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Regel 1: Regel 1:
  
 
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{{DISPLAYTITLE:Sturen medicatievoorschrift 9.0.7: addendum inhoudelijke gegevens kwalificatie}}
 
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
 
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
  
 
=Addenda voor inhoudelijke gegevens=
 
=Addenda voor inhoudelijke gegevens=
===Patiënt I. XXX_Jangi===
+
== Medicatievoorschriften Basis 1 (verplicht)==
<section begin=XXX_Jangi />
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<section begin=1-basis-1 />
 +
=== MBH_VO_start_eind===
 +
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Patiënt
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:25
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 25 jun 2019, om 00:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Naamgegevens
 
|colspan="3"|Naamgegevens
|style="background-color: white;"|I. XXX_Jangi
+
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="3"|Specialisme
|style="background-color: white;"|Knolweg 1002 9999ZZ Stitswerd 3 Woon-/verblijfadres
+
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 25 jun 2019, om 00:00, Vanaf <T> t/m <T+5>, 1 maal per dag 1 stuk, rectaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_start_eind_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:25
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|+31612345678
+
|style="background-color: white;"|5 stuks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Nummer soort
+
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatienummer
+
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|999911727 [BSN]
+
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatienummer
+
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|10009 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
+
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geboortedatum
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|2 aug 1964
+
|style="background-color: white;"|MBH_VO_start_eind_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geslacht
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|MBH_VO_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=XXX_Jangi /><section begin=DG_XXX_Jangi />
+
|}
====Documentgegevens XXX_Jangi ====
+
=== MBH_VO_start_duur===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Documentgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Document datum
+
|colspan="5"|Identificatie
|style="background-color: white;"|16 aug 2018
+
|style="background-color: white;"|MBH_VO_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, gedurende 3 weken
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Auteur - zorgaanbieder
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="11"|
 
