichtWaarde | 80 kg | |||||
| Toelichting | meneer volgt afvaldieet | |||||
| GewichtDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Kleding | Volledig gekleed, inclusief schoenen (code = 'FULL' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| LengteWaarde | 168 cm | |||||
| LengteDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Toelichting | zonder schoenen aan | |||||
1.9.4 Verpleegkundige context: specificatie gezondheidstoestand[bewerken]
| Verpleegkundige context: specificatie gezondheidstoestand | ||||
| Gegevenselement | Waarde | |||
| Voeding/vocht | ||||
| Voedingsadvies | ||||
| DieetType | suikervrij, diabetes dieet | |||
| Consistentie | dik vloeibaar | |||
| Toelichting | eet naar eigen keuze minder vlees | |||
| Voedingsadvies | ||||
| DieetType | geen rundvlees | |||
1.10 Validatie Overdracht 1.2b[bewerken]
1.10.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 1 dag | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Iván | |||||
| Initialen | I. | |||||
| Roepnaam | Iván | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Schaefer | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| AdditioneleInformatie | Vaak van huis weg, daarom postadres gebruiken | |||||
| AdresSoort | Postadres (code = 'PST' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31634567900 | |||||
| EmailAdressen | ||||||
| EmailAdres | ISchaefer@test.com | |||||
| Identificatienummer | 999909149 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 1 jaar | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9666 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345679 | |||||
| Contactpersoon eovd-val-1-2b-contactpersoon-01 | ||||||
| Naamgegevens | ||||||
| Voornamen | Sїri | |||||
| Initialen | S | |||||
| Roepnaam | Sїri | |||||
| Naamgebruik | Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem 'ZIB Naamgebruik') | |||||
| Geslachtsnaam | ||||||
| Voorvoegsels | de | |||||
| Achternaam | Răzvan | |||||
| GeslachtsnaamPartner | ||||||
| AchternaamPartner | Jansen | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31645678999 | |||||
| EmailAdressen | ||||||
| EmailAdres | roma@test.com | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1000 | |||||
| Huisnummerletter | A | |||||
| Huisnummertoevoeging | 02 | |||||
| Postcode | 9999XA | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): buurvrouw | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | Noorderwest verpleeghuis | |||||
| OrganisatieLocatie | Noord-West | |||||
| AfdelingSpecialisme | Verpleegkundig specialist, intensieve zorg bij somatische aandoeningen (code = '9132' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31182435777 | |||||
| EmailAdressen | ||||||
| EmailAdres | verspec@noorderwest.nl | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 10 | |||||
| Postcode | 9999PO | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse') | |||||
| OrganisatieType | Verpleeghuis (code = 'R5' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Charlotte Maria | |||||
| Initialen | C.M. | |||||
| Roepnaam | Lotte | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bruinsma | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75131313 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | NW Ziekenhuis | |||||
| OrganisatieLocatie | Noord-West | |||||
| AfdelingSpecialisme | Ziekenhuizen, beademingscentra (code = '0604' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| OrganisatieType | Ziekenhuis (code = 'V4' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.10.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | |||||
| Gegevenselement | Waarde | ||||
| Woonomgeving | |||||
| Woonsituatie | |||||
| Toelichting | Tijdelijk in verpleeghuis | ||||
| WoningType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): verpleeghuis | ||||
| Levensovertuiging | |||||
| Wilsverklaring | |||||
| WilsverklaringType | Niet reanimeren verklaring (code = 'NR' in codeSystem 'ZIB WilsverklaringType') | ||||
| WilsverklaringDatum | T - 4 jaar | ||||
| Vertegenwoordiger | |||||
| Contactpersoon | Zie Contactpersoon: eovd-val-1-2b-contactpersoon-01 | ||||
| Toelichting | wilsverklaring bevindt zich in de portemonnee. | ||||
1.10.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03898989 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Voornamen | Irène | |||||
| Initialen | I | |||||
| Naamgebruik | Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor') | |||||
| Geslachtsnaam | ||||||
| Achternaam | Ivić | |||||
| Specialisme | Verpleeghuisartsen (code = '9901' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | 040-5226291 | |||||
| EmailAdressen | ||||||
