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Source1

{
  "date": "2016-07-04T11:39:46+02:00",
  "description": "Flemish Inguinal and Femoral Hernia Prospective Registry (FLIPR)",
  "encounter": {
    "reference": "Encounter/CT-128725571"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "templateId",
          "valueInteger": 1894
        },
        {
          "url": "templateName",
          "valueString": "ABD_FLIPR"
        }
      ],
      "url": "https://fhir.nexuzhealth.com/standards/fhir/StructureDefinition/nxh-ext-template"
    },
    {
      "url": "https://fhir.nexuzhealth.com/standards/fhir/StructureDefinition/nxh-ext-hospitalCode",
      "valueReference": {
        "reference": "Organization/UZL"
      }
    }
  ],
  "id": "F-3682055",
  "identifier": [
    {
      "system": "https://fhir.nexuzhealth.com/standards/fhir/NamingSystem/kws/bifrost/formasaForm/formNr",
      "use": "usual",
      "value": "3682055"
    }
  ],
  "meta": {
    "lastUpdated": "2022-09-22T11:43:20.170228+00:00",
    "profile": [
      "https://fhir.nexuzhealth.com/standards/fhir/StructureDefinition/NxhFormasaClinicalImpression"
    ]
  },
  "resourceType": "ClinicalImpression",
  "status": "completed",
  "subject": {
    "reference": "Patient/JE2YPXCLV9C2"
  },
  "summary": "<?xml version=\"1.0\" encoding=\"ISO-8859-1\"?><?mso-infoPathSolution solutionVersion=\"1.0.0.454\" productVersion=\"15.0.0\" PIVersion=\"1.0.0.0\" href=\"file:///C:\\Users\\tgoets0\\AppData\\Local\\Temp\\Formasa--223212\\KWS-TEST_GODIVA_LEONIDAS%20(eadnr%20=%20925,%20vnr=132753666,%20form=-2).xsn\" name=\"urn:schemas-microsoft-com:office:infopath:FLIPR:-myXSD-2016-10-24T12-23-160\" ?><?mso-application progid=\"InfoPath.Document\" versionProgid=\"InfoPath.Document.3\"?><my:mijnVelden xmlns:my=\"http://schemas.microsoft.com/office/infopath/2003/myXSD/2016-10-24T12:23:16\" xmlns:xd=\"http://schemas.microsoft.com/office/infopath/2003\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\" xml:lang=\"nl-be\">\r\n\t<my:Algemeen>\r\n\t\t<my:KWS_PID_naam>[PERSON_NAME]</my:KWS_PID_naam>\r\n\t\t<my:KWS_PID_voornaam>[PERSON_NAME]</my:KWS_PID_voornaam>\r\n\t\t<my:KWS_PID_geboortedatum>01-01-1952</my:KWS_PID_geboortedatum>\r\n\t\t<my:KWS_PID_geslacht>V</my:KWS_PID_geslacht>\r\n\t\t<my:KWS_PID_eadnr>925</my:KWS_PID_eadnr>\r\n\t\t<my:KWS_PID_emdnr>520130V492</my:KWS_PID_emdnr>\r\n\t\t<my:KWS_PID_sisnr/>\r\n\t\t<my:KWS_CON_toegewezenSupervisor>Tinne Goetschalckx</my:KWS_CON_toegewezenSupervisor>\r\n\t\t<my:KWS_CON_ToegewezenArts/>\r\n\t\t<my:KWS_CON_receptieDatum>2021-02-03</my:KWS_CON_receptieDatum>\r\n\t\t<my:FLIPR_OK_DateSurgery>2021-02-03</my:FLIPR_OK_DateSurgery>\r\n\t\t<my:KWS_OK_asaScore>1</my:KWS_OK_asaScore>\r\n\t\t<my:FLIPR_OK_AsaClassification>ASA