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|rowspan="9"|
|style="background-color: white;"|Apotheek de Gulle Gaper
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="3"|Specialisme
|style="background-color: white;"|Zalfstraat 6 1235BB Ons Dorp 5 Werkadres
+
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|+31703655424
+
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Nummer soort
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Email adressen
+
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, gedurende 3 weken, Vanaf <T>, gedurende 3 weken, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_start_duur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|21 stuks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
+
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|info@apotheekgullegaper.com
+
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email soort
+
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verificatie patient
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Nee
+
|style="background-color: white;"|MBH_VO_start_duur_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verificatie zorgverlener
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|Nee
+
|style="background-color: white;"|MBH_VO_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=DG_XXX_Jangi /><section begin=MBHS_XXX_Jangi /><section begin=MBH_MBH_MO_123_1 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_1 ====
+
=== MBH_VO_chronisch===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
+
|style="background-color: white;"|MBH_VO_chronisch_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:32
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
+
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|T, om 10:57
+
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
+
|colspan="3"|Specialisme
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen
+
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Ibuprofen
+
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen, 4 maal per dag 1 tablet, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_chronisch_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:32
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
+
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|21 stuks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
+
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|4 maal per dag 1 stuk
+
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
+
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|Patiënt
+
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Kopie indicator
+
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Pijn
+
|style="background-color: white;"|MBH_VO_chronisch_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_1 /><section begin=MBH_MBH_MO_123_2 />
+
|}<section end=1-basis-1 />
====Medicamenteuze behandeling MBH_MO_123_2 ====
+
== Medicatievoorschriften Basis 2 (verplicht)==
 +
<section begin=1-basis-2 />
 +
=== MBH_VO_aanvullendeinstructie===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 152: Regel 331:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 6 dagen, om 11:55
+
|style="background-color: white;"|20 jun 2019, om 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 6 dagen, tot nader order
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59, Vanaf <T>, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|Bij het eten innemen overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|90 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_toelichting===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, 1 maal daags 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Toelichting
 +
|style="background-color: white;"|In overleg met specialist
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|Extra verstrekkingsverzoek omdat patient medicatie is kwijtgeraakt
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_toelichting_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_redenvanvoorschrijven===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 08:03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 13:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 6 dagen, tot nader order, eerst 2 maal per dag zalf gedurende 7 dagen, daarna 1 maal per dag zalf gedurende 7 dagen, daarna 3 maal per week zalf gedurende 7 dagen, cutaan
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 13:00, Vanaf <T>, gedurende 28 dagen, 1 maal per week 5 stuks, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per week 5 stuks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 1
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|eerst gedurende 7 dagen 2 maal per dag
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|20 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 2
+
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|dan gedurende 7 dagen 1 maal per dag
+
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 3
+
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|dan gedurende 7 dagen 3 maal per week
+
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Eczeem oogleden
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_2 /><section begin=MBH_MBH_MO_123_3 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_3 ====
+
=== MBH_VO_aanvullendeinformatiewensen===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
+
|style="background-color: white;"|MBH_VO_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afspraakdatum
+
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 15 dagen, om 09:13
+
|style="background-color: white;"|20 jun 2019, om 08:04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gebruiksperiode
+
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken
+
|style="background-color: white;"|Vanaf 21 jun 2019, tot en met 30 jun 2019, om 23:59
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Voorschrijver
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Naamgegevens
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de Vries
+
|style="background-color: white;"|Bertine van Doorn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Specialisme
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Zorgaanbieder identificatienummer
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - primaire code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken, 1 maal per dag 2 tabletten, oraal
+
|style="background-color: white;"|Vanaf 21 jun 2019, tot en met 30 jun 2019, om 23:59, Vanaf <T>, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toedieningsweg
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|3 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Doseerinstructie
+
|colspan="5"|Lichaamslengte
|style="background-color: white;"|1 maal per dag 2 stuks
+
|style="background-color: white;"|155 cm. Gemeten: 23 nov 2018, om 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Kopie indicator
+
|colspan="5"|Lichaamsgewicht
|style="background-color: white;"|Ja
+
|style="background-color: white;"|54 kg. Gemeten: 23 nov 2018, om 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Toelichting
+
|colspan="5"|Aanvullende informatie
|style="background-color: white;"|Exact 4 weken
+
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|MBH identificatie
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinformatiewensen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|40 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Aanvullende wensen
 +
|style="background-color: white;"|Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_aanvullendeinformatiewensen_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}<section end=1-basis-2 />
 +
== Medicatievoorschriften Basis 3 Staken Wijzigen (verplicht)==
 +
<section begin=1-basis-3 />
 +
=== MBH_VO_aanvullendeinstructie===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 289: Regel 770:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_aanvullendeinstructie_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 14 dagen, om 15:55
+
|style="background-color: white;"|4 jul 2019, om 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 10:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoptype
 +
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie naar afspraak of gebruik: MA
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"|Apotheek De Gulle Gaper
+
|style="background-color: white;"|Overgevoeligheid (code = '16' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 10:00, Vanaf <T> t/m <T>, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|Bij het eten innemen overig (code = 'OTH' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_toelichting===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting_MA_wijzigingmetVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|4 jul 2019, om 10:01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 4 jul 2019, om 10:01, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie naar afspraak of gebruik: MA
 +
|style="background-color: white;"|MBH_VO_toelichting_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Reden wijzigen of staken
 +
|style="background-color: white;"|Geen of onvoldoende effect (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 325: Regel 907:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59, 1 maal per dag 2 tabletten, oraal
+
|style="background-color: white;"|Vanaf 4 jul 2019, om 10:01, tot nader order, Vanaf <T>, tot nader order, 1 maal daags 2 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
 
|style="background-color: white;"|1 maal per dag 2 stuks
 
|style="background-color: white;"|1 maal per dag 2 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Relatie naar medicatieafspraak
 
|style="background-color: white;"|MBH_MO_123_3_MA_1
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|MBH identificatie
 