| EmailAdres | verpleeghuisartsen@noorderwestverpleeghuis.nl | |||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06590457 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | Noorderwest verpleeghuis | |||||
| OrganisatieLocatie | Noord-West | |||||
| Medische diagnose | ||||||
| Probleem eovd-1-1b-probleem-01 | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | longontsteking (code = '233604007' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 5 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | nog steeds heel veel last. | |||||
| Voorgeschiedenis | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | chronisch hartfalen (code = '48447003' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 12 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | cystitis (code = '38822007' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 5 jaar | |||||
| ProbleemStatus | Niet actueel (code = '73425007' in codeSystem 'SNOMED CT') | |||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | matige depressie (code = '832007' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 10 jaar | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| Allergie | ||||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | jodium (code = '44588005' in codeSystem 'SNOMED CT') | |||||
| AllergieCategorie | Stof of product (code = '419199007' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| Reactie | ||||||
| Symptoom | Jeuk (code = '418363000' in codeSystem 'SNOMED CT') | |||||
| WijzeVanBlootstelling | topicale route (code = '6064005' in codeSystem 'SNOMED Clinical Terms') | |||||
| AllergieIntolerantie | ||||||
| VeroorzakendeStof | gluten (code = '1269424006') | |||||
| AllergieCategorie | Voeding (code = '418471000' in codeSystem 'SNOMED CT') | |||||
| AllergieStatus | Actief (code = 'active' in codeSystem 'HL7 ActStatus') | |||||
| BeginDatumTijd | T - 500 dagen | |||||
| MateVanKritiekZijn | Matig (code = '6736007' in codeSystem 'SNOMED CT') | |||||
| LaatsteReactieDatumTijd | T - 99 dagen | |||||
| Reactie | ||||||
| Symptoom | Diarree (code = '62315008' in codeSystem 'SNOMED CT') | |||||
| ReactieTijdstip | T - 99 dagen | |||||
| Let op | ||||||
| Alert | ||||||
| AlertNaam | Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT') | |||||
| BeginDatumTijd | T - 20 dagen | |||||
| AlertType | waarschuwing (code = '74018-3' in codeSystem 'LOINC') | |||||
| Alert | ||||||
| AlertNaam | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie | |||||
| BeginDatumTijd | T - 10 jaar | |||||
| Meetwaarden | ||||||
| Bloeddruk | ||||||
| Meetmethode | Niet-invasief (code = '22762002' in codeSystem 'SNOMED CT') | |||||
| ManchetType | Standaard (code = 'STD' in codeSystem 'ZIB ManchetType') | |||||
| MeetLocatie | Rechter bovenarm (code = '368209003' in codeSystem 'SNOMED CT') | |||||
| DiastolischEindpunt | Fase V (code = '255272007' in codeSystem 'SNOMED CT') | |||||
| SystolischeBloeddruk | 119 mmHg | |||||
| DiastolischeBloeddruk | 89 mmHg | |||||
| GemiddeldeBloeddruk | 110 mmHg | |||||
| BloeddrukDatumTijd | T - 20 dagen om 14:45 uur | |||||
| Toelichting | patient was zenuwachtig | |||||
| Houding | Liggende positie (code = '102538003' in codeSystem 'SNOMED CT') | |||||
| Lichaamsgewicht | ||||||
| GewichtWaarde | 85 kg | |||||
| Toelichting | meneer volgt afvaldieet | |||||
| GewichtDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Kleding | Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem 'ZIB ContextKleding') | |||||
| Lichaamslengte | ||||||
| LengteWaarde | 190 cm | |||||
| LengteDatumTijd | T - 5 dagen om 14:30 uur | |||||
| Toelichting | zonder schoenen aan | |||||
1.10.4 Verpleegkundige context: specificatie gezondheidstoestand[bewerken]
| Verpleegkundige context: specificatie gezondheidstoestand | ||||
| Gegevenselement | Waarde | |||
| Voeding/vocht | ||||
| Voedingsadvies | ||||
| DieetType | glutenvrij dieet | |||
| Consistentie | vloeibaar | |||
| Toelichting | Vanwege longontsteking | |||
1.11 Validatie Overdracht 1.3b[bewerken]
1.11.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 5 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Maëlys | |||||
| Initialen | M | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Wilhelmy Damsté | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1003 | |||||
| Postcode | 9999ZA | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Identificatienummer | 999900018 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 25 jul 1954 | |||||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| BetalerPersoon | ||||||
| BetalerNaam | J. Rijk | |||||
| Bankgegevens | ||||||
| BankNaam | ING | |||||