I</my:FLIPR_OK_AsaClassification>\r\n\t\t<my:FLIPR_SurgeryTiming>Elective</my:FLIPR_SurgeryTiming>\r\n\t\t<my:FLIPR_OK_Region>bilateral</my:FLIPR_OK_Region>\r\n\t\t<my:FLIPR_OK_Surgeon1>Gudrid</my:FLIPR_OK_Surgeon1>\r\n\t\t<my:FLIPR_OK_Surgeon2>David</my:FLIPR_OK_Surgeon2>\r\n\t\t<my:FLIPR_OK_Time>skin to skin</my:FLIPR_OK_Time>\r\n\t\t<my:FLIPR_OK_AnasthesiaType>general</my:FLIPR_OK_AnasthesiaType>\r\n\t\t<my:groep51>\r\n\t\t\t<my:FLIPR_OK_Anasthesia_Conversion/>\r\n\t\t</my:groep51>\r\n\t\t<my:FLIPR_OK_ConcomitantSurgery>no</my:FLIPR_OK_ConcomitantSurgery>\r\n\t\t<my:CONCSURGERY>\r\n\t\t\t<my:FLIPR_OK_CS_Cholecystectomy>0</my:FLIPR_OK_CS_Cholecystectomy>\r\n\t\t\t<my:FLIPR_OK_CS_Cholecystectomy_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_Appendectomy>0</my:FLIPR_OK_CS_Appendectomy>\r\n\t\t\t<my:FLIPR_OK_CS_Appendectomy_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_Gynaecologic>0</my:FLIPR_OK_CS_Gynaecologic>\r\n\t\t\t<my:FLIPR_OK_CS_Gynaecologic_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_Urologic>0</my:FLIPR_OK_CS_Urologic>\r\n\t\t\t<my:FLIPR_OK_CS_Urologic_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_Other>0</my:FLIPR_OK_CS_Other>\r\n\t\t\t<my:FLIPR_OK_CS_OtherText/>\r\n\t\t\t<my:FLIPR_OK_CS_UmbilicalHernia>0</my:FLIPR_OK_CS_UmbilicalHernia>\r\n\t\t\t<my:FLIPR_OK_CS_UmbilicalHernia_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_OpenLaparoscopic/>\r\n\t\t\t<my:FLIPR_OK_CS_OpenLaparoscopic_Text/>\r\n\t\t\t<my:FLIPR_OK_CS_Samenvatting/>\r\n\t\t</my:CONCSURGERY>\r\n\t\t<my:SIDE>\r\n\t\t\t<my:FLIPR_OK_Side/>\r\n\t\t</my:SIDE>\r\n\t\t<my:groep46>\r\n\t\t\t<my:groep43>\r\n\t\t\t\t<my:KWS_OK_duurHeelkunde>10</my:KWS_OK_duurHeelkunde>\r\n\t\t\t</my:groep43>\r\n\t\t</my:groep46>\r\n\t\t<my:groep47>\r\n\t\t\t<my:FLIPR_OK_HerniaTimeInMinutes xsi:nil=\"true\"/>\r\n\t\t</my:groep47>\r\n\t\t<my:KWS_Probleemstelling>Geen wijzigingen aanbrengen in het tekstverslag. Gebruik de knop FORMULIER onderaan.</my:KWS_Probleemstelling>\r\n\t\t<my:KWS_Samenvatting>LEFT: L0 M0 F0 : TEP --- RIGHT: L2 M1 F1 : TEP</my:KWS_Samenvatting>\r\n\t</my:Algemeen>\r\n\t<my:LEFT>\r\n\t\t<my:FLIPR_LEFT_Recurrent>Primary</my:FLIPR_LEFT_Recurrent>\r\n\t\t<my:FLIPR_LEFT_EHS_Lateral>0</my:FLIPR_LEFT_EHS_Lateral>\r\n\t\t<my:FLIPR_LEFT_EHS_Medial>0</my:FLIPR_LEFT_EHS_Medial>\r\n\t\t<my:FLIPR_LEFT_EHS_Femoral>0</my:FLIPR_LEFT_EHS_Femoral>\r\n\t\t<my:FLIPR_LEFT_PerformedBy>Surgeon (consultant or fellow)</my:FLIPR_LEFT_PerformedBy>\r\n\t\t<my:FLIPR_LEFT_SurgeryType>TEP</my:FLIPR_LEFT_SurgeryType>\r\n\t\t<my:groep35>\r\n\t\t\t<my:FLIPR_LEFT_SurgeryTypeOther/>\r\n\t\t</my:groep35>\r\n\t\t<my:groep28>\r\n\t\t\t<my:FLIPR_LEFT_SurgeryConversion>no</my:FLIPR_LEFT_SurgeryConversion>\r\n\t\t\t<my:groep29>\r\n\t\t\t\t<my:FLIPR_LEFT_SurgeryConversionType/>\r\n\t\t\t\t<my:FLIPR_LEFT_SurgeryConversionType_Tekst/>\r\n\t\t\t\t<my:groep52>\r\n\t\t\t\t\t<my:FLIPR_LEFT_SurgeryConversionTypeOther/>\r\n\t\t\t\t</my:groep52>\r