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
+
|style="background-color: white;"|MBH_VO_toelichting_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|4 jul 2019, om 10:01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 08:03, tot en met 4 jul 2019, om 10:01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoptype
 +
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie naar afspraak of gebruik: MA
 +
|style="background-color: white;"|MBH_VO_toelichting_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
+
|rowspan="8"|
|style="background-color: white;"|T, om 12:58
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
+
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Ja
+
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59
+
|style="background-color: white;"|Bertine van Doorn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Glimepiride
+
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 08:03, tot en met 4 jul 2019, om 10:01, Vanaf <T->, tot <T>, 1 maal daags 1 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
+
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59, 1 maal per dag 1 tablet
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
+
|colspan="4"|Doseerinstructie
 
|style="background-color: white;"|1 maal per dag 1 stuk
 
|style="background-color: white;"|1 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|Patiënt
+
|style="background-color: white;"|MBH_VO_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toelichting_VV_extra (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|4 jul 2019, om 10:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Kopie indicator
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_toelichting_MA_wijzigingmetVV
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_3 /><section begin=MBH_MBH_MO_123_4 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_4 ====
+
=== MBH_VO_redenvanvoorschrijven===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_MA_wijzigingzonderVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|4 jul 2019, om 10:03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 4 jul 2019, om 10:03, tot en met 18 jul 2019, om 13:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Reden wijzigen of staken
 +
|style="background-color: white;"|Beleidswijziging (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 4 jul 2019, om 10:03, tot en met 18 jul 2019, om 13:00, Vanaf <T>, gedurende 14 dagen, 1 maal per week 4 stuks, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per week 4 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|4 jul 2019, om 10:03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 12:00, tot en met 4 jul 2019, om 10:03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afspraakdatum
+
|colspan="5"|Stoptype
|style="background-color: white;"|T- 60 dagen, om 09:13
+
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gebruiksperiode
+
|colspan="5"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Voorschrijver
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Naamgegevens
+
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|I. Ternist
+
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
+
|style="background-color: white;"|Bertine van Doorn
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|)
+
|style="background-color: white;"|00001111 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Antonius
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - primaire code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order, 1 maal per dag 10IE, SUBCUTAAN
+
|style="background-color: white;"|Vanaf 20 jun 2019, om 12:00, tot en met 4 jul 2019, om 10:03, Vanaf <T>, t/m <T>, 1 maal per week 5 stuks, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toedieningsweg
+
|colspan="4"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Doseerinstructie
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 10 internationale eenheid
+
|style="background-color: white;"|1 maal per week 5 stuks
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Kopie indicator
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}<section end=1-basis-3 />
 +
== Medicatievoorschriften Aanvullend 1 (Doseerschemas)==
 +
<section begin=2-aanvullend-1 />
 +
=== MBH_VO_variabelefrequentie===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:59
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 19 aug 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 19 aug 2019, om 12:00, Vanaf <T>, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:59
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|90 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_variabelefrequentie_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 +
=== MBH_VO_interval===
 +
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 462: Regel 1.283:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 60 dagen, om 15:55
+
|style="background-color: white;"|20 jun 2019, om 11:58
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|13336578 (in identificerend systeem: URA)
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Poliapotheek Antonius
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, exact iedere 12 uur 16 IE, subcutaan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_interval_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:58
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_interval_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_variabelehoeveelheid===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:57
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 498: Regel 1.436:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order, Elke dag om 9 uur 10IE, subcutaan
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00, Vanaf <T>, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:57
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|40 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_zonderkeerdosis===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:56
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00, Vanaf <T>, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|elke dag om 10 internationale eenheid
+
|style="background-color: white;"|3 maal per dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kopie indicator
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_zonderkeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:56
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_zonderkeerdosis_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_bijzonderekeerdosis===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:55
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 18 jul 2019, om 12:00, Vanaf <T>, gedurende 30 dagen, 2 maal per dag 1/2 tablet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar medicatieafspraak
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_MO_123_4_MA_1
+
|style="background-color: white;"|2 maal per dag 0.5 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|MBH identificatie
 