| Bankcode | INGBNL2A | |||||
| Rekeningnummer | NL98INGB0003856625 | |||||
| Bankgegevens | ||||||
| BankNaam | Triodos | |||||
| Bankcode | TRIONL2U | |||||
| Rekeningnummer | NL98TRIO0254712320 | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 30 dagen | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| Verzekering | ||||||
| BeginDatumTijd | T + 25 dagen | |||||
| EindDatumTijd | T + 390 dagen | |||||
| Verzekeringssoort | Aanvullend verzekerd (code = 'A' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | Trias | |||||
| VerzekerdeNummer | 12345678 | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Bart | |||||
| Geslachtsnaam | ||||||
| Achternaam | Moorman | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.11.2 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | epilepsie door cerebrovasculair accident (code = '724787004' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||
| Toelichting | niet bekend met neurologische klachten | |||||
1.12 Validatie Overdracht 1.4b[bewerken]
1.12.1 Administratieve gegevens[bewerken]
| Administratieve gegevens | ||||||
| Gegevenselement | Waarde | |||||
| Datum overplaatsing | T + 2 dagen | |||||
| Persoonsgegevens | ||||||
| Patient | ||||||
| Naamgegevens | ||||||
| Voornamen | Łukasz | |||||
| Initialen | L | |||||
| Geslachtsnaam | ||||||
| Achternaam | XXX_Gaalen-Linder | |||||
| Adresgegevens | ||||||
| Straat | Knolweg | |||||
| Huisnummer | 1002 | |||||
| Postcode | 9999ZZ | |||||
| Woonplaats | Stitswerd | |||||
| AdresSoort | Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse') | |||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31634567999 | |||||
| Identificatienummer | 999909290 (in identificerend systeem: BSN) | |||||
| Geboortedatum | 18 sep 1963 | |||||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||||
| Betaler | ||||||
| Verzekeraar | ||||||
| Verzekering | ||||||
| EindDatumTijd | T + 250 dagen | |||||
| Verzekeringssoort | Basis (code = 'B' in codeSystem 'ZIB Verzekeringssoort') | |||||
| IdentificatieNummer | 9664 (in identificerend systeem: UZOVI) | |||||
| OrganisatieNaam | De Verzekeraar | |||||
| VerzekerdeNummer | 12345678 | |||||
| Contactpersoon | ||||||
| Contactgegevens | ||||||
| Telefoonnummers | ||||||
| Telefoonnummer | +31634569999 | |||||
| Rol | Eerste relatie/contactpersoon (code = '1' in codeSystem 'Vektis Rolcode COD472-VEKT') | |||||
| Relatie | Partner (code = 'DOMPART' in codeSystem 'HL7 RoleCode') | |||||
| Sturende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 06121212 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | EF-zkh | |||||
| AfdelingSpecialisme | Ziekenhuizen, neurologische klinieken (code = '0612' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Contactgegevens | ||||||
| EmailAdressen | ||||||
| EmailAdres | neuro@efzkh.nl | |||||
| OrganisatieType | Algemeen ziekenhuis (code = 'V6' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
| Zorgverlener | ||||||
| Naamgegevens | ||||||
| Voornamen | Bart | |||||
| Geslachtsnaam | ||||||
| Achternaam | Moorman | |||||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'Vektis AGB-medische specialismen') | |||||
| Ontvangende organisatie | ||||||
| Zorgaanbieder | ||||||
| ZorgaanbiederIdentificatienummer | 75616161 (in identificerend systeem: AGB-Z) | |||||
| OrganisatieNaam | HomeCare | |||||
| OrganisatieType | Thuiszorg (code = 'T2' in codeSystem 'HL7 RoleCodeNL Care provider type (organizations)') | |||||
1.12.2 Algemene patiënten context[bewerken]
| Algemene patiënten context | ||||
| Gegevenselement | Waarde | |||
| Woonomgeving | ||||
| Woonsituatie | ||||
| Toelichting | woont tijdelijk met partner in hotel | |||
| WoningType | Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): hotel | |||
1.12.3 Medische context[bewerken]
| Medische context | ||||||
| Gegevenselement | Waarde | |||||
| Behandelaar | ||||||
| Zorgverlener | ||||||
| ZorgverlenerIdentificatienummer | 03454545 (in identificerend systeem: AGB-Z) | |||||
| Naamgegevens | ||||||
| Initialen | K. | |||||
| Geslachtsnaam | ||||||
| Achternaam | Bronsgeest | |||||
| Specialisme | Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Zorgverlenersspecificatie (subberoepsgroep)') | |||||
| Medische diagnose | ||||||
| Probleem | ||||||
| ProbleemType | Diagnose (code = '282291009' in codeSystem 'SNOMED CT') | |||||
| ProbleemNaam | multipele sclerose (code = '24700007' in codeSystem 'SNOMED CT') | |||||
| ProbleemBeginDatum | T - 30 dagen | |||||
| ProbleemStatus | Actueel (code = '55561003' in codeSystem 'SNOMED CT') | |||||
| VerificatieStatus | Bevestigd (code = '410605003' in codeSystem 'SNOMED CT') | |||||