\n\t\t\t</my:groep29>\r\n\t\t</my:groep28>\r\n\t\t<my:groep7>\r\n\t\t\t<my:FLIPR_LEFT_SurgeryPreviousType/>\r\n\t\t</my:groep7>\r\n\t\t<my:groep32>\r\n\t\t\t<my:FLIPR_LEFT_Mesh>mesh</my:FLIPR_LEFT_Mesh>\r\n\t\t\t<my:groep30>\r\n\t\t\t\t<my:FLIPR_LEFT_MeshBrand>3M</my:FLIPR_LEFT_MeshBrand>\r\n\t\t\t\t<my:FLIPR_LEFT_MeshDim1>10</my:FLIPR_LEFT_MeshDim1>\r\n\t\t\t\t<my:FLIPR_LEFT_MeshDim2>10</my:FLIPR_LEFT_MeshDim2>\r\n\t\t\t</my:groep30>\r\n\t\t</my:groep32>\r\n\t\t<my:FLIPR_LEFT_Fixation>fixation</my:FLIPR_LEFT_Fixation>\r\n\t\t<my:FIXATIONLEFT>\r\n\t\t\t<my:FLIPR_LEFT_Fixation_Glue>0</my:FLIPR_LEFT_Fixation_Glue>\r\n\t\t\t<my:FLIPR_LEFT_Fixation_Sutures>1</my:FLIPR_LEFT_Fixation_Sutures>\r\n\t\t\t<my:groep17>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Sutures_Resorbable>1</my:FLIPR_LEFT_Fixation_Sutures_Resorbable>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Sutures_NonResorbable>0</my:FLIPR_LEFT_Fixation_Sutures_NonResorbable>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Sutures_FixPoints>1-2</my:FLIPR_LEFT_Fixation_Sutures_FixPoints>\r\n\t\t\t</my:groep17>\r\n\t\t\t<my:FLIPR_LEFT_Fixation_Staples>0</my:FLIPR_LEFT_Fixation_Staples>\r\n\t\t\t<my:groep19>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Staples_Resorbable>0</my:FLIPR_LEFT_Fixation_Staples_Resorbable>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Staples_NonResorbable>0</my:FLIPR_LEFT_Fixation_Staples_NonResorbable>\r\n\t\t\t\t<my:FLIPR_LEFT_Fixation_Staples_FixPoints/>\r\n\t\t\t</my:groep19>\r\n\t\t</my:FIXATIONLEFT>\r\n\t\t<my:FLIPR_LEFT_NerveIdentification>yes</my:FLIPR_LEFT_NerveIdentification>\r\n\t\t<my:groep21>\r\n\t\t\t<my:FLIPR_LEFT_NerveID_Ilioinguinal>1</my:FLIPR_LEFT_NerveID_Ilioinguinal>\r\n\t\t\t<my:FLIPR_LEFT_NerveID_Iliohypogastric>0</my:FLIPR_LEFT_NerveID_Iliohypogastric>\r\n\t\t\t<my:FLIPR_LEFT_NerveID_Genitofemoral>0</my:FLIPR_LEFT_NerveID_Genitofemoral>\r\n\t\t\t<my:FLIPR_LEFT_NerveID_NotSpecified>0</my:FLIPR_LEFT_NerveID_NotSpecified>\r\n\t\t\t<my:FLIPR_LEFT_NerveDIV_Ilioinguinal>1</my:FLIPR_LEFT_NerveDIV_Ilioinguinal>\r\n\t\t\t<my:FLIPR_LEFT_NerveDIV_Iliohypogastric>0</my:FLIPR_LEFT_NerveDIV_Iliohypogastric>\r\n\t\t\t<my:FLIPR_LEFT_NerveDIV_Genitofemoral>0</my:FLIPR_LEFT_NerveDIV_Genitofemoral>\r\n\t\t\t<my:FLIPR_LEFT_NerveDIV_NotSpecified>0</my:FLIPR_LEFT_NerveDIV_NotSpecified>\r\n\t\t\t<my:FLIPR_LEFT_NerveDIV_None>0</my:FLIPR_LEFT_NerveDIV_None>\r\n\t\t\t<my:groep33/>\r\n\t\t</my:groep21>\r\n\t\t<my:FLIPR_LEFT_IntraOpEvents>no</my:FLIPR_LEFT_IntraOpEvents>\r\n\t\t<my:groep23>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_VasDeferens>0</my:FLIPR_LEFT_IntraOpEvents_VasDeferens>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_SpermaticVessels>0</my:FLIPR_LEFT_IntraOpEvents_SpermaticVessels>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_EpigastricVessels>0</my:FLIPR_LEFT_IntraOpEvents_EpigastricVessels>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_LargeVessels>0</my:FLIPR_LEFT_IntraOpEvents_LargeVessels>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_Bowel>0</my:FLIPR_LEFT_IntraOpEvents_Bowel>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_Bladder>0</my:FLIPR_LEFT_IntraOpEvents_Bladder>\r\n\t\t\t<my:FLIPR_LEFT_IntraOpEvents_PeritoneumLeftOpen>0</my:FLIPR_LEFT_IntraOpEvents_PeritoneumLeftOpen>\r\n\t\t</my:groep23>\r\n\t\t<my:FLIPR_LEFT_DifficultyGrade>difficult</my:FLIPR_LEFT_DifficultyGrade>\r\n\t\t<my:groep49/>\r\n\t\t<my:FLIPR_LEFT_TEXT>LEFT: L0 M0 F0 : TEP</my:FLIPR_LEFT_TEXT>\r\n\t\t<my:FLIPR_LEFT_ContaminationWoundClass>Class I: Clean</my:FLIPR_LEFT_ContaminationWoundClass>\r\n\t\t<my:groep9>\r\n\t\t\t<my:FLIPR_LEFT_ContaminationBowelResection/>\r\n\t\t\t<my:FLIPR_LEFT_Contamination_Side/>\r\n\t\t</my:groep9>\r\n\t</my:LEFT>\r\n\t<my:RIGHT>\r\n\t\t<my:FLIPR_RIGHT_Recurrent>Recurrent</my:FLIPR_RIGHT_Recurrent>\r\n\t\t<my:FLIPR_RIGHT_EHS_Lateral>2</my:FLIPR_RIGHT_EHS_Lateral>\r\n\t\t<my:FLIPR_RIGHT_EHS_Medial>1</my:FLIPR_RIGHT_EHS_Medial>\r\n\t\t<my:FLIPR_RIGHT_EHS_Femoral>1</my:FLIPR_RIGHT_EHS_Femoral>\r\n\t\t<my:FLIPR_RIGHT_PerformedBy>Surgeon (consultant or fellow)</my:FLIPR_RIGHT_PerformedBy>\r\n\t\t<my:FLIPR_RIGHT_SurgeryType>TEP</my:FLIPR_RIGHT_SurgeryType>\r\n\t\t<my:groep36>\r\n\t\t\t<my:FLIPR_RIGHT_SurgeryTypeOther/>\r\n\t\t</my:groep36>\r\n\t\t<my:groep37>\r\n\t\t\t<my:FLIPR_RIGHT_SurgeryConversion>no</my:FLIPR_RIGHT_SurgeryConversion>\r\n\t\t\t<my:groep38>\r\n\t\t\t\t<my:FLIPR_RIGHT_SurgeryConversionType/>\r\n\t\t\t\t<my:FLIPR_RIGHT_SurgeryConversionType_Tekst/>\r\n\t\t\t\t<my:groep53>\r\n\t\t\t\t\t<my:FLIPR_RIGHT_SurgeryConversionTypeOther/>\r\n\t\t\t\t</my:groep53>\r\n\t\t\t</my:groep38>\r\n\t\t</my:groep37>\r\n\t\t<my:groep8>\r\n\t\t\t<my:FLIPR_RIGHT_SurgeryPreviousType>TEP</my:FLIPR_RIGHT_SurgeryPreviousType>\r\n\t\t</my:groep8>\r\n\t\t<my:groep40>\r\n\t\t\t<my:FLIPR_RIGHT_Mesh>mesh</my:FLIPR_RIGHT_Mesh>\r\n\t\t\t<my:groep41>\r\n\t\t\t\t<my:FLIPR_RIGHT_MeshBrand>3M</my:FLIPR_RIGHT_MeshBrand>\r\n\t\t\t\t<my:FLIPR_RIGHT_MeshDim1>10</my:FLIPR_RIGHT_MeshDim1>\r\n\t\t\t\t<my:FLIPR_RIGHT_MeshDim2>10</my:FLIPR_RIGHT_MeshDim2>\r\n\t\t\t</my:groep41>\r\n\t\t</my:groep40>\r\n\t\t<my:FLIPR_RIGHT_Fixation>no fixation</my:FLIPR_RIGHT_Fixation>\r\n\t\t<my:FIXATIONRIGHT>\r\n\t\t\t<my:FLIPR_RIGHT_Fixation_Glue>0</my:FLIPR_RIGHT_Fixation_Glue>\r\n\t\t\t<my:FLIPR_RIGHT_Fixation_Sutures>0</my:FLIPR_RIGHT_Fixation_Sutures>\r\n\t\t\t<my:groep18>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Sutures_Resorbable>0</my:FLIPR_RIGHT_Fixation_Sutures_Resorbable>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Sutures_NonResorbable>0</my:FLIPR_RIGHT_Fixation_Sutures_NonResorbable>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Sutures_FixPoints/>\r\n\t\