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_4 /><section begin=MBH_MBH_MO_123_5 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_5 ====
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_bijzonderekeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:55
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_bijzonderekeerdosis_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_variabelehoeveelheid2===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 525: Regel 1.702:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 36 dagen, om 15:55
+
|style="background-color: white;"|20 jun 2019, om 11:54
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|13336578 (in identificerend systeem: URA)
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Poliapotheek Antonius
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 12:00, Vanaf <T>, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|2 maal per dag 10 à 15 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:54
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|450 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Waterstofperoxide 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid2_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_tijdstippen===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_tijdstippen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:53
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 561: Regel 1.861:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen, 1 maal per dag 1 tablet, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 4 jul 2019, om 12:00, Vanaf <T>, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
+
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_tijdstippen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_tijdstippen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:53
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kopie indicator
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_tijdstippen_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_tijdstippen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 +
=== MBH_VO_weekdagen===
 +
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
+
|style="background-color: white;"|MBH_VO_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:52
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 29 aug 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|T- 33 dagen, om 13:58
+
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
+
|colspan="3"|Specialisme
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Volgens afspraak indicator
+
|rowspan="4"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 34 dagen, tot nader order
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Stoptype
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 29 aug 2019, om 12:00, Vanaf <T>, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|op maandag, woensdag en vrijdag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_weekdagen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:52
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
+
|colspan="2"|Auteur
|style="background-color: white;"|Vanaf T- 34 dagen, tot nader order, gestaakt
+
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gerelateerde afspraak : TA
+
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|MBH_MO_123_5_TA_1
+
|style="background-color: white;"|70 sachet
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
+
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|Patiënt
+
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Reden wijzigen of stoppen gebruik
+
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|Te sterk effect (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
+
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Kopie indicator
+
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Apotheek de Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Gestopt vanwege bijwerkingen
+
|style="background-color: white;"|MBH_VO_weekdagen_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_5 /><section begin=MBH_MBH_MO_123_6 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_6 ====
+
=== MBH_VO_dagdeel===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
+
|style="background-color: white;"|MBH_VO_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afspraakdatum
+
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 728 dagen, om 09:13
+
|style="background-color: white;"|20 jun 2019, om 11:51
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gebruiksperiode
+
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 728 dagen, tot nader order
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Voorschrijver
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Naamgegevens
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de Vries
+
|style="background-color: white;"|Peter van Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Specialisme
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Zorgaanbieder identificatienummer
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - primaire code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 728 dagen, tot nader order, 1 maal per dag 1 tablet 's avonds, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, 1 maal daags 1 stuk ’s avonds innemen, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toedieningsweg
+
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Doseerinstructie
+
|colspan="4"|Doseerinstructie
 
