Onterecht vastleggen van dialysetoeslag (N0839): verschil tussen versies

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Regel 46: Regel 46:
=== Programmeerbare norm ===
=== Programmeerbare norm ===


Er is sprake van&nbsp; “{{BASEPAGENAME}}” als aan de volgende selectie is voldaan:<span style="line-height: 1.6">&nbsp;</span>
Er is sprake van&nbsp; “{{BASEPAGENAME}}” als aan de volgende selectie is voldaan:<span style="line-height: 1.6;">&nbsp;</span>


{| style="font-size: 12.7272720336914px; line-height: 20.7999992370605px; width: 597px" align="center" border="0" cellpadding="0" cellspacing="10"
{| align="center" style="width: 597px; line-height: 20.79px; font-size: 12.72px;" cellpadding="0" cellspacing="10" border="0"
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! scope="col" colspan="4" style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230)" |  
! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" colspan="4" |  
<span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 23.1111106872559px; text-align: center; background-color: rgb(173, 216, 230)">1)&nbsp;Zorgactiviteiten IC dialysetoeslag</span></span></span>
<span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">1)&nbsp;Zorgactiviteiten IC dialysetoeslag</span></span></span>


<span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 23.1111106872559px; text-align: center; background-color: rgb(173, 216, 230)">2014 / 2015: 190156</span></span></span>
<span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">2014 / 2015: 190156</span></span></span>


<span style="color:#0000CD">2013: 190128, 190137, 190144</span>
<span style="color: rgb(0, 0, 205);">2013: 190128, 190137, 190144</span>


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! scope="col" colspan="4" style="text-align: center; vertical-align: middle" | <span style="color:#0000CD"><span style="font-size:small">{{BlauwePijl}}</span></span>
! style="text-align: center; vertical-align: middle;" scope="col" colspan="4" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span>
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! scope="col" colspan="4" style="background-color: rgb(173, 216, 230)" |  
! style="background-color: rgb(173, 216, 230);" scope="col" colspan="4" |  
{| style="line-height: 23.1111106872559px; width: 597px" align="center" border="0" cellpadding="0" cellspacing="10"
{| align="center" style="width: 597px; line-height: 23.11px;" cellpadding="0" cellspacing="10" border="0"
|-
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! scope="col" |  
! scope="col" |  
<span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 23.1111106872559px; text-align: center; background-color: rgb(173, 216, 230)">2) Uitgevoerd in controlejaar of handreikingjaar en gedeclareerd of te declareren als OZP</span></span></span>
<span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">2) Uitgevoerd in controlejaar of handreikingjaar en gedeclareerd of te declareren als OZP</span></span></span>


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|-
|-
! scope="col" style="text-align: center; vertical-align: middle; width: 140px" | <span style="color:#0000CD"><span style="font-size:small">{{BlauwePijl}}</span></span>
! style="width: 140px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span>
| style="width: 140px; text-align: center" | <span style="color:#0000CD"><span style="font-size:small">{{BlauwePijl}}</span></span>
| style="width: 140px; text-align: center;" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span>
| style="width: 140px; text-align: center" | <span style="color:#0000CD"><span style="font-size:small">{{BlauwePijl}}</span></span><br/>
| style="width: 140px; text-align: center;" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
! scope="col" style="vertical-align: middle; text-align: center; width: 140px" | <span style="color:#0000CD"><span style="font-size:small">{{BlauwePijl}}</span></span>
! style="width: 140px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span>
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! scope="col" style="width: 140px; text-align: center; vertical-align: middle; line-height: 23.1111106872559px; background-color: rgb(173, 216, 230)" | <span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">3)&nbsp;IC dialysetoeslag is niet geregistreerd door intensivist</span><span style="line-height: 20.7999992370605px">&nbsp;&nbsp;</span></span></span><br/>
! style="width: 140px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">3)&nbsp;IC dialysetoeslag is niet geregistreerd door intensivist</span><span style="line-height: 20.79px;">&nbsp;&nbsp;</span></span></span><br/>
! scope="col" style="width: 140px; background-color: rgb(173, 216, 230)" | <span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">4)&nbsp;Op dezelfde kalenderdag is de verrichting 2 of meer keer uitgevoerd</span></span></span>
! style="width: 140px; background-color: rgb(173, 216, 230);" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">4)&nbsp;Op dezelfde kalenderdag is de verrichting 2 of meer keer uitgevoerd</span></span></span>
! scope="col" style="width: 140px; background-color: rgb(173, 216, 230)" | <span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">5)&nbsp;Op dezelfde kalenderdag als de IC dialysetoeslag verrichting is er geen IC-behandeldag (190153, 190154 en 190155) geregistreerd</span></span></span>
! style="width: 140px; background-color: rgb(173, 216, 230);" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">5)&nbsp;Op dezelfde kalenderdag als de IC dialysetoeslag verrichting is er geen IC-behandeldag (190153, 190154 en 190155) geregistreerd</span></span></span>
! scope="col" style="width: 140px; text-align: center; vertical-align: middle; line-height: 23.1111106872559px; background-color: rgb(173, 216, 230)" |  
! style="width: 140px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" |  
<span style="color:#0000CD"><span style="font-size:small"><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">&nbsp;6) Voor een IC dialysetoeslag is er overlappend op dezelfde kalenderdag een dialyse subtraject aanwezig. Deze worden herkent a.d.h.v. AGB nummers en diagnose codes*:&nbsp;</span><br/><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">-&nbsp;0313_331</span><br/><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">-&nbsp;0313_332</span><br/><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">-&nbsp;0313_336</span><br/><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">-&nbsp;0313_339</span><br/><span style="font-weight: bold; line-height: 20.7999992370605px; text-align: center; background-color: rgb(173, 216, 230)">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; -&nbsp;0316_4006&nbsp;&nbsp;</span><span style="line-height: 20.7999992370605px">&nbsp;</span></span></span>
<span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">&nbsp;6) Voor een IC dialysetoeslag is er overlappend op dezelfde kalenderdag een dialyse subtraject aanwezig. Deze worden herkent a.d.h.v. AGB nummers en diagnose codes*:&nbsp; </span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_331</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_332</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_336</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_339</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">&nbsp;&nbsp;&nbsp;-&nbsp;0316_4006</span></span></span>
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<span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"></span></span></span><font size="2"><font color="#0000cd"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_322</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_323</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_324</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">-&nbsp;0313_325</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">&nbsp;&nbsp;&nbsp;-&nbsp;0316_4005</span></font></font>
 
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Regel 89: Regel 91:
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0313_339&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Chronische hemodialyse in instelling
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0313_339&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Chronische hemodialyse in instelling
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0316_4006&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nierinsufficiëntie, chronische
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0316_4006&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nierinsufficiëntie, chronische
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0313_322&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Acute nierinsufficiëntie met dialyse
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0313_323&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Acute nierinsufficiëntie zonder dialyse
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;0313_324&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Chronische nierinsufficiëntie eGRF 30-60 ml/min
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0313_325&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Chronische nierinsufficiëntie eGF <30 ml/min
*&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0316_4005&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nierinsufficiëntie,


<br/>Logica: 1 en 2 en (3 of 4 of 5 of 6)
<br/>Logica: 1 en 2 en (3 of 4 of 5 of 6)