t\t</my:groep18>\r\n\t\t\t<my:FLIPR_RIGHT_Fixation_Staples>0</my:FLIPR_RIGHT_Fixation_Staples>\r\n\t\t\t<my:groep20>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Staples_Resorbable>0</my:FLIPR_RIGHT_Fixation_Staples_Resorbable>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Staples_NonResorbable>0</my:FLIPR_RIGHT_Fixation_Staples_NonResorbable>\r\n\t\t\t\t<my:FLIPR_RIGHT_Fixation_Staples_FixPoints/>\r\n\t\t\t</my:groep20>\r\n\t\t</my:FIXATIONRIGHT>\r\n\t\t<my:FLIPR_RIGHT_NerveIdentification>no</my:FLIPR_RIGHT_NerveIdentification>\r\n\t\t<my:groep22>\r\n\t\t\t<my:FLIPR_RIGHT_NerveID_Ilioinguinal>0</my:FLIPR_RIGHT_NerveID_Ilioinguinal>\r\n\t\t\t<my:FLIPR_RIGHT_NerveID_Iliohypogastric>0</my:FLIPR_RIGHT_NerveID_Iliohypogastric>\r\n\t\t\t<my:FLIPR_RIGHT_NerveID_Genitofemoral>0</my:FLIPR_RIGHT_NerveID_Genitofemoral>\r\n\t\t\t<my:FLIPR_RIGHT_NerveID_NotSpecified>0</my:FLIPR_RIGHT_NerveID_NotSpecified>\r\n\t\t\t<my:FLIPR_RIGHT_NerveDIV_Ilioinguinal>0</my:FLIPR_RIGHT_NerveDIV_Ilioinguinal>\r\n\t\t\t<my:FLIPR_RIGHT_NerveDIV_Iliohypogastric>0</my:FLIPR_RIGHT_NerveDIV_Iliohypogastric>\r\n\t\t\t<my:FLIPR_RIGHT_NerveDIV_Genitofemoral>0</my:FLIPR_RIGHT_NerveDIV_Genitofemoral>\r\n\t\t\t<my:FLIPR_RIGHT_NerveDIV_NotSpecified>0</my:FLIPR_RIGHT_NerveDIV_NotSpecified>\r\n\t\t\t<my:FLIPR_RIGHT_NerveDIV_None>0</my:FLIPR_RIGHT_NerveDIV_None>\r\n\t\t\t<my:groep42/>\r\n\t\t</my:groep22>\r\n\t\t<my:FLIPR_RIGHT_IntraOpEvents>unknown</my:FLIPR_RIGHT_IntraOpEvents>\r\n\t\t<my:groep24>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_VasDeferens>0</my:FLIPR_RIGHT_IntraOpEvents_VasDeferens>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_SpermaticVessels>0</my:FLIPR_RIGHT_IntraOpEvents_SpermaticVessels>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_EpigastricVessels>0</my:FLIPR_RIGHT_IntraOpEvents_EpigastricVessels>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_LargeVessels>0</my:FLIPR_RIGHT_IntraOpEvents_LargeVessels>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_Bowel>0</my:FLIPR_RIGHT_IntraOpEvents_Bowel>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_Bladder>0</my:FLIPR_RIGHT_IntraOpEvents_Bladder>\r\n\t\t\t<my:FLIPR_RIGHT_IntraOpEvents_PeritoneumLeftOpen>0</my:FLIPR_RIGHT_IntraOpEvents_PeritoneumLeftOpen>\r\n\t\t</my:groep24>\r\n\t\t<my:FLIPR_RIGHT_DifficultyGrade>unknown</my:FLIPR_RIGHT_DifficultyGrade>\r\n\t\t<my:groep50/>\r\n\t\t<my:FLIPR_RIGHT_Text>RIGHT: L2 M1 F1 : TEP</my:FLIPR_RIGHT_Text>\r\n\t\t<my:FLIPR_RIGHT_ContaminationWoundClass>Class I: Clean</my:FLIPR_RIGHT_ContaminationWoundClass>\r\n\t\t<my:ContaminationRight>\r\n\t\t\t<my:FLIPR_RIGHT_ContaminationBowelResection/>\r\n\t\t\t<my:FLIPR_RIGHT_Contamination_Side/>\r\n\t\t</my:ContaminationRight>\r\n\t</my:RIGHT>\r\n\t<my:Buttons>4</my:Buttons>\r\n\t<my:Side/>\r\n\t<my:FLIPR_FreeText/>\r\n\t<my:groep48/>\r\n</my:mijnVelden>"
}