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
 
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Kopie indicator
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_dagdeel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:51
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|60 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_dagdeel_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 +
=== MBH_VO_cyclischschema===
 +
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 712: Regel 2.130:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 323 dagen, om 15:55
+
|style="background-color: white;"|20 jun 2019, om 11:50
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 323 dagen, tot nader order
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Herhaalperiode cyclisch schema
 +
|style="background-color: white;"|28 dagen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_cyclischschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:50
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|6 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_cyclischschema_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_afbouwschema===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:49
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 31 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 31 jul 2019, om 12:00, Vanaf <T>, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Aanvullende instructie
 +
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie 1
 +
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie 2
 +
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie 3
 +
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_afbouwschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:49
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_afbouwschema_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_variabelefrequentieenmaximum===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentieenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:48
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 11 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 11 jul 2019, om 12:00, Vanaf <T>, gedurende 3 weken, iedere 3 à 4 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|bij hoest 3 à 4 maal per uur 1 stuk , maximaal 6 stuks per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentieenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentieenmaximum_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:48
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|120 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_variabelefrequentieenmaximum_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_variabelefrequentieenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_toedieningssnelheid===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:47
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 28 jun 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|13336578 (in identificerend systeem: URA)
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Poliapotheek Antonius
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 28 jun 2019, om 12:00, Vanaf <T>, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|0.2 à 0.5 ml per uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningssnelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:47
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|100 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_toedieningssnelheid_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_toedieningsduur===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:46
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 16:00, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 748: Regel 2.607:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 323 dagen, tot nader order, 1 maal per dag 2 tabletten 's avonds, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, om 16:00, tot nader order, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 2 stuks 's avonds
+
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningsduur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:46
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_toedieningsduur_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_zonodig===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 11:42
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 11:42, gedurende 4 weken
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kopie indicator
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 11:42, gedurende 4 weken, Vanaf <T> gedurende 4 weken, 1x per dag 1 stuk zo nodig, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_zonodig_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 11:42
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|14 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek de Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_zonodig_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}<section end=2-aanvullend-1 />
 +
== Medicatievoorschriften Aanvullend 2 (Magistraal)==
 +
<section begin=2-aanvullend-2 />
 +
=== MBH_VO_magistraalalleingredienten===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_magistraalalleingredienten_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 12:05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 21 jun 2019, om 12:00, tot en met 21 jul 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geneesmiddel - Product specificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Product naam
 +
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ingredient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ingredient code
 +
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Sterkte
 +
|style="background-color: white;"|10 gram per  100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ingredient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ingredient code
 +
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Sterkte
 +
|style="background-color: white;"|90 gram per  100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 21 jun 2019, om 12:00, tot en met 21 jul 2019, om 12:00, Vanaf <T>, zo nodig, aanbrengen, cutaan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar medicatieafspraak
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_MO_123_6_MA_1
+
|style="background-color: white;"|geen informatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|MBH identificatie
 
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekkingsverzoek
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
Regel 773: Regel 2.857:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Identificatie
 
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
+
|style="background-color: white;"|MBH_VO_magistraalalleingredienten_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 12:05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|100 ml
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Geneesmiddel - Product specificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product naam
 +
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Omschrijving
 +
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Ingredient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Ingredient code
 +
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Sterkte
 +
|style="background-color: white;"|10 gram per  100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Ingredient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Ingredient code
 +
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Sterkte
 +
|style="background-color: white;"|90 gram per  100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_magistraalalleingredienten_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_magistraalactieveingredient===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_magistraalactieveingredient_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 12:10
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 21 jun 2019, om 12:00, tot en met 30 aug 2019, om 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 248 dagen, om 09:00
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geneesmiddel - Product specificatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Volgens afspraak indicator
+
|rowspan="7"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
+
|colspan="4"|Product naam
|style="background-color: white;"|Vanaf T- 248 dagen, tot nader order
+
|style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
+
|colspan="4"|Omschrijving
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ingredient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|rowspan="3"|
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|colspan="3"|Ingredient code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Sterkte
 +
|style="background-color: white;"|80 gram per  100 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 21 jun 2019, om 12:00, tot en met 30 aug 2019, om 12:00, Vanaf <T> t/m <T+39>, 1x daags, cutaan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|7 (code = 'cutaan' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatie
 +
|style="background-color: white;"|MBH_VO_magistraalactieveingredient_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 12:10
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Geneesmiddel - Product specificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product naam
 +
|style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Omschrijving
 
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 248 dagen, tot nader order, 1 maal per dag 1 tablet 's avonds, oraal
+
|style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Ingredient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
+
|rowspan="3"|
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
+
|colspan="2"|Ingredient code
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
+
|style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
+
|colspan="2"|Sterkte
|style="background-color: white;"|Zorgverlener :  I. Ternist  - Medisch specialisten, inwendige geneeskunde.  Antonius
+
|style="background-color: white;"|80 gram per 100 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Kopie indicator
+
|colspan="4"|Beoogd verstrekker
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Apotheek De Gulle Gaper
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Patiënt gebruikt niet volgens voorschrift
+
|style="background-color: white;"|MBH_VO_magistraalactieveingredient_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MBH identificatie
 
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
|}
 
|}
 +
=== MBH_VO_magistraal90miljoennr===
 +
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
+
|style="background-color: white;"|MBH_VO_magistraal90miljoennr_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 12:15
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 12:15, tot en met 20 jul 2019, om 12:15
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 172 dagen, om 15:37
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Volgens afspraak indicator
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Geneesmiddel - Product specificatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
+
|rowspan="7"|
|style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
+
|colspan="4"|Product naam
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ingredient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
+
|rowspan="3"|
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ingredient code
 +
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Sterkte
 +
|style="background-color: white;"|10 gram per  100 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59, 1 maal per dag 1 tablet 's avonds, oraal, gestopt
+
|style="background-color: white;"|Vanaf 20 jun 2019, om 12:15, tot en met 20 jul 2019, om 12:15, Vanaf <T> t/m <T+30>, 1x per dag, cutaan
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|MBH_VO_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
+
|colspan="4"|Identificatie
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
+
|style="background-color: white;"|MBH_VO_magistraal90miljoennr_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gerelateerde afspraak : MA
+
|colspan="4"|Datum
|style="background-color: white;"|MBH_MO_123_6_MA_1
+
|style="background-color: white;"|20 jun 2019, om 12:15
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Auteur
 
|colspan="4"|Auteur
|style="background-color: white;"|Patiënt
+
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Geneesmiddel - Product specificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Product naam
 +
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Omschrijving
 +
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Ingredient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toelichting
+
|rowspan="2"|
|style="background-color: white;"|Veel last van jeuk
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Sterkte
 +
|style="background-color: white;"|10 gram per  100 gram
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_magistraal90miljoennr_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|MBH identificatie
 
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_6 /><section begin=MBH_MBH_MO_123_7 />
+
|}<section end=2-aanvullend-2 />
====Medicamenteuze behandeling MBH_MO_123_7 ====
+
== Medicatievoorschriften Aanvullend 3 (andermans MA)==
 +
<section begin=2-aanvullend-3 />
 +
=== MBH_VO_VVandermansMA===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
+
|style="background-color: white;"|MBH_VO_VVandermansMA_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afspraakdatum
+
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T+ 3 dagen, om 09:27
+
|style="background-color: white;"|5 aug 2019, om 11:25
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gebruiksperiode
+
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59
+
|style="background-color: white;"|Vanaf 5 aug 2019, tot en met 26 aug 2019, om 00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Voorschrijver
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001118 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Naamgegevens
+
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de Vries
+
|style="background-color: white;"|Marcha van Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Specialisme
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Zorgaanbieder identificatienummer
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - primaire code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59, Elke 8 uur 1 capsule, oraal
+
|style="background-color: white;"|Vanaf 5 aug 2019, tot en met 26 aug 2019, om 00:00, Vanaf <T> t/m <T+21>, 1 maal per dag 1 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toedieningsweg
+
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Doseerinstructie
+
|colspan="4"|Doseerinstructie
 
|style="background-color: white;"|1 maal per dag 1 stuk
 
|style="background-color: white;"|1 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Kopie indicator
+
|colspan="5"|Kopie indicator
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|MBH identificatie
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_7 /><section begin=MBH_MBH_MO_123_8 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_8 ====
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_VVandermansMA_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|19 aug 2019, om 03:25
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_VVandermansMA_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_stakenandermansMA===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_stakenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|19 aug 2019, om 03:27
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 14 aug 2019, tot en met 19 aug 2019, om 03:27
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Stoptype
 +
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie naar afspraak of gebruik: MA
 +
|style="background-color: white;"|MBH_VO_stakenandermansMA_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 14 aug 2019, tot en met 19 aug 2019, om 03:27, Vanaf <T-5> tot <T>, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_onderbrekenandermansMA===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 957: Regel 3.357:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_onderbrekenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 28 dagen, om 11:50
+
|style="background-color: white;"|19 aug 2019, om 03:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 19 aug 2019, om 03:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Stoptype
 
|colspan="5"|Stoptype
 
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie naar afspraak of gebruik: MA
 +
|style="background-color: white;"|MBH_VO_onderbrekenandermansMA_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Peter van  Pulver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|13336578 (in identificerend systeem: URA)
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Poliapotheek Antonius
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Reden afspraak
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Beleidswijziging
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 19 aug 2019, om 03:30, Vanaf <T-60> tot <T>, 1 maal per dag 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}<section end=2-aanvullend-3 />
 +
== Medicatievoorschriften Aanvullend 4 (diversen VV)==
 +
<section begin=2-aanvullend-4 />
 +
=== MBH_VO_logistiekeverbruiksperiode===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_logistiekeverbruiksperiode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 999: Regel 3.484:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59, 1 maal per dag 2 tabletten 's avonds, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59, Vanaf <T>, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 2 stuks 's avonds
+
|style="background-color: white;"|1 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kopie indicator
+
|colspan="5"|MBH identificatie
|style="background-color: white;"|Ja
+
|style="background-color: white;"|MBH_VO_logistiekeverbruiksperiode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_logistiekeverbruiksperiode_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verbruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, om 08:00, tot en met 31 dec 2019, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_logistiekeverbruiksperiode_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_logistiekeverbruiksperiode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_herhalingen===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_herhalingen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Omschrijving
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, 1 maal daags 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar medicatieafspraak
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_MO_123_8_MA_3
+
|style="background-color: white;"|1 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|MBH identificatie
 
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_8 /><section begin=MBH_MBH_MO_123_9 />
+
|}
====Medicamenteuze behandeling MBH_MO_123_9 ====
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_herhalingen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|30 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Aantal herhalingen
 +
|style="background-color: white;"|5
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_herhalingen_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_afleverlocatie===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Identificatie
+
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
+
|style="background-color: white;"|MBH_VO_afleverlocatie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Afspraakdatum
+
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 45 dagen, om 11:50
+
|style="background-color: white;"|20 jun 2019, om 08:04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Gebruiksperiode
+
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59
+
|style="background-color: white;"|Vanaf 21 jun 2019, tot en met 30 jun 2019, om 23:59
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Voorschrijver
+
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Naamgegevens
+
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|John de  Vries
+
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Zorgaanbieder identificatienummer
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adresgegevens
+
|colspan="2"|Adresgegevens
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - primaire code
+
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Geneesmiddel - generiekere code
+
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Gebruiksinstructie
+
|colspan="6"|Gebruiksinstructie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Omschrijving
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59, 1 keer per exact 8 uur 1 stuk, oraal
+
|style="background-color: white;"|Vanaf 21 jun 2019, tot en met 30 jun 2019, om 23:59, Vanaf <T>, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toedieningsweg
+
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Doseerinstructie
+
|colspan="4"|Doseerinstructie
|style="background-color: white;"|exact iedere 8 uur 1 stuk
+
|style="background-color: white;"|3 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Kopie indicator
+
|colspan="5"|Lichaamslengte
|style="background-color: white;"|Ja
+
|style="background-color: white;"|155 cm. Gemeten: 23 nov 2018, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Lichaamsgewicht
 +
|style="background-color: white;"|54 kg. Gemeten: 23 nov 2018, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_afleverlocatie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|40 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Afleverlocatie
 +
|style="background-color: white;"|Dorpsrand 200,1256ZZ Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_afleverlocatie_MA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|MBH identificatie
+
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_9 /><section begin=MBH_MBH_MO_123_10 />
+
|}<section end=2-aanvullend-4 />
====Medicamenteuze behandeling MBH_MO_123_10 ====
+
== Medicatievoorschriften Aanvullend 5 (HPK,ZInr)==
 +
<section begin=2-aanvullend-5 />
 +
=== MBH_VO_HPKvoorschrijven===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="5" width="25%"| Gegevenselement
 
|colspan="5" width="25%"| Gegevenselement
Regel 1.096: Regel 3.761:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Identificatie
 
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
+
|style="background-color: white;"|MBH_VO_HPKvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Afspraakdatum
 
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 36 dagen, om 15:50
+
|style="background-color: white;"|20 jun 2019, om 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Gebruiksperiode
 
|colspan="5"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoptype
+
|rowspan="11"|
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verstrekker
+
|colspan="5"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|13336578 (in identificerend systeem: URA)
+
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Organisatie naam
+
|colspan="2"|Organisatie naam
|style="background-color: white;"|Poliapotheek Antonius
+
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Reden afspraak
+
|colspan="2"|Adresgegevens
|style="background-color: white;"|Geen of onvoldoende effect
+
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - primaire code
 
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK')
+
|style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK')
+
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geneesmiddel - generiekere code
 
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK')
+
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Gebruiksinstructie
 
|colspan="6"|Gebruiksinstructie
Regel 1.138: Regel 3.813:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Omschrijving
 
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59, 1 maal per dag 1 tablet 's morgens, oraal
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot en met 20 jun 2020, om 11:59, Vanaf <T>, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Toedieningsweg
 
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
+
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Doseerinstructie
 
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk 's ochtends
+
|style="background-color: white;"|1 maal per dag 1 stuk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Identificatie
 +
|style="background-color: white;"|MBH_VO_HPKvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Datum
 +
|style="background-color: white;"|20 jun 2019, om 08:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|90 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_HPKvoorschrijven_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}
 +
=== MBH_VO_ZINRvoorschrijven===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatie
 +
|style="background-color: white;"|MBH_VO_ZINRvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Afspraakdatum
 +
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Gebruiksperiode
 +
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Voorschrijver
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener identificatienummer
 +
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgegevens
 +
|style="background-color: white;"|Bertine van  Doorn
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specialisme
 +
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Organisatie naam
 +
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Adresgegevens
 +
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Gebruiksinstructie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Kopie indicator
+
|colspan="4"|Omschrijving
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Vanaf 20 jun 2019, tot nader order, Vanaf <T>, tot nader order, 1 maal daags 1 stuk, oraal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Toedieningsweg
 +
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Doseerinstructie
 +
|style="background-color: white;"|1 maal per dag 1 stuk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|MBH identificatie
 
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
+
|style="background-color: white;"|MBH_VO_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MBH_MBH_MO_123_10 /><section end=MBHS_XXX_Jangi />
+
|}
===Versiehistorie===
 
<section begin=versiehistorie />       
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="2" | Versiegegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="1" width="25%"| Datum
+
|colspan="2" width="25%"| Gegevenselement
|| Beschrijving
+
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="1"|26 aug 2019
+
|colspan="2"|Identificatie
|style="background-color: white;"|[https://bits.nictiz.nl/browse/MM-477 Issue MM-477] - adressoort toegevoegd bij alle adressen
+
|style="background-color: white;"|MBH_VO_ZINRvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
<section end=versiehistorie />
+
|colspan="2"|Datum
 
+
|style="background-color: white;"|20 jun 2019, om 08:02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Auteur
 +
|style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Te verstrekken hoeveelheid
 +
|style="background-color: white;"|90 stuks
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - primaire code
 +
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geneesmiddel - generiekere code
 +
|style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Beoogd verstrekker
 +
|style="background-color: white;"|Apotheek De Gulle Gaper
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Relatie naar medicatieafspraak
 +
|style="background-color: white;"|MBH_VO_ZINRvoorschrijven_MA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|MBH identificatie
 +
|style="background-color: white;"|MBH_VO_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 +
|}<section end=2-aanvullend-5 />
 +
 
 
[[Categorie:Kwalificatie]]
 
[[Categorie:Kwalificatie]]

Huidige versie van 20 jul 2020 om 01:12